{"hospital_name":"CHI Lisbon Health","last_updated_on":"2024-03-25","version":"2.0.0","hospital_location": ["CHI Lisbon Health"],"hospital_address": ["905 Main Street, Lisbon, ND 58054"],"license_information":{"license_number":"5031A","state":"ND"},"affirmation": {"affirmation":"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.","confirm_affirmation": true},"standard_charge_information":[{"description":"LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT","code_information":[{"code":"0011","type":"APR-DRG"}],"standard_charges":[{"minimum":139720,"maximum":139720,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":139720,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT","code_information":[{"code":"0012","type":"APR-DRG"}],"standard_charges":[{"minimum":151302,"maximum":151302,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":151302,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT","code_information":[{"code":"0013","type":"APR-DRG"}],"standard_charges":[{"minimum":184738,"maximum":184738,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":184738,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT","code_information":[{"code":"0014","type":"APR-DRG"}],"standard_charges":[{"minimum":330616,"maximum":330616,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":330616,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEART AND/OR LUNG TRANSPLANT","code_information":[{"code":"0021","type":"APR-DRG"}],"standard_charges":[{"minimum":199808,"maximum":199808,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":199808,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEART AND/OR LUNG TRANSPLANT","code_information":[{"code":"0022","type":"APR-DRG"}],"standard_charges":[{"minimum":230744,"maximum":230744,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":230744,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEART AND/OR LUNG TRANSPLANT","code_information":[{"code":"0023","type":"APR-DRG"}],"standard_charges":[{"minimum":292054,"maximum":292054,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":292054,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEART AND/OR LUNG TRANSPLANT","code_information":[{"code":"0024","type":"APR-DRG"}],"standard_charges":[{"minimum":510270,"maximum":510270,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":510270,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE","code_information":[{"code":"0041","type":"APR-DRG"}],"standard_charges":[{"minimum":113794,"maximum":113794,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":113794,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE","code_information":[{"code":"0042","type":"APR-DRG"}],"standard_charges":[{"minimum":144792,"maximum":144792,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":144792,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE","code_information":[{"code":"0043","type":"APR-DRG"}],"standard_charges":[{"minimum":185211,"maximum":185211,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":185211,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE","code_information":[{"code":"0044","type":"APR-DRG"}],"standard_charges":[{"minimum":303287,"maximum":303287,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":303287,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE","code_information":[{"code":"0051","type":"APR-DRG"}],"standard_charges":[{"minimum":89033,"maximum":89033,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89033,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE","code_information":[{"code":"0052","type":"APR-DRG"}],"standard_charges":[{"minimum":121818,"maximum":121818,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":121818,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE","code_information":[{"code":"0053","type":"APR-DRG"}],"standard_charges":[{"minimum":187000,"maximum":187000,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":187000,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE","code_information":[{"code":"0054","type":"APR-DRG"}],"standard_charges":[{"minimum":239756,"maximum":239756,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":239756,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PANCREAS TRANSPLANT","code_information":[{"code":"0061","type":"APR-DRG"}],"standard_charges":[{"minimum":133797,"maximum":133797,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":133797,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PANCREAS TRANSPLANT","code_information":[{"code":"0062","type":"APR-DRG"}],"standard_charges":[{"minimum":176534,"maximum":176534,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":176534,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PANCREAS TRANSPLANT","code_information":[{"code":"0063","type":"APR-DRG"}],"standard_charges":[{"minimum":196077,"maximum":196077,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":196077,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PANCREAS TRANSPLANT","code_information":[{"code":"0064","type":"APR-DRG"}],"standard_charges":[{"minimum":307056,"maximum":307056,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":307056,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALLOGENEIC BONE MARROW TRANSPLANT","code_information":[{"code":"0071","type":"APR-DRG"}],"standard_charges":[{"minimum":123079,"maximum":123079,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":123079,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALLOGENEIC BONE MARROW TRANSPLANT","code_information":[{"code":"0072","type":"APR-DRG"}],"standard_charges":[{"minimum":162602,"maximum":162602,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":162602,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALLOGENEIC BONE MARROW TRANSPLANT","code_information":[{"code":"0073","type":"APR-DRG"}],"standard_charges":[{"minimum":201994,"maximum":201994,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":201994,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALLOGENEIC BONE MARROW TRANSPLANT","code_information":[{"code":"0074","type":"APR-DRG"}],"standard_charges":[{"minimum":339230,"maximum":339230,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339230,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MG - IMMUNOGLOB PARAPROTEIN","code_information":[{"code":"0077U","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":225.57,"maximum":296.64,"gross_charge":309,"discounted_cash":171.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":296.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":284.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":265.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":256.47,"methodology":"fee schedule"}]}]},{"description":"MG - IMMUNOGLOB PARAPROTEIN","code_information":[{"code":"0077U","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":43.43,"maximum":296.64,"gross_charge":309,"discounted_cash":171.22,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":296.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":284.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":265.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":256.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":43.43,"methodology":"fee schedule"}]}]},{"description":"AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY","code_information":[{"code":"0081","type":"APR-DRG"}],"standard_charges":[{"minimum":71328,"maximum":71328,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71328,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY","code_information":[{"code":"0082","type":"APR-DRG"}],"standard_charges":[{"minimum":90786,"maximum":90786,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90786,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY","code_information":[{"code":"0083","type":"APR-DRG"}],"standard_charges":[{"minimum":111379,"maximum":111379,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":111379,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY","code_information":[{"code":"0084","type":"APR-DRG"}],"standard_charges":[{"minimum":181827,"maximum":181827,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":181827,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","code_information":[{"code":"0091","type":"APR-DRG"}],"standard_charges":[{"minimum":88387,"maximum":88387,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":88387,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","code_information":[{"code":"0092","type":"APR-DRG"}],"standard_charges":[{"minimum":111304,"maximum":111304,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":111304,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","code_information":[{"code":"0093","type":"APR-DRG"}],"standard_charges":[{"minimum":154405,"maximum":154405,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":154405,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","code_information":[{"code":"0094","type":"APR-DRG"}],"standard_charges":[{"minimum":301074,"maximum":301074,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":301074,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY FOR TRAUMA","code_information":[{"code":"0201","type":"APR-DRG"}],"standard_charges":[{"minimum":38827,"maximum":38827,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38827,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY FOR TRAUMA","code_information":[{"code":"0202","type":"APR-DRG"}],"standard_charges":[{"minimum":52583,"maximum":52583,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52583,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY FOR TRAUMA","code_information":[{"code":"0203","type":"APR-DRG"}],"standard_charges":[{"minimum":73344,"maximum":73344,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":73344,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY FOR TRAUMA","code_information":[{"code":"0204","type":"APR-DRG"}],"standard_charges":[{"minimum":110809,"maximum":110809,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110809,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY EXCEPT TRAUMA","code_information":[{"code":"0211","type":"APR-DRG"}],"standard_charges":[{"minimum":33752,"maximum":33752,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33752,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY EXCEPT TRAUMA","code_information":[{"code":"0212","type":"APR-DRG"}],"standard_charges":[{"minimum":48934,"maximum":48934,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":48934,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY EXCEPT TRAUMA","code_information":[{"code":"0213","type":"APR-DRG"}],"standard_charges":[{"minimum":90257,"maximum":90257,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90257,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPEN CRANIOTOMY EXCEPT TRAUMA","code_information":[{"code":"0214","type":"APR-DRG"}],"standard_charges":[{"minimum":245518,"maximum":245518,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":245518,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VENTRICULAR SHUNT PROCEDURES","code_information":[{"code":"0221","type":"APR-DRG"}],"standard_charges":[{"minimum":26969,"maximum":26969,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26969,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VENTRICULAR SHUNT PROCEDURES","code_information":[{"code":"0222","type":"APR-DRG"}],"standard_charges":[{"minimum":30252,"maximum":30252,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30252,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VENTRICULAR SHUNT PROCEDURES","code_information":[{"code":"0223","type":"APR-DRG"}],"standard_charges":[{"minimum":43490,"maximum":43490,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43490,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VENTRICULAR SHUNT PROCEDURES","code_information":[{"code":"0224","type":"APR-DRG"}],"standard_charges":[{"minimum":102150,"maximum":102150,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":102150,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPINAL PROCEDURES","code_information":[{"code":"0231","type":"APR-DRG"}],"standard_charges":[{"minimum":30387,"maximum":30387,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30387,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPINAL PROCEDURES","code_information":[{"code":"0232","type":"APR-DRG"}],"standard_charges":[{"minimum":35270,"maximum":35270,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35270,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPINAL PROCEDURES","code_information":[{"code":"0233","type":"APR-DRG"}],"standard_charges":[{"minimum":80629,"maximum":80629,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":80629,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPINAL PROCEDURES","code_information":[{"code":"0234","type":"APR-DRG"}],"standard_charges":[{"minimum":124422,"maximum":124422,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":124422,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SARSCOV-2/FLU/RSV (3)","code_information":[{"code":"0240U","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":139.43,"maximum":183.36,"gross_charge":191,"discounted_cash":105.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":183.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":175.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":164.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":158.53,"methodology":"fee schedule"}]}]},{"description":"SARSCOV-2/FLU/RSV (3)","code_information":[{"code":"0240U","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":89.77,"maximum":191,"gross_charge":191,"discounted_cash":105.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":191,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":183.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":175.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":164.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":158.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":89.77,"methodology":"fee schedule"}]}]},{"description":"OPEN EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0241","type":"APR-DRG"}],"standard_charges":[{"minimum":16534,"maximum":16534,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16534,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SARSCOV-2/FLU/RSV (4)","code_information":[{"code":"0241U","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":139.43,"maximum":183.36,"gross_charge":191,"discounted_cash":105.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":183.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":175.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":164.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":158.53,"methodology":"fee schedule"}]}]},{"description":"SARSCOV-2/FLU/RSV (4)","code_information":[{"code":"0241U","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":89.77,"maximum":191,"gross_charge":191,"discounted_cash":105.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":191,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":183.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":175.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":164.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":158.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":89.77,"methodology":"fee schedule"}]}]},{"description":"OPEN EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0242","type":"APR-DRG"}],"standard_charges":[{"minimum":18005,"maximum":18005,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18005,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPEN EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0243","type":"APR-DRG"}],"standard_charges":[{"minimum":46722,"maximum":46722,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46722,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPEN EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0244","type":"APR-DRG"}],"standard_charges":[{"minimum":87223,"maximum":87223,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":87223,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER NERVOUS SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"0261","type":"APR-DRG"}],"standard_charges":[{"minimum":17559,"maximum":17559,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17559,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER NERVOUS SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"0262","type":"APR-DRG"}],"standard_charges":[{"minimum":20149,"maximum":20149,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20149,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER NERVOUS SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"0263","type":"APR-DRG"}],"standard_charges":[{"minimum":53228,"maximum":53228,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53228,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER NERVOUS SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"0264","type":"APR-DRG"}],"standard_charges":[{"minimum":113780,"maximum":113780,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":113780,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER OPEN CRANIOTOMY","code_information":[{"code":"0271","type":"APR-DRG"}],"standard_charges":[{"minimum":35082,"maximum":35082,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35082,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER OPEN CRANIOTOMY","code_information":[{"code":"0272","type":"APR-DRG"}],"standard_charges":[{"minimum":39838,"maximum":39838,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39838,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER OPEN CRANIOTOMY","code_information":[{"code":"0273","type":"APR-DRG"}],"standard_charges":[{"minimum":59592,"maximum":59592,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":59592,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER OPEN CRANIOTOMY","code_information":[{"code":"0274","type":"APR-DRG"}],"standard_charges":[{"minimum":130527,"maximum":130527,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":130527,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES","code_information":[{"code":"0291","type":"APR-DRG"}],"standard_charges":[{"minimum":32994,"maximum":32994,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32994,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES","code_information":[{"code":"0292","type":"APR-DRG"}],"standard_charges":[{"minimum":36660,"maximum":36660,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36660,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES","code_information":[{"code":"0293","type":"APR-DRG"}],"standard_charges":[{"minimum":49872,"maximum":49872,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49872,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES","code_information":[{"code":"0294","type":"APR-DRG"}],"standard_charges":[{"minimum":92546,"maximum":92546,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":92546,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0301","type":"APR-DRG"}],"standard_charges":[{"minimum":62581,"maximum":62581,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":62581,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0302","type":"APR-DRG"}],"standard_charges":[{"minimum":67606,"maximum":67606,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":67606,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0303","type":"APR-DRG"}],"standard_charges":[{"minimum":89869,"maximum":89869,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89869,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES","code_information":[{"code":"0304","type":"APR-DRG"}],"standard_charges":[{"minimum":129157,"maximum":129157,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":129157,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPINAL DISORDERS AND INJURIES","code_information":[{"code":"0401","type":"APR-DRG"}],"standard_charges":[{"minimum":19913,"maximum":19913,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19913,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPINAL DISORDERS AND INJURIES","code_information":[{"code":"0402","type":"APR-DRG"}],"standard_charges":[{"minimum":56899,"maximum":56899,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56899,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPINAL DISORDERS AND INJURIES","code_information":[{"code":"0403","type":"APR-DRG"}],"standard_charges":[{"minimum":82797,"maximum":82797,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":82797,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPINAL DISORDERS AND INJURIES","code_information":[{"code":"0404","type":"APR-DRG"}],"standard_charges":[{"minimum":91077,"maximum":91077,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91077,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NERVOUS SYSTEM MALIGNANCY","code_information":[{"code":"0411","type":"APR-DRG"}],"standard_charges":[{"minimum":13590,"maximum":13590,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13590,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NERVOUS SYSTEM MALIGNANCY","code_information":[{"code":"0412","type":"APR-DRG"}],"standard_charges":[{"minimum":15595,"maximum":15595,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15595,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NERVOUS SYSTEM MALIGNANCY","code_information":[{"code":"0413","type":"APR-DRG"}],"standard_charges":[{"minimum":21037,"maximum":21037,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21037,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NERVOUS SYSTEM MALIGNANCY","code_information":[{"code":"0414","type":"APR-DRG"}],"standard_charges":[{"minimum":24891,"maximum":24891,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24891,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS","code_information":[{"code":"0421","type":"APR-DRG"}],"standard_charges":[{"minimum":14521,"maximum":14521,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14521,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS","code_information":[{"code":"0422","type":"APR-DRG"}],"standard_charges":[{"minimum":21826,"maximum":21826,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21826,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS","code_information":[{"code":"0423","type":"APR-DRG"}],"standard_charges":[{"minimum":32364,"maximum":32364,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32364,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS","code_information":[{"code":"0424","type":"APR-DRG"}],"standard_charges":[{"minimum":50264,"maximum":50264,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50264,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES","code_information":[{"code":"0431","type":"APR-DRG"}],"standard_charges":[{"minimum":17027,"maximum":17027,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17027,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES","code_information":[{"code":"0432","type":"APR-DRG"}],"standard_charges":[{"minimum":25727,"maximum":25727,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25727,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES","code_information":[{"code":"0433","type":"APR-DRG"}],"standard_charges":[{"minimum":38172,"maximum":38172,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38172,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES","code_information":[{"code":"0434","type":"APR-DRG"}],"standard_charges":[{"minimum":69724,"maximum":69724,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":69724,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTRACRANIAL HEMORRHAGE","code_information":[{"code":"0441","type":"APR-DRG"}],"standard_charges":[{"minimum":21745,"maximum":21745,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21745,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTRACRANIAL HEMORRHAGE","code_information":[{"code":"0442","type":"APR-DRG"}],"standard_charges":[{"minimum":24396,"maximum":24396,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24396,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTRACRANIAL HEMORRHAGE","code_information":[{"code":"0443","type":"APR-DRG"}],"standard_charges":[{"minimum":61886,"maximum":61886,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61886,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTRACRANIAL HEMORRHAGE","code_information":[{"code":"0444","type":"APR-DRG"}],"standard_charges":[{"minimum":72146,"maximum":72146,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72146,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION","code_information":[{"code":"0451","type":"APR-DRG"}],"standard_charges":[{"minimum":19032,"maximum":19032,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19032,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION","code_information":[{"code":"0452","type":"APR-DRG"}],"standard_charges":[{"minimum":20600,"maximum":20600,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20600,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION","code_information":[{"code":"0453","type":"APR-DRG"}],"standard_charges":[{"minimum":35822,"maximum":35822,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35822,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION","code_information":[{"code":"0454","type":"APR-DRG"}],"standard_charges":[{"minimum":38972,"maximum":38972,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38972,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION","code_information":[{"code":"0461","type":"APR-DRG"}],"standard_charges":[{"minimum":14256,"maximum":14256,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14256,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION","code_information":[{"code":"0462","type":"APR-DRG"}],"standard_charges":[{"minimum":17286,"maximum":17286,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17286,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION","code_information":[{"code":"0463","type":"APR-DRG"}],"standard_charges":[{"minimum":18624,"maximum":18624,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18624,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION","code_information":[{"code":"0464","type":"APR-DRG"}],"standard_charges":[{"minimum":41210,"maximum":41210,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":41210,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRANSIENT ISCHEMIA","code_information":[{"code":"0471","type":"APR-DRG"}],"standard_charges":[{"minimum":11182,"maximum":11182,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11182,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRANSIENT ISCHEMIA","code_information":[{"code":"0472","type":"APR-DRG"}],"standard_charges":[{"minimum":15384,"maximum":15384,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15384,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRANSIENT ISCHEMIA","code_information":[{"code":"0473","type":"APR-DRG"}],"standard_charges":[{"minimum":21559,"maximum":21559,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21559,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRANSIENT ISCHEMIA","code_information":[{"code":"0474","type":"APR-DRG"}],"standard_charges":[{"minimum":31921,"maximum":31921,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31921,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS","code_information":[{"code":"0481","type":"APR-DRG"}],"standard_charges":[{"minimum":16088,"maximum":16088,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16088,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS","code_information":[{"code":"0482","type":"APR-DRG"}],"standard_charges":[{"minimum":18801,"maximum":18801,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18801,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS","code_information":[{"code":"0483","type":"APR-DRG"}],"standard_charges":[{"minimum":22880,"maximum":22880,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22880,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS","code_information":[{"code":"0484","type":"APR-DRG"}],"standard_charges":[{"minimum":40165,"maximum":40165,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40165,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM","code_information":[{"code":"0491","type":"APR-DRG"}],"standard_charges":[{"minimum":19945,"maximum":19945,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19945,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM","code_information":[{"code":"0492","type":"APR-DRG"}],"standard_charges":[{"minimum":42307,"maximum":42307,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42307,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM","code_information":[{"code":"0493","type":"APR-DRG"}],"standard_charges":[{"minimum":47962,"maximum":47962,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47962,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM","code_information":[{"code":"0494","type":"APR-DRG"}],"standard_charges":[{"minimum":81250,"maximum":81250,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":81250,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS","code_information":[{"code":"0501","type":"APR-DRG"}],"standard_charges":[{"minimum":11074,"maximum":11074,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11074,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS","code_information":[{"code":"0502","type":"APR-DRG"}],"standard_charges":[{"minimum":18700,"maximum":18700,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18700,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS","code_information":[{"code":"0503","type":"APR-DRG"}],"standard_charges":[{"minimum":44768,"maximum":44768,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44768,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS","code_information":[{"code":"0504","type":"APR-DRG"}],"standard_charges":[{"minimum":68754,"maximum":68754,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68754,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VIRAL MENINGITIS","code_information":[{"code":"0511","type":"APR-DRG"}],"standard_charges":[{"minimum":9399,"maximum":9399,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9399,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VIRAL MENINGITIS","code_information":[{"code":"0512","type":"APR-DRG"}],"standard_charges":[{"minimum":13388,"maximum":13388,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13388,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VIRAL MENINGITIS","code_information":[{"code":"0513","type":"APR-DRG"}],"standard_charges":[{"minimum":25425,"maximum":25425,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25425,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VIRAL MENINGITIS","code_information":[{"code":"0514","type":"APR-DRG"}],"standard_charges":[{"minimum":51038,"maximum":51038,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":51038,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALTERATION IN CONSCIOUSNESS","code_information":[{"code":"0521","type":"APR-DRG"}],"standard_charges":[{"minimum":9577,"maximum":9577,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9577,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALTERATION IN CONSCIOUSNESS","code_information":[{"code":"0522","type":"APR-DRG"}],"standard_charges":[{"minimum":11247,"maximum":11247,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11247,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALTERATION IN CONSCIOUSNESS","code_information":[{"code":"0523","type":"APR-DRG"}],"standard_charges":[{"minimum":14624,"maximum":14624,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14624,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALTERATION IN CONSCIOUSNESS","code_information":[{"code":"0524","type":"APR-DRG"}],"standard_charges":[{"minimum":37623,"maximum":37623,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37623,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SEIZURE","code_information":[{"code":"0531","type":"APR-DRG"}],"standard_charges":[{"minimum":7428,"maximum":7428,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7428,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SEIZURE","code_information":[{"code":"0532","type":"APR-DRG"}],"standard_charges":[{"minimum":11025,"maximum":11025,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11025,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SEIZURE","code_information":[{"code":"0533","type":"APR-DRG"}],"standard_charges":[{"minimum":16173,"maximum":16173,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16173,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SEIZURE","code_information":[{"code":"0534","type":"APR-DRG"}],"standard_charges":[{"minimum":40641,"maximum":40641,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40641,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MIGRAINE AND OTHER HEADACHES","code_information":[{"code":"0541","type":"APR-DRG"}],"standard_charges":[{"minimum":9686,"maximum":9686,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9686,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MIGRAINE AND OTHER HEADACHES","code_information":[{"code":"0542","type":"APR-DRG"}],"standard_charges":[{"minimum":20301,"maximum":20301,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20301,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MIGRAINE AND OTHER HEADACHES","code_information":[{"code":"0543","type":"APR-DRG"}],"standard_charges":[{"minimum":25174,"maximum":25174,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25174,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MIGRAINE AND OTHER HEADACHES","code_information":[{"code":"0544","type":"APR-DRG"}],"standard_charges":[{"minimum":28107,"maximum":28107,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28107,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE","code_information":[{"code":"0551","type":"APR-DRG"}],"standard_charges":[{"minimum":9899,"maximum":9899,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9899,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE","code_information":[{"code":"0552","type":"APR-DRG"}],"standard_charges":[{"minimum":17613,"maximum":17613,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17613,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE","code_information":[{"code":"0553","type":"APR-DRG"}],"standard_charges":[{"minimum":21951,"maximum":21951,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21951,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE","code_information":[{"code":"0554","type":"APR-DRG"}],"standard_charges":[{"minimum":43529,"maximum":43529,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43529,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0561","type":"APR-DRG"}],"standard_charges":[{"minimum":12200,"maximum":12200,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12200,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0562","type":"APR-DRG"}],"standard_charges":[{"minimum":17685,"maximum":17685,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17685,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0563","type":"APR-DRG"}],"standard_charges":[{"minimum":25810,"maximum":25810,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25810,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0564","type":"APR-DRG"}],"standard_charges":[{"minimum":47423,"maximum":47423,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47423,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0571","type":"APR-DRG"}],"standard_charges":[{"minimum":6866,"maximum":6866,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6866,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0572","type":"APR-DRG"}],"standard_charges":[{"minimum":11500,"maximum":11500,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11500,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0573","type":"APR-DRG"}],"standard_charges":[{"minimum":23097,"maximum":23097,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23097,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA","code_information":[{"code":"0574","type":"APR-DRG"}],"standard_charges":[{"minimum":42060,"maximum":42060,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42060,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DISORDERS OF NERVOUS SYSTEM","code_information":[{"code":"0581","type":"APR-DRG"}],"standard_charges":[{"minimum":19162,"maximum":19162,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19162,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DISORDERS OF NERVOUS SYSTEM","code_information":[{"code":"0582","type":"APR-DRG"}],"standard_charges":[{"minimum":20539,"maximum":20539,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20539,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DISORDERS OF NERVOUS SYSTEM","code_information":[{"code":"0583","type":"APR-DRG"}],"standard_charges":[{"minimum":25701,"maximum":25701,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25701,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DISORDERS OF NERVOUS SYSTEM","code_information":[{"code":"0584","type":"APR-DRG"}],"standard_charges":[{"minimum":34042,"maximum":34042,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34042,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANOXIC AND OTHER SEVERE BRAIN DAMAGE","code_information":[{"code":"0591","type":"APR-DRG"}],"standard_charges":[{"minimum":10375,"maximum":10375,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10375,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANOXIC AND OTHER SEVERE BRAIN DAMAGE","code_information":[{"code":"0592","type":"APR-DRG"}],"standard_charges":[{"minimum":19536,"maximum":19536,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19536,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANOXIC AND OTHER SEVERE BRAIN DAMAGE","code_information":[{"code":"0593","type":"APR-DRG"}],"standard_charges":[{"minimum":27739,"maximum":27739,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27739,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANOXIC AND OTHER SEVERE BRAIN DAMAGE","code_information":[{"code":"0594","type":"APR-DRG"}],"standard_charges":[{"minimum":35539,"maximum":35539,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35539,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ORBIT AND EYE PROCEDURES","code_information":[{"code":"0731","type":"APR-DRG"}],"standard_charges":[{"minimum":18489,"maximum":18489,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18489,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ORBIT AND EYE PROCEDURES","code_information":[{"code":"0732","type":"APR-DRG"}],"standard_charges":[{"minimum":27972,"maximum":27972,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27972,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ORBIT AND EYE PROCEDURES","code_information":[{"code":"0733","type":"APR-DRG"}],"standard_charges":[{"minimum":40694,"maximum":40694,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40694,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ORBIT AND EYE PROCEDURES","code_information":[{"code":"0734","type":"APR-DRG"}],"standard_charges":[{"minimum":78768,"maximum":78768,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78768,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EYE INFECTIONS AND OTHER EYE DISORDERS","code_information":[{"code":"0821","type":"APR-DRG"}],"standard_charges":[{"minimum":8216,"maximum":8216,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8216,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EYE INFECTIONS AND OTHER EYE DISORDERS","code_information":[{"code":"0822","type":"APR-DRG"}],"standard_charges":[{"minimum":10882,"maximum":10882,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10882,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EYE INFECTIONS AND OTHER EYE DISORDERS","code_information":[{"code":"0823","type":"APR-DRG"}],"standard_charges":[{"minimum":20120,"maximum":20120,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20120,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EYE INFECTIONS AND OTHER EYE DISORDERS","code_information":[{"code":"0824","type":"APR-DRG"}],"standard_charges":[{"minimum":40233,"maximum":40233,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40233,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0891","type":"APR-DRG"}],"standard_charges":[{"minimum":32840,"maximum":32840,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32840,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0892","type":"APR-DRG"}],"standard_charges":[{"minimum":46739,"maximum":46739,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46739,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0893","type":"APR-DRG"}],"standard_charges":[{"minimum":90432,"maximum":90432,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90432,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0894","type":"APR-DRG"}],"standard_charges":[{"minimum":123413,"maximum":123413,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":123413,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MAJOR HEAD AND NECK PROCEDURES","code_information":[{"code":"0911","type":"APR-DRG"}],"standard_charges":[{"minimum":30792,"maximum":30792,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30792,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MAJOR HEAD AND NECK PROCEDURES","code_information":[{"code":"0912","type":"APR-DRG"}],"standard_charges":[{"minimum":44446,"maximum":44446,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44446,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MAJOR HEAD AND NECK PROCEDURES","code_information":[{"code":"0913","type":"APR-DRG"}],"standard_charges":[{"minimum":80129,"maximum":80129,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":80129,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MAJOR HEAD AND NECK PROCEDURES","code_information":[{"code":"0914","type":"APR-DRG"}],"standard_charges":[{"minimum":134413,"maximum":134413,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":134413,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0921","type":"APR-DRG"}],"standard_charges":[{"minimum":21803,"maximum":21803,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21803,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0922","type":"APR-DRG"}],"standard_charges":[{"minimum":35232,"maximum":35232,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35232,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0923","type":"APR-DRG"}],"standard_charges":[{"minimum":49500,"maximum":49500,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49500,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES","code_information":[{"code":"0924","type":"APR-DRG"}],"standard_charges":[{"minimum":89894,"maximum":89894,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89894,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CLEFT LIP AND PALATE REPAIR","code_information":[{"code":"0951","type":"APR-DRG"}],"standard_charges":[{"minimum":15765,"maximum":15765,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15765,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CLEFT LIP AND PALATE REPAIR","code_information":[{"code":"0952","type":"APR-DRG"}],"standard_charges":[{"minimum":19971,"maximum":19971,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19971,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CLEFT LIP AND PALATE REPAIR","code_information":[{"code":"0953","type":"APR-DRG"}],"standard_charges":[{"minimum":30347,"maximum":30347,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30347,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CLEFT LIP AND PALATE REPAIR","code_information":[{"code":"0954","type":"APR-DRG"}],"standard_charges":[{"minimum":44611,"maximum":44611,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44611,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TONSIL AND ADENOID PROCEDURES","code_information":[{"code":"0971","type":"APR-DRG"}],"standard_charges":[{"minimum":10572,"maximum":10572,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10572,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TONSIL AND ADENOID PROCEDURES","code_information":[{"code":"0972","type":"APR-DRG"}],"standard_charges":[{"minimum":17182,"maximum":17182,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17182,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TONSIL AND ADENOID PROCEDURES","code_information":[{"code":"0973","type":"APR-DRG"}],"standard_charges":[{"minimum":26822,"maximum":26822,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26822,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TONSIL AND ADENOID PROCEDURES","code_information":[{"code":"0974","type":"APR-DRG"}],"standard_charges":[{"minimum":53489,"maximum":53489,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53489,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES","code_information":[{"code":"0981","type":"APR-DRG"}],"standard_charges":[{"minimum":12460,"maximum":12460,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12460,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES","code_information":[{"code":"0982","type":"APR-DRG"}],"standard_charges":[{"minimum":18357,"maximum":18357,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18357,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES","code_information":[{"code":"0983","type":"APR-DRG"}],"standard_charges":[{"minimum":44170,"maximum":44170,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44170,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES","code_information":[{"code":"0984","type":"APR-DRG"}],"standard_charges":[{"minimum":69233,"maximum":69233,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":69233,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SUT VCRL 0 54IN VIOL","code_information":[{"code":"100023","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL 0 54IN VIOL","code_information":[{"code":"100023","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"FINE NDL ASP EA ADD WO IMG ER","code_information":[{"code":"10004","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":194.91,"maximum":256.32,"gross_charge":267,"discounted_cash":147.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":253.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":256.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":245.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":229.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":221.61,"methodology":"fee schedule"}]}]},{"description":"FINE NDL ASP EA ADD WO IMG ER","code_information":[{"code":"10004","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":125.49,"maximum":256.32,"gross_charge":267,"discounted_cash":147.95,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":253.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":256.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":245.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":229.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":221.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":184.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":125.49,"methodology":"fee schedule"}]}]},{"description":"FNA BX W/US GDN 1ST LES","code_information":[{"code":"10005","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FNA BX W/FLUOR GDN 1ST LES","code_information":[{"code":"10007","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FNA BX W/CT GDN 1ST LES","code_information":[{"code":"10009","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FNA BX W/MR GDN 1ST LES","code_information":[{"code":"10011","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRSNG TRIANG COMBIDERM ACD 6X7","code_information":[{"code":"100175","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":14.6,"maximum":19.2,"gross_charge":20,"discounted_cash":11.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.6,"methodology":"fee schedule"}]}]},{"description":"DRSNG TRIANG COMBIDERM ACD 6X7","code_information":[{"code":"100175","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":9.4,"maximum":19.2,"gross_charge":20,"discounted_cash":11.09,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.4,"methodology":"fee schedule"}]}]},{"description":"ASP FINE NDL WO IMGNG ER","code_information":[{"code":"10021","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":194.91,"maximum":256.32,"gross_charge":267,"discounted_cash":147.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":253.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":256.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":245.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":229.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":221.61,"methodology":"fee schedule"}]}]},{"description":"ASP FINE NDL WO IMGNG ER","code_information":[{"code":"10021","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":125.49,"maximum":555.85,"gross_charge":267,"discounted_cash":147.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":253.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":256.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":245.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":229.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":221.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":184.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":125.49,"methodology":"fee schedule"}]}]},{"description":"GUIDE CATHET FLUID DRAINAGE","code_information":[{"code":"10030","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ DEV SOFT TISS 1ST IMAG","code_information":[{"code":"10035","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACNE SURGERY","code_information":[{"code":"10040","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SPLNT WR COCKUP D RING MED L","code_information":[{"code":"100413","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":80.3,"maximum":105.6,"gross_charge":110,"discounted_cash":60.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":105.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":101.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":94.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":91.3,"methodology":"fee schedule"}]}]},{"description":"SPLNT WR COCKUP D RING MED L","code_information":[{"code":"100413","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":51.7,"maximum":105.6,"gross_charge":110,"discounted_cash":60.96,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":104.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":105.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":101.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":94.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":91.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":51.7,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS SIMPLE ER","code_information":[{"code":"10060","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":310.25,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS SIMPLE ER","code_information":[{"code":"10060","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":199.75,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":293.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":199.75,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS COMPLEX ER","code_information":[{"code":"10061","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":310.25,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"}]}]},{"description":"I&D ABSCESS COMPLEX ER","code_information":[{"code":"10061","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":199.75,"maximum":555.85,"gross_charge":425,"discounted_cash":235.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":293.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":199.75,"methodology":"fee schedule"}]}]},{"description":"CATH KT ENTRL PATROL PMP 1000","code_information":[{"code":"100787","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":8.03,"maximum":10.56,"gross_charge":11,"discounted_cash":6.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.13,"methodology":"fee schedule"}]}]},{"description":"CATH KT ENTRL PATROL PMP 1000","code_information":[{"code":"100787","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":5.17,"maximum":10.56,"gross_charge":11,"discounted_cash":6.1,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.17,"methodology":"fee schedule"}]}]},{"description":"I&D CYST PILONIDAL SMP ER","code_information":[{"code":"10080","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":316.09,"maximum":415.68,"gross_charge":433,"discounted_cash":239.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"}]}]},{"description":"I&D CYST PILONIDAL SMP ER","code_information":[{"code":"10080","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":203.51,"maximum":999.64,"gross_charge":433,"discounted_cash":239.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":203.51,"methodology":"fee schedule"}]}]},{"description":"DRAINAGE OF PILONIDAL CYST","code_information":[{"code":"10081","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NDL BX SFT STD NSAF 14GX4.5IN","code_information":[{"code":"100913","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":44.53,"maximum":58.56,"gross_charge":61,"discounted_cash":33.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":58.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":56.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":52.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":50.63,"methodology":"fee schedule"}]}]},{"description":"NDL BX SFT STD NSAF 14GX4.5IN","code_information":[{"code":"100913","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":28.67,"maximum":58.56,"gross_charge":61,"discounted_cash":33.81,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":58.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":56.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":52.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":50.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":28.67,"methodology":"fee schedule"}]}]},{"description":"APPLIER LIG MCA SM 9 3/8IN","code_information":[{"code":"101192","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":137.97,"maximum":181.44,"gross_charge":189,"discounted_cash":104.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":173.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":162.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.87,"methodology":"fee schedule"}]}]},{"description":"APPLIER LIG MCA SM 9 3/8IN","code_information":[{"code":"101192","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":88.83,"maximum":181.44,"gross_charge":189,"discounted_cash":104.73,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":173.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":162.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":130.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":88.83,"methodology":"fee schedule"}]}]},{"description":"INCISION/REM FB SIMPLE ER","code_information":[{"code":"10120","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":310.25,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"}]}]},{"description":"INCISION/REM FB SIMPLE ER","code_information":[{"code":"10120","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":199.75,"maximum":555.85,"gross_charge":425,"discounted_cash":235.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":293.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":199.75,"methodology":"fee schedule"}]}]},{"description":"REMOVE FOREIGN BODY","code_information":[{"code":"10121","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STOCKING ANTIEMB TH 16MM LG RG","code_information":[{"code":"101303","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":18.25,"maximum":24,"gross_charge":25,"discounted_cash":13.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.75,"methodology":"fee schedule"}]}]},{"description":"STOCKING ANTIEMB TH 16MM LG RG","code_information":[{"code":"101303","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":11.75,"maximum":25,"gross_charge":25,"discounted_cash":13.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.75,"methodology":"fee schedule"}]}]},{"description":"TAP 180 HEX DC SCR 5.2MM","code_information":[{"code":"101385","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":535.09,"maximum":703.68,"gross_charge":733,"discounted_cash":406.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":703.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":601.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":674.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":630.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":535.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":608.39,"methodology":"fee schedule"}]}]},{"description":"TAP 180 HEX DC SCR 5.2MM","code_information":[{"code":"101385","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":344.51,"maximum":703.68,"gross_charge":733,"discounted_cash":406.16,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":696.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":703.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":601.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":674.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":630.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":535.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":608.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":505.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":344.51,"methodology":"fee schedule"}]}]},{"description":"I&D HEMATOMA SEROMA ER","code_information":[{"code":"10140","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2260.08,"maximum":2972.16,"gross_charge":3096,"discounted_cash":1715.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2941.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2972.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2538.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2848.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2662.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2260.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2569.68,"methodology":"fee schedule"}]}]},{"description":"I&D HEMATOMA SEROMA ER","code_information":[{"code":"10140","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1455.12,"maximum":2972.16,"gross_charge":3096,"discounted_cash":1715.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2941.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2972.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2538.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2848.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2662.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2260.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2569.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2136.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1455.12,"methodology":"fee schedule"}]}]},{"description":"CATH ENTRL BOL STYL 12FRX45IN","code_information":[{"code":"101456","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":73,"maximum":96,"gross_charge":100,"discounted_cash":55.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"}]}]},{"description":"CATH ENTRL BOL STYL 12FRX45IN","code_information":[{"code":"101456","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":47,"maximum":96,"gross_charge":100,"discounted_cash":55.41,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":47,"methodology":"fee schedule"}]}]},{"description":"ASP ABSC/HEMA/CYST/BULLA ER","code_information":[{"code":"10160","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":494.21,"maximum":649.92,"gross_charge":677,"discounted_cash":375.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":649.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":555.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":622.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":582.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":494.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":561.91,"methodology":"fee schedule"}]}]},{"description":"ASP ABSC/HEMA/CYST/BULLA ER","code_information":[{"code":"10160","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":318.19,"maximum":649.92,"gross_charge":677,"discounted_cash":375.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":649.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":555.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":622.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":582.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":494.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":561.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":467.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":318.19,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL GASTROVIEW 240ML BTL","code_information":[{"code":"101612","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":92.6954,"maximum":121.9008,"gross_charge":126.98,"discounted_cash":70.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":120.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":121.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":116.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":109.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":105.4,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL GASTROVIEW 240ML BTL","code_information":[{"code":"101612","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":59.6806,"maximum":121.9008,"gross_charge":126.98,"discounted_cash":70.36,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":120.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":121.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":116.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":109.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":105.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":59.69,"methodology":"fee schedule"}]}]},{"description":"COMPLEX DRAINAGE WOUND","code_information":[{"code":"10180","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELOAD STPLR TA 60-3.5MM SS","code_information":[{"code":"101851","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":96.36,"maximum":126.72,"gross_charge":132,"discounted_cash":73.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":126.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":121.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":113.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":109.56,"methodology":"fee schedule"}]}]},{"description":"RELOAD STPLR TA 60-3.5MM SS","code_information":[{"code":"101851","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":62.04,"maximum":126.72,"gross_charge":132,"discounted_cash":73.15,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":125.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":126.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":121.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":113.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":109.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":62.04,"methodology":"fee schedule"}]}]},{"description":"PROC TY THORCENT NDL 16GX3.5IN","code_information":[{"code":"101861","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":54.02,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"}]}]},{"description":"PROC TY THORCENT NDL 16GX3.5IN","code_information":[{"code":"101861","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":34.78,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":34.78,"methodology":"fee schedule"}]}]},{"description":"DRAIN T TB DEAVER 5IN XBAR 18","code_information":[{"code":"102579","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":23.36,"maximum":30.72,"gross_charge":32,"discounted_cash":17.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.56,"methodology":"fee schedule"}]}]},{"description":"DRAIN T TB DEAVER 5IN XBAR 18","code_information":[{"code":"102579","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":15.04,"maximum":30.72,"gross_charge":32,"discounted_cash":17.74,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.04,"methodology":"fee schedule"}]}]},{"description":"CLAMP PCH OST QUIET FLM LF BGE","code_information":[{"code":"102754","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":5.11,"maximum":6.72,"gross_charge":7,"discounted_cash":3.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.81,"methodology":"fee schedule"}]}]},{"description":"CLAMP PCH OST QUIET FLM LF BGE","code_information":[{"code":"102754","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3.29,"maximum":6.72,"gross_charge":7,"discounted_cash":3.88,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.29,"methodology":"fee schedule"}]}]},{"description":"DRSNG OIL EMUL 3X16IN","code_information":[{"code":"102897","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":78.11,"maximum":102.72,"gross_charge":107,"discounted_cash":59.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":102.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":98.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":88.81,"methodology":"fee schedule"}]}]},{"description":"DRSNG OIL EMUL 3X16IN","code_information":[{"code":"102897","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":50.29,"maximum":102.72,"gross_charge":107,"discounted_cash":59.29,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":102.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":98.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":88.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":50.29,"methodology":"fee schedule"}]}]},{"description":"PAD DEFIB LITTMANN 4.5X6IN GEL","code_information":[{"code":"103239","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":13.14,"maximum":17.28,"gross_charge":18,"discounted_cash":9.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.94,"methodology":"fee schedule"}]}]},{"description":"PAD DEFIB LITTMANN 4.5X6IN GEL","code_information":[{"code":"103239","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":8.46,"maximum":18,"gross_charge":18,"discounted_cash":9.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.46,"methodology":"fee schedule"}]}]},{"description":"CATH FOL BARDX MED 24FRX30ML","code_information":[{"code":"103296","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":12.41,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"}]}]},{"description":"CATH FOL BARDX MED 24FRX30ML","code_information":[{"code":"103296","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":7.99,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.99,"methodology":"fee schedule"}]}]},{"description":"CLIP LIG LIGCLPXMED LG TI","code_information":[{"code":"103568","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":11.68,"maximum":15.36,"gross_charge":16,"discounted_cash":8.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13.28,"methodology":"fee schedule"}]}]},{"description":"CLIP LIG LIGCLPXMED LG TI","code_information":[{"code":"103568","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":7.52,"maximum":15.36,"gross_charge":16,"discounted_cash":8.87,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.52,"methodology":"fee schedule"}]}]},{"description":"SOL NACL 0.9PCT 50ML ADD-V BG","code_information":[{"code":"103606","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":3.2704,"maximum":4.3008,"gross_charge":4.48,"discounted_cash":2.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.72,"methodology":"fee schedule"}]}]},{"description":"SOL NACL 0.9PCT 50ML ADD-V BG","code_information":[{"code":"103606","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.1056,"maximum":4.3008,"gross_charge":4.48,"discounted_cash":2.49,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.11,"methodology":"fee schedule"}]}]},{"description":"DEVICE TRCR SITE ENDO CLOSE","code_information":[{"code":"103663","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":140.89,"maximum":185.28,"gross_charge":193,"discounted_cash":106.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":185.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":177.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":160.19,"methodology":"fee schedule"}]}]},{"description":"DEVICE TRCR SITE ENDO CLOSE","code_information":[{"code":"103663","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":90.71,"maximum":185.28,"gross_charge":193,"discounted_cash":106.95,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":185.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":177.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":160.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":90.71,"methodology":"fee schedule"}]}]},{"description":"CATH THOR STR 5 EYE RIG 20FR","code_information":[{"code":"103754","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":16.06,"maximum":21.12,"gross_charge":22,"discounted_cash":12.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.26,"methodology":"fee schedule"}]}]},{"description":"CATH THOR STR 5 EYE RIG 20FR","code_information":[{"code":"103754","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":10.34,"maximum":21.12,"gross_charge":22,"discounted_cash":12.2,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.34,"methodology":"fee schedule"}]}]},{"description":"BIT DRL TWST AO 1.9X87X27MM SS","code_information":[{"code":"103810","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":202.21,"maximum":265.92,"gross_charge":277,"discounted_cash":153.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":265.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":254.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":238.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":202.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":229.91,"methodology":"fee schedule"}]}]},{"description":"BIT DRL TWST AO 1.9X87X27MM SS","code_information":[{"code":"103810","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":130.19,"maximum":265.92,"gross_charge":277,"discounted_cash":153.49,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":265.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":254.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":238.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":202.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":229.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":130.19,"methodology":"fee schedule"}]}]},{"description":"BAG DRNGE URIN MONO-FLO 2000ML","code_information":[{"code":"103985","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":19.71,"maximum":25.92,"gross_charge":27,"discounted_cash":14.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.41,"methodology":"fee schedule"}]}]},{"description":"BAG DRNGE URIN MONO-FLO 2000ML","code_information":[{"code":"103985","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":12.69,"maximum":25.92,"gross_charge":27,"discounted_cash":14.97,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.69,"methodology":"fee schedule"}]}]},{"description":"POUCH DRN 1PC TAPE OPN TO2.5IN","code_information":[{"code":"104016","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"POUCH DRN 1PC TAPE OPN TO2.5IN","code_information":[{"code":"104016","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":10,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"CATH KT FOL LUBRI-SIL 16FRX5ML","code_information":[{"code":"104091","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":21.9,"maximum":28.8,"gross_charge":30,"discounted_cash":16.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.9,"methodology":"fee schedule"}]}]},{"description":"CATH KT FOL LUBRI-SIL 16FRX5ML","code_information":[{"code":"104091","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":14.1,"maximum":28.8,"gross_charge":30,"discounted_cash":16.63,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.1,"methodology":"fee schedule"}]}]},{"description":"BALL ELECTRODE 5MMDIA 13CM LNG","code_information":[{"code":"104425","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":33.58,"maximum":44.16,"gross_charge":46,"discounted_cash":25.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":42.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":38.18,"methodology":"fee schedule"}]}]},{"description":"BALL ELECTRODE 5MMDIA 13CM LNG","code_information":[{"code":"104425","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":21.62,"maximum":44.16,"gross_charge":46,"discounted_cash":25.49,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":42.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":38.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.62,"methodology":"fee schedule"}]}]},{"description":"CATH GASTSTMY MAGNA-PRT 18FR","code_information":[{"code":"104443","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":69.35,"maximum":91.2,"gross_charge":95,"discounted_cash":52.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.85,"methodology":"fee schedule"}]}]},{"description":"CATH GASTSTMY MAGNA-PRT 18FR","code_information":[{"code":"104443","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":44.65,"maximum":91.2,"gross_charge":95,"discounted_cash":52.64,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"}]}]},{"description":"DRSNG ALLEVYN 3X3IN LF STRL","code_information":[{"code":"104478","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":10.95,"maximum":14.4,"gross_charge":15,"discounted_cash":8.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.45,"methodology":"fee schedule"}]}]},{"description":"DRSNG ALLEVYN 3X3IN LF STRL","code_information":[{"code":"104478","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":7.05,"maximum":14.4,"gross_charge":15,"discounted_cash":8.32,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.05,"methodology":"fee schedule"}]}]},{"description":"CATH THOR STR 4 EYE RIG 12FR","code_information":[{"code":"105138","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":20.44,"maximum":26.88,"gross_charge":28,"discounted_cash":15.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.24,"methodology":"fee schedule"}]}]},{"description":"CATH THOR STR 4 EYE RIG 12FR","code_information":[{"code":"105138","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":13.16,"maximum":26.88,"gross_charge":28,"discounted_cash":15.52,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.16,"methodology":"fee schedule"}]}]},{"description":"RELOAD STPLR LIN CUT 45-3.5MM","code_information":[{"code":"105194","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":193.45,"maximum":254.4,"gross_charge":265,"discounted_cash":146.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":254.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":243.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":193.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":219.95,"methodology":"fee schedule"}]}]},{"description":"RELOAD STPLR LIN CUT 45-3.5MM","code_information":[{"code":"105194","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":124.55,"maximum":254.4,"gross_charge":265,"discounted_cash":146.84,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":251.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":254.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":243.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":193.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":219.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":182.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":124.55,"methodology":"fee schedule"}]}]},{"description":"NUT USS 12PT 11MM TI NS","code_information":[{"code":"105462","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":230.68,"maximum":303.36,"gross_charge":316,"discounted_cash":175.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":303.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":290.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":271.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":230.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":262.28,"methodology":"fee schedule"}]}]},{"description":"NUT USS 12PT 11MM TI NS","code_information":[{"code":"105462","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":148.52,"maximum":303.36,"gross_charge":316,"discounted_cash":175.1,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":300.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":303.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":290.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":271.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":230.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":262.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":218.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":148.52,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL 0 18IN MP VIOL","code_information":[{"code":"105807","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":35.04,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL 0 18IN MP VIOL","code_information":[{"code":"105807","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":22.56,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.56,"methodology":"fee schedule"}]}]},{"description":"DRSNG TEGADERM 4X5.5IN TRNSPAR","code_information":[{"code":"105999","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":4.38,"maximum":5.76,"gross_charge":6,"discounted_cash":3.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.98,"methodology":"fee schedule"}]}]},{"description":"DRSNG TEGADERM 4X5.5IN TRNSPAR","code_information":[{"code":"105999","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":2.82,"maximum":6,"gross_charge":6,"discounted_cash":3.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.82,"methodology":"fee schedule"}]}]},{"description":"SUT POLYSRB 3-0 30IN CV23 VIOL","code_information":[{"code":"106142","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.57,"maximum":8.64,"gross_charge":9,"discounted_cash":4.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.47,"methodology":"fee schedule"}]}]},{"description":"SUT POLYSRB 3-0 30IN CV23 VIOL","code_information":[{"code":"106142","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":4.23,"maximum":8.64,"gross_charge":9,"discounted_cash":4.99,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.23,"methodology":"fee schedule"}]}]},{"description":"PORT KT SL MRI X-PRT 8FR PLAS","code_information":[{"code":"106707","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":552.61,"maximum":726.72,"gross_charge":757,"discounted_cash":419.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":719.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":726.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":620.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":696.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":651.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":552.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":628.31,"methodology":"fee schedule"}]}]},{"description":"PORT KT SL MRI X-PRT 8FR PLAS","code_information":[{"code":"106707","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":355.79,"maximum":726.72,"gross_charge":757,"discounted_cash":419.46,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":719.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":726.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":620.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":696.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":651.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":552.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":628.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":522.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":355.79,"methodology":"fee schedule"}]}]},{"description":"SOL D5 NACL 0.9PCT KCL 20 1L","code_information":[{"code":"106774","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":4.0296,"maximum":5.2992,"gross_charge":5.52,"discounted_cash":3.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.59,"methodology":"fee schedule"}]}]},{"description":"SOL D5 NACL 0.9PCT KCL 20 1L","code_information":[{"code":"106774","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.5944,"maximum":5.2992,"gross_charge":5.52,"discounted_cash":3.06,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.6,"methodology":"fee schedule"}]}]},{"description":"CATH ESOP MAXFORC TTS 18MMX6","code_information":[{"code":"106947","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":224.84,"maximum":295.68,"gross_charge":308,"discounted_cash":170.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":292.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":295.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":252.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":283.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":255.64,"methodology":"fee schedule"}]}]},{"description":"CATH ESOP MAXFORC TTS 18MMX6","code_information":[{"code":"106947","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":144.76,"maximum":295.68,"gross_charge":308,"discounted_cash":170.67,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":292.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":295.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":252.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":283.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":264.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":255.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":212.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":144.76,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC STP-45 3.0X190 NS","code_information":[{"code":"107305","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":351.86,"maximum":462.72,"gross_charge":482,"discounted_cash":267.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":462.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":443.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":414.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":400.06,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC STP-45 3.0X190 NS","code_information":[{"code":"107305","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":226.54,"maximum":462.72,"gross_charge":482,"discounted_cash":267.08,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":462.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":443.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":414.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":400.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":332.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":226.54,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL 4-0 27IN FS1 UD","code_information":[{"code":"107314","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":8.76,"maximum":11.52,"gross_charge":12,"discounted_cash":6.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.96,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL 4-0 27IN FS1 UD","code_information":[{"code":"107314","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":5.64,"maximum":11.52,"gross_charge":12,"discounted_cash":6.65,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.64,"methodology":"fee schedule"}]}]},{"description":"TAP CAL-50 SCR CANC 3.5MM NS","code_information":[{"code":"107372","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":354.78,"maximum":466.56,"gross_charge":486,"discounted_cash":269.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":466.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":398.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":447.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":403.38,"methodology":"fee schedule"}]}]},{"description":"TAP CAL-50 SCR CANC 3.5MM NS","code_information":[{"code":"107372","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":228.42,"maximum":466.56,"gross_charge":486,"discounted_cash":269.3,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":461.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":466.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":398.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":447.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":403.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":335.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":228.42,"methodology":"fee schedule"}]}]},{"description":"HOOK PRC TRNVRS OP L TI NS","code_information":[{"code":"107384","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1006.67,"maximum":1323.84,"gross_charge":1379,"discounted_cash":764.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1323.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1130.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1268.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1185.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1006.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1144.57,"methodology":"fee schedule"}]}]},{"description":"HOOK PRC TRNVRS OP L TI NS","code_information":[{"code":"107384","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":648.13,"maximum":1323.84,"gross_charge":1379,"discounted_cash":764.11,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1323.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1130.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1268.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1185.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1006.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1144.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":951.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":648.13,"methodology":"fee schedule"}]}]},{"description":"STOCKING ANTIEMB TH 16MM LG LN","code_information":[{"code":"107491","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":15.33,"maximum":20.16,"gross_charge":21,"discounted_cash":11.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.43,"methodology":"fee schedule"}]}]},{"description":"STOCKING ANTIEMB TH 16MM LG LN","code_information":[{"code":"107491","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":9.87,"maximum":21,"gross_charge":21,"discounted_cash":11.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.87,"methodology":"fee schedule"}]}]},{"description":"DRAIN WND PENROSE 0.5X12IN","code_information":[{"code":"107633","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":4.38,"maximum":5.76,"gross_charge":6,"discounted_cash":3.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.98,"methodology":"fee schedule"}]}]},{"description":"DRAIN WND PENROSE 0.5X12IN","code_information":[{"code":"107633","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2.82,"maximum":5.76,"gross_charge":6,"discounted_cash":3.33,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.82,"methodology":"fee schedule"}]}]},{"description":"CATH FOL 22FRX5ML SIL","code_information":[{"code":"107985","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":13.14,"maximum":17.28,"gross_charge":18,"discounted_cash":9.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.94,"methodology":"fee schedule"}]}]},{"description":"CATH FOL 22FRX5ML SIL","code_information":[{"code":"107985","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":8.46,"maximum":17.28,"gross_charge":18,"discounted_cash":9.98,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.46,"methodology":"fee schedule"}]}]},{"description":"CATH JEJUSTMY BAKER 16FRX15ML","code_information":[{"code":"108099","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":132.13,"maximum":173.76,"gross_charge":181,"discounted_cash":100.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":173.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":166.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":155.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":150.23,"methodology":"fee schedule"}]}]},{"description":"CATH JEJUSTMY BAKER 16FRX15ML","code_information":[{"code":"108099","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":85.07,"maximum":173.76,"gross_charge":181,"discounted_cash":100.3,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":173.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":166.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":155.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":150.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":85.07,"methodology":"fee schedule"}]}]},{"description":"SPLNT FNGR GUTTER LG 5.5X7/8","code_information":[{"code":"108453","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":5.84,"maximum":7.68,"gross_charge":8,"discounted_cash":4.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.64,"methodology":"fee schedule"}]}]},{"description":"SPLNT FNGR GUTTER LG 5.5X7/8","code_information":[{"code":"108453","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3.76,"maximum":7.68,"gross_charge":8,"discounted_cash":4.44,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.76,"methodology":"fee schedule"}]}]},{"description":"SUT PROL 5-0 18IN PS3 BLU","code_information":[{"code":"108549","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":13.87,"maximum":18.24,"gross_charge":19,"discounted_cash":10.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.77,"methodology":"fee schedule"}]}]},{"description":"SUT PROL 5-0 18IN PS3 BLU","code_information":[{"code":"108549","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":8.93,"maximum":18.24,"gross_charge":19,"discounted_cash":10.53,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.93,"methodology":"fee schedule"}]}]},{"description":"SPNG SURGCEL 2X14IN LF STRL","code_information":[{"code":"108745","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":150.38,"maximum":197.76,"gross_charge":206,"discounted_cash":114.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":197.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":189.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":177.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":170.98,"methodology":"fee schedule"}]}]},{"description":"SPNG SURGCEL 2X14IN LF STRL","code_information":[{"code":"108745","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":96.82,"maximum":197.76,"gross_charge":206,"discounted_cash":114.15,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":197.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":189.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":177.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":170.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":142.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":96.82,"methodology":"fee schedule"}]}]},{"description":"CATH CV DL 2VC GROSH 9.5FR","code_information":[{"code":"109414","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1180.41,"maximum":1552.32,"gross_charge":1617,"discounted_cash":895.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1536.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1552.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1325.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1487.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1390.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1180.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1342.11,"methodology":"fee schedule"}]}]},{"description":"CATH CV DL 2VC GROSH 9.5FR","code_information":[{"code":"109414","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":759.99,"maximum":1552.32,"gross_charge":1617,"discounted_cash":895.98,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1536.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1552.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1325.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1487.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1390.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1180.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1342.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1115.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":759.99,"methodology":"fee schedule"}]}]},{"description":"CATH FOL COUDE TIEM 22FRX5ML","code_information":[{"code":"109489","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":32.85,"maximum":43.2,"gross_charge":45,"discounted_cash":24.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":37.35,"methodology":"fee schedule"}]}]},{"description":"CATH FOL COUDE TIEM 22FRX5ML","code_information":[{"code":"109489","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":21.15,"maximum":43.2,"gross_charge":45,"discounted_cash":24.94,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":37.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.15,"methodology":"fee schedule"}]}]},{"description":"ADHESIVE DERMABOND 2 OCTYLPK1/","code_information":[{"code":"109495","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":49.64,"maximum":65.28,"gross_charge":68,"discounted_cash":37.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":62.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":58.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":56.44,"methodology":"fee schedule"}]}]},{"description":"ADHESIVE DERMABOND 2 OCTYLPK1/","code_information":[{"code":"109495","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":31.96,"maximum":65.28,"gross_charge":68,"discounted_cash":37.68,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":62.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":58.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":56.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":31.96,"methodology":"fee schedule"}]}]},{"description":"NDL HYPO FLTR 20GX1.5IN","code_information":[{"code":"109889","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3.65,"maximum":4.8,"gross_charge":5,"discounted_cash":2.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.15,"methodology":"fee schedule"}]}]},{"description":"NDL HYPO FLTR 20GX1.5IN","code_information":[{"code":"109889","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2.35,"maximum":4.8,"gross_charge":5,"discounted_cash":2.78,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.35,"methodology":"fee schedule"}]}]},{"description":"STAPLER INT MULT TA 90-3.5MM","code_information":[{"code":"109959","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":214.62,"maximum":282.24,"gross_charge":294,"discounted_cash":162.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":279.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":282.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":270.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":252.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.02,"methodology":"fee schedule"}]}]},{"description":"STAPLER INT MULT TA 90-3.5MM","code_information":[{"code":"109959","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":138.18,"maximum":282.24,"gross_charge":294,"discounted_cash":162.91,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":279.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":282.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":270.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":252.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":138.18,"methodology":"fee schedule"}]}]},{"description":"DEBR SKIN 10% BODY SURFACE ER","code_information":[{"code":"11000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":287.62,"maximum":378.24,"gross_charge":394,"discounted_cash":218.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":374.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":378.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":338.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":287.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":327.02,"methodology":"fee schedule"}]}]},{"description":"DEBR SKIN 10% BODY SURFACE ER","code_information":[{"code":"11000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":185.18,"maximum":842.46,"gross_charge":394,"discounted_cash":218.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":374.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":378.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":362.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":338.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":287.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":327.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":271.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":185.18,"methodology":"fee schedule"}]}]},{"description":"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES","code_information":[{"code":"1101","type":"APR-DRG"}],"standard_charges":[{"minimum":11630,"maximum":11630,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11630,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEBRIDE SKIN AT FX SITE","code_information":[{"code":"11010","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DEBRIDE SKIN MUSC AT FX SITE","code_information":[{"code":"11011","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DEB SKIN BONE AT FX SITE","code_information":[{"code":"11012","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BLDE SHV SYNOVATR CRV 4.5X17MM","code_information":[{"code":"110185","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":146,"maximum":192,"gross_charge":200,"discounted_cash":110.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":190,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":192,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":184,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":172,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":166,"methodology":"fee schedule"}]}]},{"description":"BLDE SHV SYNOVATR CRV 4.5X17MM","code_information":[{"code":"110185","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":94,"maximum":192,"gross_charge":200,"discounted_cash":110.82,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":190,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":192,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":184,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":172,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":166,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":94,"methodology":"fee schedule"}]}]},{"description":"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES","code_information":[{"code":"1102","type":"APR-DRG"}],"standard_charges":[{"minimum":13938,"maximum":13938,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13938,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SUT VCRL 3-0 27IN FS1 UD","code_information":[{"code":"110237","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":9.49,"maximum":12.48,"gross_charge":13,"discounted_cash":7.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.79,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL 3-0 27IN FS1 UD","code_information":[{"code":"110237","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.11,"maximum":12.48,"gross_charge":13,"discounted_cash":7.21,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.11,"methodology":"fee schedule"}]}]},{"description":"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES","code_information":[{"code":"1103","type":"APR-DRG"}],"standard_charges":[{"minimum":19572,"maximum":19572,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19572,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES","code_information":[{"code":"1104","type":"APR-DRG"}],"standard_charges":[{"minimum":40107,"maximum":40107,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40107,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEBR SKIN SUBQ TISSUE ER","code_information":[{"code":"11042","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":545.31,"maximum":717.12,"gross_charge":747,"discounted_cash":413.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":709.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":717.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":612.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":687.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":642.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":545.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":620.01,"methodology":"fee schedule"}]}]},{"description":"DEBR SKIN SUBQ TISSUE ER","code_information":[{"code":"11042","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":351.09,"maximum":717.12,"gross_charge":747,"discounted_cash":413.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":709.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":717.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":612.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":687.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":642.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":545.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":620.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":515.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"DEB MUSC/FASCIA 20 SQ CM/<","code_information":[{"code":"11043","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DEB BONE 20 SQ CM/<","code_information":[{"code":"11044","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRIM SKIN LESION","code_information":[{"code":"11055","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRIM SKIN LESIONS 2 TO 4","code_information":[{"code":"11056","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRIM SKIN LESIONS OVER 4","code_information":[{"code":"11057","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUT VCRL 1 18IN CT1 MP VIOL","code_information":[{"code":"110685","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":34.31,"maximum":45.12,"gross_charge":47,"discounted_cash":26.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.01,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL 1 18IN CT1 MP VIOL","code_information":[{"code":"110685","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":22.09,"maximum":45.12,"gross_charge":47,"discounted_cash":26.05,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.09,"methodology":"fee schedule"}]}]},{"description":"PIN FX TEMP CERV LCK PLT NS","code_information":[{"code":"110897","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":269.37,"maximum":354.24,"gross_charge":369,"discounted_cash":204.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":354.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":302.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":339.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":317.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":306.27,"methodology":"fee schedule"}]}]},{"description":"PIN FX TEMP CERV LCK PLT NS","code_information":[{"code":"110897","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":173.43,"maximum":354.24,"gross_charge":369,"discounted_cash":204.47,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":354.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":302.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":339.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":317.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":306.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":254.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":173.43,"methodology":"fee schedule"}]}]},{"description":"APPLIER LIG MCA MED 11.25IN","code_information":[{"code":"111019","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":143.81,"maximum":189.12,"gross_charge":197,"discounted_cash":109.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":189.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":181.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":169.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":163.51,"methodology":"fee schedule"}]}]},{"description":"APPLIER LIG MCA MED 11.25IN","code_information":[{"code":"111019","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":92.59,"maximum":189.12,"gross_charge":197,"discounted_cash":109.16,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":189.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":181.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":169.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":163.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":92.59,"methodology":"fee schedule"}]}]},{"description":"BX SKIN TANGENT SINGLE LES ER","code_information":[{"code":"11102","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":286.89,"maximum":377.28,"gross_charge":393,"discounted_cash":217.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":377.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":361.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":337.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":326.19,"methodology":"fee schedule"}]}]},{"description":"BX SKIN TANGENT SINGLE LES ER","code_information":[{"code":"11102","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":184.71,"maximum":377.28,"gross_charge":393,"discounted_cash":217.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":377.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":361.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":337.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":326.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":271.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":184.71,"methodology":"fee schedule"}]}]},{"description":"BX SKIN TANGENT EA ADD LES ER","code_information":[{"code":"11103","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":286.89,"maximum":377.28,"gross_charge":393,"discounted_cash":217.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":377.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":361.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":337.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":326.19,"methodology":"fee schedule"}]}]},{"description":"BX SKIN TANGENT EA ADD LES ER","code_information":[{"code":"11103","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":184.71,"maximum":377.28,"gross_charge":393,"discounted_cash":217.77,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":377.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":361.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":337.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":326.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":271.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":184.71,"methodology":"fee schedule"}]}]},{"description":"PUNCH BX SKIN SINGLE LESION","code_information":[{"code":"11104","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BX SKIN INCISION SINGLE LES ER","code_information":[{"code":"11106","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":286.89,"maximum":377.28,"gross_charge":393,"discounted_cash":217.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":377.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":361.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":337.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":326.19,"methodology":"fee schedule"}]}]},{"description":"BX SKIN INCISION SINGLE LES ER","code_information":[{"code":"11106","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":184.71,"maximum":842.46,"gross_charge":393,"discounted_cash":217.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":377.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":361.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":337.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":326.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":271.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":184.71,"methodology":"fee schedule"}]}]},{"description":"BX SKIN INCISION EA ADD LES ER","code_information":[{"code":"11107","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":286.89,"maximum":377.28,"gross_charge":393,"discounted_cash":217.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":377.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":361.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":337.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":326.19,"methodology":"fee schedule"}]}]},{"description":"BX SKIN INCISION EA ADD LES ER","code_information":[{"code":"11107","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":184.71,"maximum":377.28,"gross_charge":393,"discounted_cash":217.77,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":373.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":377.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":361.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":337.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":326.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":271.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":184.71,"methodology":"fee schedule"}]}]},{"description":"VERTIGO AND OTHER LABYRINTH DISORDERS","code_information":[{"code":"1111","type":"APR-DRG"}],"standard_charges":[{"minimum":10810,"maximum":10810,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10810,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VERTIGO AND OTHER LABYRINTH DISORDERS","code_information":[{"code":"1112","type":"APR-DRG"}],"standard_charges":[{"minimum":13074,"maximum":13074,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13074,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VERTIGO AND OTHER LABYRINTH DISORDERS","code_information":[{"code":"1113","type":"APR-DRG"}],"standard_charges":[{"minimum":16454,"maximum":16454,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16454,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VERTIGO AND OTHER LABYRINTH DISORDERS","code_information":[{"code":"1114","type":"APR-DRG"}],"standard_charges":[{"minimum":26162,"maximum":26162,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26162,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF SKIN TAGS <W/15","code_information":[{"code":"11200","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUT SILK 2-0 30IN MP BLK TIES","code_information":[{"code":"112145","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":10.22,"maximum":13.44,"gross_charge":14,"discounted_cash":7.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.62,"methodology":"fee schedule"}]}]},{"description":"SUT SILK 2-0 30IN MP BLK TIES","code_information":[{"code":"112145","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.58,"maximum":13.44,"gross_charge":14,"discounted_cash":7.76,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.58,"methodology":"fee schedule"}]}]},{"description":"SHAVE SKIN LESION 0.5 CM/<","code_information":[{"code":"11300","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHAVE SKIN LESION 0.6-1.0 CM","code_information":[{"code":"11301","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHAVE SKIN LESION 1.1-2.0 CM","code_information":[{"code":"11302","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHAVE SKIN LESION >2.0 CM","code_information":[{"code":"11303","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHAVE SKIN LESION 0.5 CM/<","code_information":[{"code":"11305","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHAVE SKIN LESION 0.6-1.0 CM","code_information":[{"code":"11306","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHAVE SKIN LESION 1.1-2.0 CM","code_information":[{"code":"11307","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHAVE SKIN LESION >2.0 CM","code_information":[{"code":"11308","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INFECTIONS OF UPPER RESPIRATORY TRACT","code_information":[{"code":"1131","type":"APR-DRG"}],"standard_charges":[{"minimum":6435,"maximum":6435,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6435,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SHAVE SKIN LESION 0.5 CM/<","code_information":[{"code":"11310","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHAVE SKIN LESION 0.6-1.0 CM","code_information":[{"code":"11311","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHAVE SKIN LESION 1.1-2.0 CM","code_information":[{"code":"11312","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHAVE SKIN LESION >2.0 CM","code_information":[{"code":"11313","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INFECTIONS OF UPPER RESPIRATORY TRACT","code_information":[{"code":"1132","type":"APR-DRG"}],"standard_charges":[{"minimum":9012,"maximum":9012,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9012,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INFECTIONS OF UPPER RESPIRATORY TRACT","code_information":[{"code":"1133","type":"APR-DRG"}],"standard_charges":[{"minimum":15595,"maximum":15595,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15595,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INFECTIONS OF UPPER RESPIRATORY TRACT","code_information":[{"code":"1134","type":"APR-DRG"}],"standard_charges":[{"minimum":34761,"maximum":34761,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34761,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH FOL 3W EMMETT 22FRX30ML","code_information":[{"code":"113979","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":29.2,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"}]}]},{"description":"CATH FOL 3W EMMETT 22FRX30ML","code_information":[{"code":"113979","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":18.8,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.8,"methodology":"fee schedule"}]}]},{"description":"EXC TR-EXT B9+MARG 0.5 CM<","code_information":[{"code":"11400","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC TR-EXT B9+MARG 0.6-1 CM","code_information":[{"code":"11401","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC TR-EXT B9+MARG 1.1-2 CM","code_information":[{"code":"11402","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC TR-EXT B9+MARG 2.1-3CM","code_information":[{"code":"11403","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC TR-EXT B9+MARG 3.1-4 CM","code_information":[{"code":"11404","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC TR-EXT B9+MARG >4.0 CM","code_information":[{"code":"11406","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DENTAL DISEASES AND DISORDERS","code_information":[{"code":"1141","type":"APR-DRG"}],"standard_charges":[{"minimum":9724,"maximum":9724,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9724,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PAD SENS BD ALRM SENSORMAT","code_information":[{"code":"114177","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":82.49,"maximum":108.48,"gross_charge":113,"discounted_cash":62.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":93.79,"methodology":"fee schedule"}]}]},{"description":"PAD SENS BD ALRM SENSORMAT","code_information":[{"code":"114177","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":53.11,"maximum":108.48,"gross_charge":113,"discounted_cash":62.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":93.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":53.11,"methodology":"fee schedule"}]}]},{"description":"DENTAL DISEASES AND DISORDERS","code_information":[{"code":"1142","type":"APR-DRG"}],"standard_charges":[{"minimum":13575,"maximum":13575,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13575,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXC LESN BGN SCALP HND <0.5 ER","code_information":[{"code":"11420","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1194.28,"maximum":1570.56,"gross_charge":1636,"discounted_cash":906.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1570.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1341.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1505.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1406.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1194.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1357.88,"methodology":"fee schedule"}]}]},{"description":"EXC LESN BGN SCALP HND <0.5 ER","code_information":[{"code":"11420","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":768.92,"maximum":2261.34,"gross_charge":1636,"discounted_cash":906.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1570.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1341.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1505.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1406.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1194.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1357.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1128.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":768.92,"methodology":"fee schedule"}]}]},{"description":"EXC H-F-NK-SP B9+MARG 0.6-1","code_information":[{"code":"11421","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC LES BGN SCLP HND 1.1-2. ER","code_information":[{"code":"11422","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1194.28,"maximum":1570.56,"gross_charge":1636,"discounted_cash":906.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1570.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1341.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1505.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1406.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1194.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1357.88,"methodology":"fee schedule"}]}]},{"description":"EXC LES BGN SCLP HND 1.1-2. ER","code_information":[{"code":"11422","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":768.92,"maximum":2261.34,"gross_charge":1636,"discounted_cash":906.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1554.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1570.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1341.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1505.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1406.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1194.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1357.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1128.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":768.92,"methodology":"fee schedule"}]}]},{"description":"EXC H-F-NK-SP B9+MARG 2.1-3","code_information":[{"code":"11423","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC H-F-NK-SP B9+MARG 3.1-4","code_information":[{"code":"11424","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC H-F-NK-SP B9+MARG >4 CM","code_information":[{"code":"11426","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DENTAL DISEASES AND DISORDERS","code_information":[{"code":"1143","type":"APR-DRG"}],"standard_charges":[{"minimum":19642,"maximum":19642,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19642,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DENTAL DISEASES AND DISORDERS","code_information":[{"code":"1144","type":"APR-DRG"}],"standard_charges":[{"minimum":36925,"maximum":36925,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36925,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXC FACE-MM B9+MARG 0.5 CM/<","code_information":[{"code":"11440","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FACE-MM B9+MARG 0.6-1 CM","code_information":[{"code":"11441","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FACE-MM B9+MARG 1.1-2 CM","code_information":[{"code":"11442","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FACE-MM B9+MARG 2.1-3 CM","code_information":[{"code":"11443","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FACE-MM B9+MARG 3.1-4 CM","code_information":[{"code":"11444","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FACE-MM B9+MARG >4 CM","code_information":[{"code":"11446","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL SWEAT GLAND LESION","code_information":[{"code":"11450","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL SWEAT GLAND LESION","code_information":[{"code":"11451","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL SWEAT GLAND LESION","code_information":[{"code":"11462","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL SWEAT GLAND LESION","code_information":[{"code":"11463","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUT CHROMIC 5-0 18IN P2 BRN","code_information":[{"code":"114663","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":18.98,"maximum":24.96,"gross_charge":26,"discounted_cash":14.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.58,"methodology":"fee schedule"}]}]},{"description":"SUT CHROMIC 5-0 18IN P2 BRN","code_information":[{"code":"114663","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":12.22,"maximum":24.96,"gross_charge":26,"discounted_cash":14.41,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.22,"methodology":"fee schedule"}]}]},{"description":"REMOVAL SWEAT GLAND LESION","code_information":[{"code":"11470","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL SWEAT GLAND LESION","code_information":[{"code":"11471","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES","code_information":[{"code":"1151","type":"APR-DRG"}],"standard_charges":[{"minimum":9805,"maximum":9805,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9805,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES","code_information":[{"code":"1152","type":"APR-DRG"}],"standard_charges":[{"minimum":14832,"maximum":14832,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14832,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES","code_information":[{"code":"1153","type":"APR-DRG"}],"standard_charges":[{"minimum":25061,"maximum":25061,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25061,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES","code_information":[{"code":"1154","type":"APR-DRG"}],"standard_charges":[{"minimum":36165,"maximum":36165,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36165,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RETRCT ENDOSCP PADDLE 12MM","code_information":[{"code":"115782","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":729.27,"maximum":959.04,"gross_charge":999,"discounted_cash":553.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":949.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":959.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":819.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":919.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":859.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":729.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":829.17,"methodology":"fee schedule"}]}]},{"description":"RETRCT ENDOSCP PADDLE 12MM","code_information":[{"code":"115782","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":469.53,"maximum":959.04,"gross_charge":999,"discounted_cash":553.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":949.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":959.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":819.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":919.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":859.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":729.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":829.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":689.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":469.53,"methodology":"fee schedule"}]}]},{"description":"EXC TR-EXT MAL+MARG 0.5 CM/<","code_information":[{"code":"11600","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC TR-EXT MAL+MARG 0.6-1 CM","code_information":[{"code":"11601","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC LESN M TRNK 1.1-2 ER","code_information":[{"code":"11602","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":545.31,"maximum":717.12,"gross_charge":747,"discounted_cash":413.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":709.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":717.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":612.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":687.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":642.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":545.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":620.01,"methodology":"fee schedule"}]}]},{"description":"EXC LESN M TRNK 1.1-2 ER","code_information":[{"code":"11602","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":351.09,"maximum":717.12,"gross_charge":747,"discounted_cash":413.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":709.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":717.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":612.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":687.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":642.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":545.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":620.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":515.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"EXC TR-EXT MAL+MARG 2.1-3 CM","code_information":[{"code":"11603","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC TR-EXT MAL+MARG 3.1-4 CM","code_information":[{"code":"11604","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC TR-EXT MAL+MARG >4 CM","code_information":[{"code":"11606","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC H-F-NK-SP MAL+MARG 0.5/<","code_information":[{"code":"11620","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC S/N/H/F/G MAL+MRG 0.6-1","code_information":[{"code":"11621","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC S/N/H/F/G MAL+MRG 1.1-2","code_information":[{"code":"11622","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC S/N/H/F/G MAL+MRG 2.1-3","code_information":[{"code":"11623","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC S/N/H/F/G MAL+MRG 3.1-4","code_information":[{"code":"11624","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC S/N/H/F/G MAL+MRG >4 CM","code_information":[{"code":"11626","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SOL INHAL STRL H2O 2000ML BG","code_information":[{"code":"116314","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":5.2998,"maximum":6.9696,"gross_charge":7.26,"discounted_cash":4.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.03,"methodology":"fee schedule"}]}]},{"description":"SOL INHAL STRL H2O 2000ML BG","code_information":[{"code":"116314","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3.4122,"maximum":6.9696,"gross_charge":7.26,"discounted_cash":4.03,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.42,"methodology":"fee schedule"}]}]},{"description":"EXC F/E/E/N/L MAL+MRG 0.5CM<","code_information":[{"code":"11640","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC F/E/E/N/L MAL+MRG 0.6-1","code_information":[{"code":"11641","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC F/E/E/N/L MAL+MRG 1.1-2","code_information":[{"code":"11642","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC F/E/E/N/L MAL+MRG 2.1-3","code_information":[{"code":"11643","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC F/E/E/N/L MAL+MRG 3.1-4","code_information":[{"code":"11644","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC F/E/E/N/L MAL+MRG >4 CM","code_information":[{"code":"11646","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TB TRACH CUF 6 DCT","code_information":[{"code":"116613","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":94.9,"maximum":124.8,"gross_charge":130,"discounted_cash":72.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":124.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":119.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":111.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":107.9,"methodology":"fee schedule"}]}]},{"description":"TB TRACH CUF 6 DCT","code_information":[{"code":"116613","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":61.1,"maximum":124.8,"gross_charge":130,"discounted_cash":72.04,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":124.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":119.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":111.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":107.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":61.1,"methodology":"fee schedule"}]}]},{"description":"NDL INSUF VERES LL 120MM DISP","code_information":[{"code":"116693","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":39.42,"maximum":51.84,"gross_charge":54,"discounted_cash":29.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"}]}]},{"description":"NDL INSUF VERES LL 120MM DISP","code_information":[{"code":"116693","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":25.38,"maximum":51.84,"gross_charge":54,"discounted_cash":29.93,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.38,"methodology":"fee schedule"}]}]},{"description":"NDL INSUF VERES ENDOPATH 120","code_information":[{"code":"116766","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":45.26,"maximum":59.52,"gross_charge":62,"discounted_cash":34.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.46,"methodology":"fee schedule"}]}]},{"description":"NDL INSUF VERES ENDOPATH 120","code_information":[{"code":"116766","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":29.14,"maximum":59.52,"gross_charge":62,"discounted_cash":34.36,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.14,"methodology":"fee schedule"}]}]},{"description":"TAP 180 HEX DC SCR 4.2MM","code_information":[{"code":"116779","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":551.15,"maximum":724.8,"gross_charge":755,"discounted_cash":418.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":724.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":619.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":694.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":649.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":626.65,"methodology":"fee schedule"}]}]},{"description":"TAP 180 HEX DC SCR 4.2MM","code_information":[{"code":"116779","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":354.85,"maximum":724.8,"gross_charge":755,"discounted_cash":418.35,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":717.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":724.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":619.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":694.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":649.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":626.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":520.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":354.85,"methodology":"fee schedule"}]}]},{"description":"NDL BX SFT STD NSAF 14GX6IN","code_information":[{"code":"117102","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":45.99,"maximum":60.48,"gross_charge":63,"discounted_cash":34.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.29,"methodology":"fee schedule"}]}]},{"description":"NDL BX SFT STD NSAF 14GX6IN","code_information":[{"code":"117102","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":29.61,"maximum":60.48,"gross_charge":63,"discounted_cash":34.91,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.61,"methodology":"fee schedule"}]}]},{"description":"TRIM NAIL(S) ANY NUMBER","code_information":[{"code":"11719","type":"CPT"}],"standard_charges":[{"minimum":89.46,"maximum":89.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DEBRIDE NAIL 1-5","code_information":[{"code":"11720","type":"CPT"}],"standard_charges":[{"minimum":89.46,"maximum":89.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DEBRIDE NAIL 6 OR MORE","code_information":[{"code":"11721","type":"CPT"}],"standard_charges":[{"minimum":89.46,"maximum":89.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AVULSION NAIL PLATE SINGLE ER","code_information":[{"code":"11730","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":222.65,"maximum":292.8,"gross_charge":305,"discounted_cash":169.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":292.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":280.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":262.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":253.15,"methodology":"fee schedule"}]}]},{"description":"AVULSION NAIL PLATE SINGLE ER","code_information":[{"code":"11730","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":143.35,"maximum":292.8,"gross_charge":305,"discounted_cash":169.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":292.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":280.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":262.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":253.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":143.35,"methodology":"fee schedule"}]}]},{"description":"AVULSION NAIL PLATE EA ADD ER","code_information":[{"code":"11732","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":115.34,"maximum":151.68,"gross_charge":158,"discounted_cash":87.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":151.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":145.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.14,"methodology":"fee schedule"}]}]},{"description":"AVULSION NAIL PLATE EA ADD ER","code_information":[{"code":"11732","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":74.26,"maximum":151.68,"gross_charge":158,"discounted_cash":87.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":151.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":145.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":74.26,"methodology":"fee schedule"}]}]},{"description":"EVAC HEMATOMA SUBUNGAL ER","code_information":[{"code":"11740","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":135.78,"maximum":178.56,"gross_charge":186,"discounted_cash":103.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":178.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":171.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":154.38,"methodology":"fee schedule"}]}]},{"description":"EVAC HEMATOMA SUBUNGAL ER","code_information":[{"code":"11740","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":87.42,"maximum":179.93,"gross_charge":186,"discounted_cash":103.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":179.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":178.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":171.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":154.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":87.42,"methodology":"fee schedule"}]}]},{"description":"NUT TRNSCONN 11MM TI NS","code_information":[{"code":"117436","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":190.53,"maximum":250.56,"gross_charge":261,"discounted_cash":144.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":250.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":240.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":224.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":190.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":216.63,"methodology":"fee schedule"}]}]},{"description":"NUT TRNSCONN 11MM TI NS","code_information":[{"code":"117436","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":122.67,"maximum":250.56,"gross_charge":261,"discounted_cash":144.63,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":250.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":240.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":224.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":190.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":216.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":180.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":122.67,"methodology":"fee schedule"}]}]},{"description":"REMOVAL OF NAIL BED","code_information":[{"code":"11750","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY NAIL UNIT","code_information":[{"code":"11755","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR NAIL BED ER","code_information":[{"code":"11760","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":348.94,"maximum":458.88,"gross_charge":478,"discounted_cash":264.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"}]}]},{"description":"REPAIR NAIL BED ER","code_information":[{"code":"11760","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":224.66,"maximum":842.46,"gross_charge":478,"discounted_cash":264.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":329.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":224.66,"methodology":"fee schedule"}]}]},{"description":"RECONSTRUCTION OF NAIL BED","code_information":[{"code":"11762","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF NAIL FOLD TOE","code_information":[{"code":"11765","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PILONIDAL CYST SIMPLE","code_information":[{"code":"11770","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PILONIDAL CYST EXTEN","code_information":[{"code":"11771","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PILONIDAL CYST COMPL","code_information":[{"code":"11772","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SOL D5 250ML BG LF","code_information":[{"code":"118135","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":8.5556,"maximum":11.2512,"gross_charge":11.72,"discounted_cash":6.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.79,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.73,"methodology":"fee schedule"}]}]},{"description":"SOL D5 250ML BG LF","code_information":[{"code":"118135","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":5.5084,"maximum":11.2512,"gross_charge":11.72,"discounted_cash":6.5,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.79,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.51,"methodology":"fee schedule"}]}]},{"description":"BAR TRNVRS CL USS 15MM TI NS","code_information":[{"code":"118378","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":947.54,"maximum":1246.08,"gross_charge":1298,"discounted_cash":719.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1233.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1246.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1064.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1194.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1116.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":947.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1077.34,"methodology":"fee schedule"}]}]},{"description":"BAR TRNVRS CL USS 15MM TI NS","code_information":[{"code":"118378","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":610.06,"maximum":1246.08,"gross_charge":1298,"discounted_cash":719.23,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1233.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1246.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1064.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1194.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1116.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":947.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1077.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":895.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":610.06,"methodology":"fee schedule"}]}]},{"description":"SPNG SURGCEL 2X3IN LF STRL","code_information":[{"code":"118544","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":152.57,"maximum":200.64,"gross_charge":209,"discounted_cash":115.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":200.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":192.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":179.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":173.47,"methodology":"fee schedule"}]}]},{"description":"SPNG SURGCEL 2X3IN LF STRL","code_information":[{"code":"118544","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":98.23,"maximum":200.64,"gross_charge":209,"discounted_cash":115.81,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":200.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":192.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":179.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":173.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":144.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":98.23,"methodology":"fee schedule"}]}]},{"description":"INJECT SKIN LESIONS </W 7","code_information":[{"code":"11900","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECT SKIN LESIONS >7","code_information":[{"code":"11901","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECT SKIN COLOR 6.0 CM/<","code_information":[{"code":"11920","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECT SKN COLOR 6.1-20.0CM","code_information":[{"code":"11921","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GUIDE NDL QUIK-CLP BRL 5X30CM","code_information":[{"code":"119310","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":679.63,"maximum":893.76,"gross_charge":931,"discounted_cash":515.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":884.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":893.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":763.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":856.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":800.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":679.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":772.73,"methodology":"fee schedule"}]}]},{"description":"GUIDE NDL QUIK-CLP BRL 5X30CM","code_information":[{"code":"119310","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":437.57,"maximum":893.76,"gross_charge":931,"discounted_cash":515.87,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":884.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":893.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":763.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":856.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":800.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":679.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":772.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":642.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":437.57,"methodology":"fee schedule"}]}]},{"description":"DRNGE KT THOR DRY SUC MINI 500","code_information":[{"code":"119352","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":162.79,"maximum":214.08,"gross_charge":223,"discounted_cash":123.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":214.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":205.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":191.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":185.09,"methodology":"fee schedule"}]}]},{"description":"DRNGE KT THOR DRY SUC MINI 500","code_information":[{"code":"119352","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":104.81,"maximum":214.08,"gross_charge":223,"discounted_cash":123.57,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":214.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":205.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":191.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":185.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":153.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":104.81,"methodology":"fee schedule"}]}]},{"description":"TX CONTOUR DEFECTS 1 CC/<","code_information":[{"code":"11950","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX CONTOUR DEFECTS 1.1-5.0CC","code_information":[{"code":"11951","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX CONTOUR DEFECTS 5.1-10CC","code_information":[{"code":"11952","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX CONTOUR DEFECTS >10.0 CC","code_information":[{"code":"11954","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT TISSUE EXPANDER(S)","code_information":[{"code":"11960","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SOL ORAL READICAT BERRY 450ML","code_information":[{"code":"119699","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":8.1322,"maximum":10.6944,"gross_charge":11.14,"discounted_cash":6.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.25,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.25,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL READICAT BERRY 450ML","code_information":[{"code":"119699","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":5.2358,"maximum":10.6944,"gross_charge":11.14,"discounted_cash":6.18,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.25,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.24,"methodology":"fee schedule"}]}]},{"description":"REPLACE TISSUE EXPANDER","code_information":[{"code":"11970","type":"CPT"}],"standard_charges":[{"minimum":10069.06,"maximum":10069.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10069.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE TISSUE EXPANDER(S)","code_information":[{"code":"11971","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE CONTRACEPTIVE CAPSULE","code_information":[{"code":"11976","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT HORMONE PELLET(S)","code_information":[{"code":"11980","type":"CPT"}],"standard_charges":[{"minimum":434.29,"maximum":434.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":434.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PENCIL CAUT HND ROCK PTFE 10FT","code_information":[{"code":"119808","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":18.25,"maximum":24,"gross_charge":25,"discounted_cash":13.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.75,"methodology":"fee schedule"}]}]},{"description":"PENCIL CAUT HND ROCK PTFE 10FT","code_information":[{"code":"119808","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":11.75,"maximum":24,"gross_charge":25,"discounted_cash":13.86,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.75,"methodology":"fee schedule"}]}]},{"description":"INSERT DRUG IMPLANT DEVICE","code_information":[{"code":"11981","type":"CPT"}],"standard_charges":[{"minimum":179.93,"maximum":179.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":179.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE DRUG IMPLANT DEVICE","code_information":[{"code":"11982","type":"CPT"}],"standard_charges":[{"minimum":434.29,"maximum":434.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":434.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/INSERT DRUG IMPLANT","code_information":[{"code":"11983","type":"CPT"}],"standard_charges":[{"minimum":434.29,"maximum":434.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":434.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR LAC SMP SCALP <2.5 CM ER","code_information":[{"code":"12001","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":351.86,"maximum":462.72,"gross_charge":482,"discounted_cash":267.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":462.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":443.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":414.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":400.06,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP SCALP <2.5 CM ER","code_information":[{"code":"12001","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":226.54,"maximum":462.72,"gross_charge":482,"discounted_cash":267.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":457.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":462.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":443.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":414.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":400.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":332.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":226.54,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP SCALP 2.6-7.5CM ER","code_information":[{"code":"12002","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":375.95,"maximum":494.4,"gross_charge":515,"discounted_cash":285.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":494.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":422.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":473.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":442.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":375.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":427.45,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP SCALP 2.6-7.5CM ER","code_information":[{"code":"12002","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":242.05,"maximum":494.4,"gross_charge":515,"discounted_cash":285.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":489.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":494.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":422.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":473.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":442.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":375.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":427.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":355.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":242.05,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP SCALP 7.6-12.5 ER","code_information":[{"code":"12004","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":421.94,"maximum":554.88,"gross_charge":578,"discounted_cash":320.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":549.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":554.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":473.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":531.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":497.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":421.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":479.74,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP SCALP 7.6-12.5 ER","code_information":[{"code":"12004","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":271.66,"maximum":554.88,"gross_charge":578,"discounted_cash":320.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":549.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":554.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":473.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":531.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":497.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":421.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":479.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":398.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":271.66,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP SCALP 12.6-20.0 ER","code_information":[{"code":"12005","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":516.84,"maximum":679.68,"gross_charge":708,"discounted_cash":392.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":679.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":580.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":651.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":608.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":516.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":587.64,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP SCALP 12.6-20.0 ER","code_information":[{"code":"12005","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":332.76,"maximum":679.68,"gross_charge":708,"discounted_cash":392.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":672.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":679.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":580.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":651.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":608.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":516.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":587.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":488.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":332.76,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP SCALP 20.1-30.0 ER","code_information":[{"code":"12006","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":344.56,"maximum":453.12,"gross_charge":472,"discounted_cash":261.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":448.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":453.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":387.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":434.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":405.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":391.76,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP SCALP 20.1-30.0 ER","code_information":[{"code":"12006","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":221.84,"maximum":555.85,"gross_charge":472,"discounted_cash":261.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":448.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":453.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":387.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":434.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":405.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":391.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":325.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":221.84,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP SCALP >30.0 CM ER","code_information":[{"code":"12007","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":284.7,"maximum":374.4,"gross_charge":390,"discounted_cash":216.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":370.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":374.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":319.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":358.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":335.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":323.7,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP SCALP >30.0 CM ER","code_information":[{"code":"12007","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":183.3,"maximum":374.4,"gross_charge":390,"discounted_cash":216.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":370.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":374.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":319.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":358.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":335.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":323.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":269.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":183.3,"methodology":"fee schedule"}]}]},{"description":"MAJOR RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1201","type":"APR-DRG"}],"standard_charges":[{"minimum":38409,"maximum":38409,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38409,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RPR LAC SMP FACE <2.5CM ER","code_information":[{"code":"12011","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":358.43,"maximum":471.36,"gross_charge":491,"discounted_cash":272.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":471.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":402.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":451.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":422.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":358.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":407.53,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP FACE <2.5CM ER","code_information":[{"code":"12011","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":230.77,"maximum":471.36,"gross_charge":491,"discounted_cash":272.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":471.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":402.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":451.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":422.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":358.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":407.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":230.77,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP FACE 2.6-5.0CM ER","code_information":[{"code":"12013","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":376.68,"maximum":495.36,"gross_charge":516,"discounted_cash":285.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":495.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":423.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":474.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":443.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":376.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":428.28,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP FACE 2.6-5.0CM ER","code_information":[{"code":"12013","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":242.52,"maximum":495.36,"gross_charge":516,"discounted_cash":285.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":495.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":423.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":474.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":443.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":376.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":428.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":356.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":242.52,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP FACE 5.1-7.5CM ER","code_information":[{"code":"12014","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":516.11,"maximum":678.72,"gross_charge":707,"discounted_cash":391.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":671.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":678.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":579.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":650.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":608.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":516.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":586.81,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP FACE 5.1-7.5CM ER","code_information":[{"code":"12014","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":288.56,"maximum":678.72,"gross_charge":707,"discounted_cash":391.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":671.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":678.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":579.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":650.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":608.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":516.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":586.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":487.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":332.29,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP FACE 7.6-12.5CM ER","code_information":[{"code":"12015","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":483.99,"maximum":636.48,"gross_charge":663,"discounted_cash":367.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":629.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":636.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":609.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":570.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":483.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":550.29,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP FACE 7.6-12.5CM ER","code_information":[{"code":"12015","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":288.56,"maximum":636.48,"gross_charge":663,"discounted_cash":367.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":629.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":636.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":609.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":570.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":483.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":550.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":457.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":311.61,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP FACE 12.1-20.0 ER","code_information":[{"code":"12016","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":344.56,"maximum":453.12,"gross_charge":472,"discounted_cash":261.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":448.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":453.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":387.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":434.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":405.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":391.76,"methodology":"fee schedule"}]}]},{"description":"RPR LAC SMP FACE 12.1-20.0 ER","code_information":[{"code":"12016","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":221.84,"maximum":555.85,"gross_charge":472,"discounted_cash":261.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":448.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":453.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":387.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":434.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":405.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":391.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":325.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":221.84,"methodology":"fee schedule"}]}]},{"description":"RPR FE/E/EN/L/M 20.1-30.0 CM","code_information":[{"code":"12017","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR F/E/E/N/L/M >30.0 CM","code_information":[{"code":"12018","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1202","type":"APR-DRG"}],"standard_charges":[{"minimum":53085,"maximum":53085,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53085,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CLSR WOUND DEHISC SMP ER","code_information":[{"code":"12020","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":465.01,"maximum":611.52,"gross_charge":637,"discounted_cash":352.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":605.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":611.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":522.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":586.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":547.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":465.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":528.71,"methodology":"fee schedule"}]}]},{"description":"CLSR WOUND DEHISC SMP ER","code_information":[{"code":"12020","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":299.39,"maximum":842.46,"gross_charge":637,"discounted_cash":352.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":605.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":611.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":522.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":586.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":547.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":465.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":528.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":439.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":299.39,"methodology":"fee schedule"}]}]},{"description":"PACK WOUND DEHISCENCE SUPER ER","code_information":[{"code":"12021","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":348.94,"maximum":458.88,"gross_charge":478,"discounted_cash":264.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"}]}]},{"description":"PACK WOUND DEHISCENCE SUPER ER","code_information":[{"code":"12021","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":224.66,"maximum":555.85,"gross_charge":478,"discounted_cash":264.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":329.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":224.66,"methodology":"fee schedule"}]}]},{"description":"MAJOR RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1203","type":"APR-DRG"}],"standard_charges":[{"minimum":61036,"maximum":61036,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61036,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RPR LAC INT SCLP AXIL <2.5C ER","code_information":[{"code":"12031","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":281.05,"maximum":369.6,"gross_charge":385,"discounted_cash":213.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT SCLP AXIL <2.5C ER","code_information":[{"code":"12031","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":180.95,"maximum":555.85,"gross_charge":385,"discounted_cash":213.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":265.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":180.95,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT SCALP AXIL 2.6- ER","code_information":[{"code":"12032","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":397.85,"maximum":523.2,"gross_charge":545,"discounted_cash":301.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":523.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":446.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":501.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":468.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":452.35,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT SCALP AXIL 2.6- ER","code_information":[{"code":"12032","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":256.15,"maximum":555.85,"gross_charge":545,"discounted_cash":301.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":517.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":523.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":446.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":501.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":468.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":452.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":376.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":256.15,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT SCALP AX 7.6-12 ER","code_information":[{"code":"12034","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":505.16,"maximum":664.32,"gross_charge":692,"discounted_cash":383.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":657.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":664.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":567.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":636.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":595.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":505.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":574.36,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT SCALP AX 7.6-12 ER","code_information":[{"code":"12034","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":325.24,"maximum":664.32,"gross_charge":692,"discounted_cash":383.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":657.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":664.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":567.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":636.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":595.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":505.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":574.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":477.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":325.24,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT SCALP 12.6-20.0 ER","code_information":[{"code":"12035","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":678.17,"maximum":891.84,"gross_charge":929,"discounted_cash":514.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":882.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":891.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":761.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":854.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":798.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":678.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":771.07,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT SCALP 12.6-20.0 ER","code_information":[{"code":"12035","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":436.63,"maximum":891.84,"gross_charge":929,"discounted_cash":514.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":882.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":891.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":761.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":854.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":798.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":678.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":771.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":641.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":436.63,"methodology":"fee schedule"}]}]},{"description":"INTMD RPR S/A/T/EXT 20.1-30","code_information":[{"code":"12036","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTMD RPR S/TR/EXT >30.0 CM","code_information":[{"code":"12037","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1204","type":"APR-DRG"}],"standard_charges":[{"minimum":110100,"maximum":110100,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110100,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RPR LAC INT NECK <2.5CM ER","code_information":[{"code":"12041","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":505.16,"maximum":664.32,"gross_charge":692,"discounted_cash":383.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":657.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":664.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":567.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":636.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":595.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":505.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":574.36,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT NECK <2.5CM ER","code_information":[{"code":"12041","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":325.24,"maximum":664.32,"gross_charge":692,"discounted_cash":383.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":657.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":664.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":567.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":636.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":595.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":505.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":574.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":477.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":325.24,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT NECK 2.6-7.5CM ER","code_information":[{"code":"12042","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":281.05,"maximum":369.6,"gross_charge":385,"discounted_cash":213.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT NECK 2.6-7.5CM ER","code_information":[{"code":"12042","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":180.95,"maximum":555.85,"gross_charge":385,"discounted_cash":213.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":265.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":180.95,"methodology":"fee schedule"}]}]},{"description":"INTMD RPR N-HF/GENIT7.6-12.5","code_information":[{"code":"12044","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTMD RPR N-HF/GENIT12.6-20","code_information":[{"code":"12045","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTMD RPR N-HF/GENIT20.1-30","code_information":[{"code":"12046","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTMD RPR N-HF/GENIT >30.0CM","code_information":[{"code":"12047","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR LAC INT FACE/EAR <2.5CM ER","code_information":[{"code":"12051","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":281.05,"maximum":369.6,"gross_charge":385,"discounted_cash":213.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT FACE/EAR <2.5CM ER","code_information":[{"code":"12051","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":180.95,"maximum":555.85,"gross_charge":385,"discounted_cash":213.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":265.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":180.95,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT FACE 2.6-5.0CM ER","code_information":[{"code":"12052","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":494.21,"maximum":649.92,"gross_charge":677,"discounted_cash":375.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":649.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":555.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":622.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":582.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":494.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":561.91,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT FACE 2.6-5.0CM ER","code_information":[{"code":"12052","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":318.19,"maximum":649.92,"gross_charge":677,"discounted_cash":375.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":643.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":649.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":555.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":622.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":582.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":494.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":561.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":467.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":318.19,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT FACE 5.1-7.5CM ER","code_information":[{"code":"12053","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":281.05,"maximum":369.6,"gross_charge":385,"discounted_cash":213.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT FACE 5.1-7.5CM ER","code_information":[{"code":"12053","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":180.95,"maximum":555.85,"gross_charge":385,"discounted_cash":213.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":265.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":180.95,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT FACE 7.6-12.5CM ER","code_information":[{"code":"12054","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":486.91,"maximum":640.32,"gross_charge":667,"discounted_cash":369.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":633.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":640.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":546.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":613.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":573.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":486.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":553.61,"methodology":"fee schedule"}]}]},{"description":"RPR LAC INT FACE 7.6-12.5CM ER","code_information":[{"code":"12054","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":313.49,"maximum":640.32,"gross_charge":667,"discounted_cash":369.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":633.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":640.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":546.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":613.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":573.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":486.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":553.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":460.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":313.49,"methodology":"fee schedule"}]}]},{"description":"INTMD RPR FACE/MM 12.6-20 CM","code_information":[{"code":"12055","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTMD RPR FACE/MM 20.1-30.0","code_information":[{"code":"12056","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTMD RPR FACE/MM >30.0 CM","code_information":[{"code":"12057","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TACKER ENDOSCP MESH HNDL 5TB","code_information":[{"code":"120940","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":662.84,"maximum":871.68,"gross_charge":908,"discounted_cash":503.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":862.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":871.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":744.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":835.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":780.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":662.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":753.64,"methodology":"fee schedule"}]}]},{"description":"TACKER ENDOSCP MESH HNDL 5TB","code_information":[{"code":"120940","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":426.76,"maximum":871.68,"gross_charge":908,"discounted_cash":503.13,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":862.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":871.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":744.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":835.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":780.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":662.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":753.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":626.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":426.76,"methodology":"fee schedule"}]}]},{"description":"OTHER RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1211","type":"APR-DRG"}],"standard_charges":[{"minimum":29160,"maximum":29160,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29160,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1212","type":"APR-DRG"}],"standard_charges":[{"minimum":36057,"maximum":36057,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36057,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1213","type":"APR-DRG"}],"standard_charges":[{"minimum":44704,"maximum":44704,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44704,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER RESPIRATORY AND CHEST PROCEDURES","code_information":[{"code":"1214","type":"APR-DRG"}],"standard_charges":[{"minimum":98096,"maximum":98096,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":98096,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIT DRL QC STP-65 2.4X--- NS","code_information":[{"code":"121610","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":264.26,"maximum":347.52,"gross_charge":362,"discounted_cash":200.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":343.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":347.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":333.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":311.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":300.46,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC STP-65 2.4X--- NS","code_information":[{"code":"121610","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":170.14,"maximum":347.52,"gross_charge":362,"discounted_cash":200.59,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":343.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":347.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":333.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":311.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":300.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":249.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":170.14,"methodology":"fee schedule"}]}]},{"description":"BUR EGG/OVL FAST CUT 6X9.5X","code_information":[{"code":"121984","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":130.67,"maximum":171.84,"gross_charge":179,"discounted_cash":99.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":170.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":171.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":164.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":153.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":148.57,"methodology":"fee schedule"}]}]},{"description":"BUR EGG/OVL FAST CUT 6X9.5X","code_information":[{"code":"121984","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":84.13,"maximum":171.84,"gross_charge":179,"discounted_cash":99.19,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":170.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":171.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":164.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":153.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":148.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":123.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":84.13,"methodology":"fee schedule"}]}]},{"description":"FRCP BX HOT 2.8MMX230CM","code_information":[{"code":"122500","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":231.41,"maximum":304.32,"gross_charge":317,"discounted_cash":175.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":304.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":291.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":272.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":231.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":263.11,"methodology":"fee schedule"}]}]},{"description":"FRCP BX HOT 2.8MMX230CM","code_information":[{"code":"122500","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":148.99,"maximum":304.32,"gross_charge":317,"discounted_cash":175.65,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":301.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":304.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":291.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":272.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":231.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":263.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":218.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":148.99,"methodology":"fee schedule"}]}]},{"description":"RELOAD STPLR ENDO CUT 45MM GRN","code_information":[{"code":"122786","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":245.28,"maximum":322.56,"gross_charge":336,"discounted_cash":186.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.88,"methodology":"fee schedule"}]}]},{"description":"RELOAD STPLR ENDO CUT 45MM GRN","code_information":[{"code":"122786","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":157.92,"maximum":322.56,"gross_charge":336,"discounted_cash":186.18,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":157.92,"methodology":"fee schedule"}]}]},{"description":"BLDE SHV INCIS + STR EP-1 4.5","code_information":[{"code":"123149","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":116.07,"maximum":152.64,"gross_charge":159,"discounted_cash":88.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.97,"methodology":"fee schedule"}]}]},{"description":"BLDE SHV INCIS + STR EP-1 4.5","code_information":[{"code":"123149","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":74.73,"maximum":152.64,"gross_charge":159,"discounted_cash":88.11,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":74.73,"methodology":"fee schedule"}]}]},{"description":"RESVR DRN BLUB EVAC SIL 100ML","code_information":[{"code":"123558","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":15.33,"maximum":20.16,"gross_charge":21,"discounted_cash":11.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.43,"methodology":"fee schedule"}]}]},{"description":"RESVR DRN BLUB EVAC SIL 100ML","code_information":[{"code":"123558","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":9.87,"maximum":20.16,"gross_charge":21,"discounted_cash":11.64,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.87,"methodology":"fee schedule"}]}]},{"description":"SPINAL SET BIPIVCAIN 25GX3.5X2","code_information":[{"code":"123661","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":43.07,"maximum":56.64,"gross_charge":59,"discounted_cash":32.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":56.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":54.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.97,"methodology":"fee schedule"}]}]},{"description":"SPINAL SET BIPIVCAIN 25GX3.5X2","code_information":[{"code":"123661","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":27.73,"maximum":56.64,"gross_charge":59,"discounted_cash":32.7,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":56.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":54.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.73,"methodology":"fee schedule"}]}]},{"description":"DRNG KT THOR ATS OASIS 2000ML","code_information":[{"code":"123867","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":121.3698,"maximum":159.6096,"gross_charge":166.26,"discounted_cash":92.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":157.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":159.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":152.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":142.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":138,"methodology":"fee schedule"}]}]},{"description":"DRNG KT THOR ATS OASIS 2000ML","code_information":[{"code":"123867","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":78.1422,"maximum":159.6096,"gross_charge":166.26,"discounted_cash":92.13,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":157.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":159.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":152.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":142.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":78.15,"methodology":"fee schedule"}]}]},{"description":"HOOK HARM ENDOSCP 5MM 32CM","code_information":[{"code":"124153","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":308.06,"maximum":405.12,"gross_charge":422,"discounted_cash":233.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":405.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":388.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":362.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":350.26,"methodology":"fee schedule"}]}]},{"description":"HOOK HARM ENDOSCP 5MM 32CM","code_information":[{"code":"124153","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":198.34,"maximum":405.12,"gross_charge":422,"discounted_cash":233.84,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":400.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":405.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":388.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":362.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":350.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.34,"methodology":"fee schedule"}]}]},{"description":"LIGATOR SPDBND 2.8MM 8.6-11.5","code_information":[{"code":"124415","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":473.04,"maximum":622.08,"gross_charge":648,"discounted_cash":359.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":622.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":531.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":596.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":557.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":473.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":537.84,"methodology":"fee schedule"}]}]},{"description":"LIGATOR SPDBND 2.8MM 8.6-11.5","code_information":[{"code":"124415","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":304.56,"maximum":622.08,"gross_charge":648,"discounted_cash":359.06,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":622.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":531.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":596.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":557.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":473.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":537.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":447.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":304.56,"methodology":"fee schedule"}]}]},{"description":"BARRIER SKIN PWD PREM KARAYA","code_information":[{"code":"124998","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":10.22,"maximum":13.44,"gross_charge":14,"discounted_cash":7.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.62,"methodology":"fee schedule"}]}]},{"description":"BARRIER SKIN PWD PREM KARAYA","code_information":[{"code":"124998","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":6.58,"maximum":14,"gross_charge":14,"discounted_cash":7.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.58,"methodology":"fee schedule"}]}]},{"description":"RELOAD SURGDAC 3 0 48IN SULU","code_information":[{"code":"125270","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":291.27,"maximum":383.04,"gross_charge":399,"discounted_cash":221.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":379.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":383.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":327.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":367.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":331.17,"methodology":"fee schedule"}]}]},{"description":"RELOAD SURGDAC 3 0 48IN SULU","code_information":[{"code":"125270","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":187.53,"maximum":383.04,"gross_charge":399,"discounted_cash":221.09,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":379.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":383.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":327.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":367.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":343.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":331.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":275.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":187.53,"methodology":"fee schedule"}]}]},{"description":"COLLAR CLMP BDY EXT-FX 6.0MM","code_information":[{"code":"126630","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":238.71,"maximum":313.92,"gross_charge":327,"discounted_cash":181.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":310.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":313.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":300.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":281.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":271.41,"methodology":"fee schedule"}]}]},{"description":"COLLAR CLMP BDY EXT-FX 6.0MM","code_information":[{"code":"126630","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":153.69,"maximum":313.92,"gross_charge":327,"discounted_cash":181.2,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":310.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":313.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":300.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":281.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":271.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":225.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":153.69,"methodology":"fee schedule"}]}]},{"description":"NDL SPINE QNCKE BVL 25GX3.5IN","code_information":[{"code":"126749","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3.5332,"maximum":4.6464,"gross_charge":4.84,"discounted_cash":2.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.02,"methodology":"fee schedule"}]}]},{"description":"NDL SPINE QNCKE BVL 25GX3.5IN","code_information":[{"code":"126749","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2.2748,"maximum":4.6464,"gross_charge":4.84,"discounted_cash":2.69,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.28,"methodology":"fee schedule"}]}]},{"description":"STAPLER INTLUMN CEEA 28MM","code_information":[{"code":"126765","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":616.85,"maximum":811.2,"gross_charge":845,"discounted_cash":468.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":811.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":692.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":777.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":726.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":701.35,"methodology":"fee schedule"}]}]},{"description":"STAPLER INTLUMN CEEA 28MM","code_information":[{"code":"126765","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":397.15,"maximum":811.2,"gross_charge":845,"discounted_cash":468.22,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":802.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":811.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":692.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":777.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":726.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":616.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":701.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":583.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":397.15,"methodology":"fee schedule"}]}]},{"description":"STAPLER INTLUMN CEEA 21MM","code_information":[{"code":"127042","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":623.42,"maximum":819.84,"gross_charge":854,"discounted_cash":473.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":811.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":819.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":785.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":734.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":623.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":708.82,"methodology":"fee schedule"}]}]},{"description":"STAPLER INTLUMN CEEA 21MM","code_information":[{"code":"127042","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":401.38,"maximum":819.84,"gross_charge":854,"discounted_cash":473.21,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":811.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":819.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":700.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":785.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":734.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":623.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":708.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":589.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":401.38,"methodology":"fee schedule"}]}]},{"description":"INTRO CATH CHOLGM LAPSCP 4FR","code_information":[{"code":"127252","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":215.35,"maximum":283.2,"gross_charge":295,"discounted_cash":163.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":280.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":283.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":271.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.85,"methodology":"fee schedule"}]}]},{"description":"INTRO CATH CHOLGM LAPSCP 4FR","code_information":[{"code":"127252","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":138.65,"maximum":283.2,"gross_charge":295,"discounted_cash":163.46,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":280.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":283.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":271.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":138.65,"methodology":"fee schedule"}]}]},{"description":"SHEARS HARM SCALP 10MM 34CM","code_information":[{"code":"129011","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":863.59,"maximum":1135.68,"gross_charge":1183,"discounted_cash":655.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1123.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1135.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":970.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1088.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":863.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":981.89,"methodology":"fee schedule"}]}]},{"description":"SHEARS HARM SCALP 10MM 34CM","code_information":[{"code":"129011","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":556.01,"maximum":1135.68,"gross_charge":1183,"discounted_cash":655.51,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1123.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1135.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":970.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1088.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1017.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":863.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":981.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":816.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":556.01,"methodology":"fee schedule"}]}]},{"description":"RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS","code_information":[{"code":"1301","type":"APR-DRG"}],"standard_charges":[{"minimum":60969,"maximum":60969,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60969,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRSNG VASELINE 3X36IN STRL","code_information":[{"code":"130172","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":42.34,"maximum":55.68,"gross_charge":58,"discounted_cash":32.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.14,"methodology":"fee schedule"}]}]},{"description":"DRSNG VASELINE 3X36IN STRL","code_information":[{"code":"130172","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":27.26,"maximum":55.68,"gross_charge":58,"discounted_cash":32.14,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.26,"methodology":"fee schedule"}]}]},{"description":"RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS","code_information":[{"code":"1302","type":"APR-DRG"}],"standard_charges":[{"minimum":61150,"maximum":61150,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61150,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS","code_information":[{"code":"1303","type":"APR-DRG"}],"standard_charges":[{"minimum":126991,"maximum":126991,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":126991,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS","code_information":[{"code":"1304","type":"APR-DRG"}],"standard_charges":[{"minimum":157255,"maximum":157255,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":157255,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CMPLX RPR TRUNK 1.1-2.5 CM","code_information":[{"code":"13100","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CMPLX RPR TRUNK 2.6-7.5 CM","code_information":[{"code":"13101","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTIC FIBROSIS - PULMONARY DISEASE","code_information":[{"code":"1311","type":"APR-DRG"}],"standard_charges":[{"minimum":21225,"maximum":21225,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21225,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CYSTIC FIBROSIS - PULMONARY DISEASE","code_information":[{"code":"1312","type":"APR-DRG"}],"standard_charges":[{"minimum":22313,"maximum":22313,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22313,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CMPLX RPR S/A/L 1.1-2.5 CM","code_information":[{"code":"13120","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR LAC CPLX SCALP 2.6-7.5C ER","code_information":[{"code":"13121","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":348.94,"maximum":458.88,"gross_charge":478,"discounted_cash":264.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"}]}]},{"description":"RPR LAC CPLX SCALP 2.6-7.5C ER","code_information":[{"code":"13121","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":224.66,"maximum":842.46,"gross_charge":478,"discounted_cash":264.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":329.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":224.66,"methodology":"fee schedule"}]}]},{"description":"RPR LAC CPLX SCALP ADD 5.0C ER","code_information":[{"code":"13122","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":348.94,"maximum":458.88,"gross_charge":478,"discounted_cash":264.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"}]}]},{"description":"RPR LAC CPLX SCALP ADD 5.0C ER","code_information":[{"code":"13122","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":224.66,"maximum":458.88,"gross_charge":478,"discounted_cash":264.86,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":329.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":224.66,"methodology":"fee schedule"}]}]},{"description":"CYSTIC FIBROSIS - PULMONARY DISEASE","code_information":[{"code":"1313","type":"APR-DRG"}],"standard_charges":[{"minimum":31927,"maximum":31927,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31927,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RPR LAC CPLX FOREHD 1.1-2.5 ER","code_information":[{"code":"13131","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":348.94,"maximum":458.88,"gross_charge":478,"discounted_cash":264.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"}]}]},{"description":"RPR LAC CPLX FOREHD 1.1-2.5 ER","code_information":[{"code":"13131","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":224.66,"maximum":555.85,"gross_charge":478,"discounted_cash":264.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":329.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":224.66,"methodology":"fee schedule"}]}]},{"description":"RPR LAC CPLX FOREHD 2.6-7.5 ER","code_information":[{"code":"13132","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":348.94,"maximum":458.88,"gross_charge":478,"discounted_cash":264.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"}]}]},{"description":"RPR LAC CPLX FOREHD 2.6-7.5 ER","code_information":[{"code":"13132","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":224.66,"maximum":842.46,"gross_charge":478,"discounted_cash":264.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":454.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":458.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":439.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":396.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":329.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":224.66,"methodology":"fee schedule"}]}]},{"description":"CYSTIC FIBROSIS - PULMONARY DISEASE","code_information":[{"code":"1314","type":"APR-DRG"}],"standard_charges":[{"minimum":55719,"maximum":55719,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55719,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CMPLX RPR E/N/E/L 1.1-2.5 CM","code_information":[{"code":"13151","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CMPLX RPR E/N/E/L 2.6-7.5 CM","code_information":[{"code":"13152","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SPNG SYR ENDO-AVIT SHT","code_information":[{"code":"131530","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":227.76,"maximum":299.52,"gross_charge":312,"discounted_cash":172.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":299.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":287.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":268.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":258.96,"methodology":"fee schedule"}]}]},{"description":"SPNG SYR ENDO-AVIT SHT","code_information":[{"code":"131530","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":146.64,"maximum":299.52,"gross_charge":312,"discounted_cash":172.88,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":299.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":287.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":268.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":258.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":215.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":146.64,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC STP-65 2.0X165 NS","code_information":[{"code":"131591","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":365.73,"maximum":480.96,"gross_charge":501,"discounted_cash":277.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":475.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":480.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":410.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":460.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":430.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":415.83,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC STP-65 2.0X165 NS","code_information":[{"code":"131591","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":235.47,"maximum":480.96,"gross_charge":501,"discounted_cash":277.61,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":475.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":480.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":410.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":460.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":430.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":415.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":345.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":235.47,"methodology":"fee schedule"}]}]},{"description":"LATE CLOSURE OF WOUND","code_information":[{"code":"13160","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD","code_information":[{"code":"1321","type":"APR-DRG"}],"standard_charges":[{"minimum":8884,"maximum":8884,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8884,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD","code_information":[{"code":"1322","type":"APR-DRG"}],"standard_charges":[{"minimum":11166,"maximum":11166,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11166,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD","code_information":[{"code":"1323","type":"APR-DRG"}],"standard_charges":[{"minimum":34939,"maximum":34939,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34939,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD","code_information":[{"code":"1324","type":"APR-DRG"}],"standard_charges":[{"minimum":54119,"maximum":54119,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54119,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESPIRATORY FAILURE","code_information":[{"code":"1331","type":"APR-DRG"}],"standard_charges":[{"minimum":9299,"maximum":9299,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9299,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HANDPIECE IRR FAN INTERPULSE","code_information":[{"code":"133124","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":146.73,"maximum":192.96,"gross_charge":201,"discounted_cash":111.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":190.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":192.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":184.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":172.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":166.83,"methodology":"fee schedule"}]}]},{"description":"HANDPIECE IRR FAN INTERPULSE","code_information":[{"code":"133124","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":94.47,"maximum":192.96,"gross_charge":201,"discounted_cash":111.38,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":190.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":192.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":184.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":172.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":166.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":138.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":94.47,"methodology":"fee schedule"}]}]},{"description":"RESPIRATORY FAILURE","code_information":[{"code":"1332","type":"APR-DRG"}],"standard_charges":[{"minimum":15626,"maximum":15626,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15626,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESPIRATORY FAILURE","code_information":[{"code":"1333","type":"APR-DRG"}],"standard_charges":[{"minimum":31264,"maximum":31264,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31264,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESPIRATORY FAILURE","code_information":[{"code":"1334","type":"APR-DRG"}],"standard_charges":[{"minimum":33513,"maximum":33513,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33513,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PULMONARY EMBOLISM","code_information":[{"code":"1341","type":"APR-DRG"}],"standard_charges":[{"minimum":8433,"maximum":8433,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8433,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PULMONARY EMBOLISM","code_information":[{"code":"1342","type":"APR-DRG"}],"standard_charges":[{"minimum":14676,"maximum":14676,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14676,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PULMONARY EMBOLISM","code_information":[{"code":"1343","type":"APR-DRG"}],"standard_charges":[{"minimum":24562,"maximum":24562,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24562,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PULMONARY EMBOLISM","code_information":[{"code":"1344","type":"APR-DRG"}],"standard_charges":[{"minimum":47101,"maximum":47101,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47101,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH THOR STR FIRM 6 EYE 28FR","code_information":[{"code":"134880","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":18.7172,"maximum":24.6144,"gross_charge":25.64,"discounted_cash":14.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.29,"methodology":"fee schedule"}]}]},{"description":"CATH THOR STR FIRM 6 EYE 28FR","code_information":[{"code":"134880","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":12.0508,"maximum":24.6144,"gross_charge":25.64,"discounted_cash":14.21,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.06,"methodology":"fee schedule"}]}]},{"description":"MAJOR CHEST AND RESPIRATORY TRAUMA","code_information":[{"code":"1351","type":"APR-DRG"}],"standard_charges":[{"minimum":12736,"maximum":12736,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12736,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SOL IRR STRL H2O 1000ML POUR","code_information":[{"code":"135115","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":9.8112,"maximum":12.9024,"gross_charge":13.44,"discounted_cash":7.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.37,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.16,"methodology":"fee schedule"}]}]},{"description":"SOL IRR STRL H2O 1000ML POUR","code_information":[{"code":"135115","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.3168,"maximum":12.9024,"gross_charge":13.44,"discounted_cash":7.45,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.37,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.32,"methodology":"fee schedule"}]}]},{"description":"MAJOR CHEST AND RESPIRATORY TRAUMA","code_information":[{"code":"1352","type":"APR-DRG"}],"standard_charges":[{"minimum":14404,"maximum":14404,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14404,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR CHEST AND RESPIRATORY TRAUMA","code_information":[{"code":"1353","type":"APR-DRG"}],"standard_charges":[{"minimum":15729,"maximum":15729,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15729,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR CHEST AND RESPIRATORY TRAUMA","code_information":[{"code":"1354","type":"APR-DRG"}],"standard_charges":[{"minimum":38398,"maximum":38398,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38398,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESPIRATORY MALIGNANCY","code_information":[{"code":"1361","type":"APR-DRG"}],"standard_charges":[{"minimum":14321,"maximum":14321,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14321,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BAR TRN EXT-FX 3.5X120 TI NS","code_information":[{"code":"136123","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":437.27,"maximum":575.04,"gross_charge":599,"discounted_cash":331.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":569.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":575.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":491.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":551.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":515.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":497.17,"methodology":"fee schedule"}]}]},{"description":"BAR TRN EXT-FX 3.5X120 TI NS","code_information":[{"code":"136123","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":281.53,"maximum":575.04,"gross_charge":599,"discounted_cash":331.91,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":569.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":575.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":491.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":551.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":515.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":497.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":413.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":281.53,"methodology":"fee schedule"}]}]},{"description":"RESPIRATORY MALIGNANCY","code_information":[{"code":"1362","type":"APR-DRG"}],"standard_charges":[{"minimum":16512,"maximum":16512,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16512,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESPIRATORY MALIGNANCY","code_information":[{"code":"1363","type":"APR-DRG"}],"standard_charges":[{"minimum":31400,"maximum":31400,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31400,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH SET ART VEN 20GX10.8CM LF","code_information":[{"code":"136331","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":40.88,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"}]}]},{"description":"CATH SET ART VEN 20GX10.8CM LF","code_information":[{"code":"136331","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":26.32,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":26.32,"methodology":"fee schedule"}]}]},{"description":"DRSNG DUODERM SIGNAL 5.5X5.5","code_information":[{"code":"136332","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":17.52,"maximum":23.04,"gross_charge":24,"discounted_cash":13.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.92,"methodology":"fee schedule"}]}]},{"description":"DRSNG DUODERM SIGNAL 5.5X5.5","code_information":[{"code":"136332","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":11.28,"maximum":23.04,"gross_charge":24,"discounted_cash":13.3,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.28,"methodology":"fee schedule"}]}]},{"description":"RESPIRATORY MALIGNANCY","code_information":[{"code":"1364","type":"APR-DRG"}],"standard_charges":[{"minimum":38992,"maximum":38992,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38992,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS","code_information":[{"code":"1371","type":"APR-DRG"}],"standard_charges":[{"minimum":10205,"maximum":10205,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10205,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS","code_information":[{"code":"1372","type":"APR-DRG"}],"standard_charges":[{"minimum":13068,"maximum":13068,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13068,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS","code_information":[{"code":"1373","type":"APR-DRG"}],"standard_charges":[{"minimum":23723,"maximum":23723,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23723,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIT DRL QC 2.7X100 NS","code_information":[{"code":"137332","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":179.58,"maximum":236.16,"gross_charge":246,"discounted_cash":136.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":236.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":226.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":211.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":204.18,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC 2.7X100 NS","code_information":[{"code":"137332","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":115.62,"maximum":236.16,"gross_charge":246,"discounted_cash":136.31,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":236.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":226.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":211.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":204.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":115.62,"methodology":"fee schedule"}]}]},{"description":"MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS","code_information":[{"code":"1374","type":"APR-DRG"}],"standard_charges":[{"minimum":39992,"maximum":39992,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39992,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH KT GASTSTMY PEG PUL 20FR","code_information":[{"code":"137588","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":178.85,"maximum":235.2,"gross_charge":245,"discounted_cash":135.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":225.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":203.35,"methodology":"fee schedule"}]}]},{"description":"CATH KT GASTSTMY PEG PUL 20FR","code_information":[{"code":"137588","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":115.15,"maximum":235.2,"gross_charge":245,"discounted_cash":135.76,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":225.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":203.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":115.15,"methodology":"fee schedule"}]}]},{"description":"SPLNT KNEE LG 20IN","code_information":[{"code":"137934","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":30.66,"maximum":40.32,"gross_charge":42,"discounted_cash":23.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"}]}]},{"description":"SPLNT KNEE LG 20IN","code_information":[{"code":"137934","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":19.74,"maximum":40.32,"gross_charge":42,"discounted_cash":23.28,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.74,"methodology":"fee schedule"}]}]},{"description":"BRONCHIOLITIS AND RSV PNEUMONIA","code_information":[{"code":"1381","type":"APR-DRG"}],"standard_charges":[{"minimum":7330,"maximum":7330,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7330,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BRONCHIOLITIS AND RSV PNEUMONIA","code_information":[{"code":"1382","type":"APR-DRG"}],"standard_charges":[{"minimum":10538,"maximum":10538,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10538,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BRONCHIOLITIS AND RSV PNEUMONIA","code_information":[{"code":"1383","type":"APR-DRG"}],"standard_charges":[{"minimum":15541,"maximum":15541,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15541,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BRONCHIOLITIS AND RSV PNEUMONIA","code_information":[{"code":"1384","type":"APR-DRG"}],"standard_charges":[{"minimum":25127,"maximum":25127,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25127,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"COLLAR TRNSCONN BAR TI NS","code_information":[{"code":"138800","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":241.63,"maximum":317.76,"gross_charge":331,"discounted_cash":183.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":314.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":317.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":304.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":284.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":274.73,"methodology":"fee schedule"}]}]},{"description":"COLLAR TRNSCONN BAR TI NS","code_information":[{"code":"138800","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":155.57,"maximum":317.76,"gross_charge":331,"discounted_cash":183.41,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":314.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":317.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":304.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":284.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":274.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":228.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":155.57,"methodology":"fee schedule"}]}]},{"description":"SUT ETHBND 0 18IN MO7 MP GRN","code_information":[{"code":"138999","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":37.23,"maximum":48.96,"gross_charge":51,"discounted_cash":28.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.33,"methodology":"fee schedule"}]}]},{"description":"SUT ETHBND 0 18IN MO7 MP GRN","code_information":[{"code":"138999","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":23.97,"maximum":48.96,"gross_charge":51,"discounted_cash":28.26,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.97,"methodology":"fee schedule"}]}]},{"description":"OTHER PNEUMONIA","code_information":[{"code":"1391","type":"APR-DRG"}],"standard_charges":[{"minimum":9382,"maximum":9382,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9382,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER PNEUMONIA","code_information":[{"code":"1392","type":"APR-DRG"}],"standard_charges":[{"minimum":12660,"maximum":12660,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12660,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER PNEUMONIA","code_information":[{"code":"1393","type":"APR-DRG"}],"standard_charges":[{"minimum":18256,"maximum":18256,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18256,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER PNEUMONIA","code_information":[{"code":"1394","type":"APR-DRG"}],"standard_charges":[{"minimum":27351,"maximum":27351,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27351,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DISSECTOR ENDOSCP BLLN PREPEX1","code_information":[{"code":"139925","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":786.21,"maximum":1033.92,"gross_charge":1077,"discounted_cash":596.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1033.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":883.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":990.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":926.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":786.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":893.91,"methodology":"fee schedule"}]}]},{"description":"DISSECTOR ENDOSCP BLLN PREPEX1","code_information":[{"code":"139925","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":506.19,"maximum":1033.92,"gross_charge":1077,"discounted_cash":596.77,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1033.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":883.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":990.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":926.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":786.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":893.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":743.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":506.19,"methodology":"fee schedule"}]}]},{"description":"TIS TRNFR TRUNK 10 SQ CM/<","code_information":[{"code":"14000","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TIS TRNFR TRUNK 10.1-30SQCM","code_information":[{"code":"14001","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE","code_information":[{"code":"1401","type":"APR-DRG"}],"standard_charges":[{"minimum":10173,"maximum":10173,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10173,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE","code_information":[{"code":"1402","type":"APR-DRG"}],"standard_charges":[{"minimum":11936,"maximum":11936,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11936,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TIS TRNFR S/A/L 10 SQ CM/<","code_information":[{"code":"14020","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TIS TRNFR S/A/L 10.1-30 SQCM","code_information":[{"code":"14021","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE","code_information":[{"code":"1403","type":"APR-DRG"}],"standard_charges":[{"minimum":14068,"maximum":14068,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14068,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE","code_information":[{"code":"1404","type":"APR-DRG"}],"standard_charges":[{"minimum":24182,"maximum":24182,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24182,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TIS TRNFR F/C/C/M/N/A/G/H/F","code_information":[{"code":"14040","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TIS TRNFR F/C/C/M/N/A/G/H/F","code_information":[{"code":"14041","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELOAD SURGDAC 0 48IN SULU GRN","code_information":[{"code":"140594","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":148.92,"maximum":195.84,"gross_charge":204,"discounted_cash":113.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":169.32,"methodology":"fee schedule"}]}]},{"description":"RELOAD SURGDAC 0 48IN SULU GRN","code_information":[{"code":"140594","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":95.88,"maximum":195.84,"gross_charge":204,"discounted_cash":113.04,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":169.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":95.88,"methodology":"fee schedule"}]}]},{"description":"TIS TRNFR E/N/E/L 10 SQ CM/<","code_information":[{"code":"14060","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TIS TRNFR E/N/E/L10.1-30SQCM","code_information":[{"code":"14061","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN T TB DEAVER 5IN XBAR 14","code_information":[{"code":"140721","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":24.09,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"}]}]},{"description":"DRAIN T TB DEAVER 5IN XBAR 14","code_information":[{"code":"140721","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":15.51,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.51,"methodology":"fee schedule"}]}]},{"description":"ASTHMA","code_information":[{"code":"1411","type":"APR-DRG"}],"standard_charges":[{"minimum":8350,"maximum":8350,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8350,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ASTHMA","code_information":[{"code":"1412","type":"APR-DRG"}],"standard_charges":[{"minimum":10574,"maximum":10574,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10574,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ASTHMA","code_information":[{"code":"1413","type":"APR-DRG"}],"standard_charges":[{"minimum":12297,"maximum":12297,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12297,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ASTHMA","code_information":[{"code":"1414","type":"APR-DRG"}],"standard_charges":[{"minimum":22934,"maximum":22934,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22934,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"COLLAR CERV EXTRIC UNIV AD","code_information":[{"code":"141590","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":51.1,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"}]}]},{"description":"COLLAR CERV EXTRIC UNIV AD","code_information":[{"code":"141590","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":32.9,"maximum":70,"gross_charge":70,"discounted_cash":38.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.9,"methodology":"fee schedule"}]}]},{"description":"INTERSTITIAL AND ALVEOLAR LUNG DISEASES","code_information":[{"code":"1421","type":"APR-DRG"}],"standard_charges":[{"minimum":11608,"maximum":11608,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11608,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTERSTITIAL AND ALVEOLAR LUNG DISEASES","code_information":[{"code":"1422","type":"APR-DRG"}],"standard_charges":[{"minimum":16382,"maximum":16382,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16382,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTERSTITIAL AND ALVEOLAR LUNG DISEASES","code_information":[{"code":"1423","type":"APR-DRG"}],"standard_charges":[{"minimum":21797,"maximum":21797,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21797,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BAG DRNGE BILI T TB ADPT 19OZ","code_information":[{"code":"142318","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":27.74,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"}]}]},{"description":"BAG DRNGE BILI T TB ADPT 19OZ","code_information":[{"code":"142318","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":17.86,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"}]}]},{"description":"INTERSTITIAL AND ALVEOLAR LUNG DISEASES","code_information":[{"code":"1424","type":"APR-DRG"}],"standard_charges":[{"minimum":53879,"maximum":53879,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53879,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PAD DEFIB CPR AED","code_information":[{"code":"142661","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":106.58,"maximum":140.16,"gross_charge":146,"discounted_cash":80.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":121.18,"methodology":"fee schedule"}]}]},{"description":"PAD DEFIB CPR AED","code_information":[{"code":"142661","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":140.16,"gross_charge":146,"discounted_cash":80.9,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"}]}]},{"description":"PAD GRND REM POLY-II 9FT INFAN","code_information":[{"code":"142836","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":16.79,"maximum":22.08,"gross_charge":23,"discounted_cash":12.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.09,"methodology":"fee schedule"}]}]},{"description":"PAD GRND REM POLY-II 9FT INFAN","code_information":[{"code":"142836","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":10.81,"maximum":22.08,"gross_charge":23,"discounted_cash":12.75,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.81,"methodology":"fee schedule"}]}]},{"description":"TIS TRNFR ANY 30.1-60 SQ CM","code_information":[{"code":"14301","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CANN SET ARTHSCP 5.5X70MM","code_information":[{"code":"143084","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":56.21,"maximum":73.92,"gross_charge":77,"discounted_cash":42.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":73.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":66.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.91,"methodology":"fee schedule"}]}]},{"description":"CANN SET ARTHSCP 5.5X70MM","code_information":[{"code":"143084","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":36.19,"maximum":73.92,"gross_charge":77,"discounted_cash":42.67,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":73.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":66.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":36.19,"methodology":"fee schedule"}]}]},{"description":"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1431","type":"APR-DRG"}],"standard_charges":[{"minimum":11734,"maximum":11734,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11734,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1432","type":"APR-DRG"}],"standard_charges":[{"minimum":15720,"maximum":15720,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15720,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PENCIL CAUT HND ROCK BLDE SMX1","code_information":[{"code":"143293","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":37.96,"maximum":49.92,"gross_charge":52,"discounted_cash":28.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.16,"methodology":"fee schedule"}]}]},{"description":"PENCIL CAUT HND ROCK BLDE SMX1","code_information":[{"code":"143293","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":24.44,"maximum":49.92,"gross_charge":52,"discounted_cash":28.82,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24.44,"methodology":"fee schedule"}]}]},{"description":"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1433","type":"APR-DRG"}],"standard_charges":[{"minimum":19113,"maximum":19113,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19113,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1434","type":"APR-DRG"}],"standard_charges":[{"minimum":31196,"maximum":31196,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31196,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FILLETED FINGER/TOE FLAP","code_information":[{"code":"14350","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BAG DRNGE URIN 200ML 2000ML X1","code_information":[{"code":"144048","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":21.17,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"}]}]},{"description":"BAG DRNGE URIN 200ML 2000ML X1","code_information":[{"code":"144048","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":13.63,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.63,"methodology":"fee schedule"}]}]},{"description":"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1441","type":"APR-DRG"}],"standard_charges":[{"minimum":10548,"maximum":10548,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10548,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1442","type":"APR-DRG"}],"standard_charges":[{"minimum":23593,"maximum":23593,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23593,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1443","type":"APR-DRG"}],"standard_charges":[{"minimum":33676,"maximum":33676,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33676,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES","code_information":[{"code":"1444","type":"APR-DRG"}],"standard_charges":[{"minimum":34051,"maximum":34051,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34051,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH ESOPH CRE 8-10MMX8CM 6FR","code_information":[{"code":"144856","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":405.88,"maximum":533.76,"gross_charge":556,"discounted_cash":308.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":528.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":533.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":455.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":511.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":478.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":461.48,"methodology":"fee schedule"}]}]},{"description":"CATH ESOPH CRE 8-10MMX8CM 6FR","code_information":[{"code":"144856","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":261.32,"maximum":533.76,"gross_charge":556,"discounted_cash":308.08,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":528.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":533.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":455.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":511.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":478.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":461.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":383.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":261.32,"methodology":"fee schedule"}]}]},{"description":"ACUTE BRONCHITIS AND RELATED SYMPTOMS","code_information":[{"code":"1451","type":"APR-DRG"}],"standard_charges":[{"minimum":8619,"maximum":8619,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8619,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BAR TRNVRS AXON 3.5MM TI NS","code_information":[{"code":"145123","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":493.48,"maximum":648.96,"gross_charge":676,"discounted_cash":374.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":642.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":648.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":554.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":621.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":581.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":493.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":561.08,"methodology":"fee schedule"}]}]},{"description":"BAR TRNVRS AXON 3.5MM TI NS","code_information":[{"code":"145123","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":317.72,"maximum":648.96,"gross_charge":676,"discounted_cash":374.58,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":642.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":648.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":554.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":621.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":581.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":493.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":561.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":466.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":317.72,"methodology":"fee schedule"}]}]},{"description":"ACUTE BRONCHITIS AND RELATED SYMPTOMS","code_information":[{"code":"1452","type":"APR-DRG"}],"standard_charges":[{"minimum":11848,"maximum":11848,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11848,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ACUTE BRONCHITIS AND RELATED SYMPTOMS","code_information":[{"code":"1453","type":"APR-DRG"}],"standard_charges":[{"minimum":15725,"maximum":15725,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15725,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ACUTE BRONCHITIS AND RELATED SYMPTOMS","code_information":[{"code":"1454","type":"APR-DRG"}],"standard_charges":[{"minimum":50201,"maximum":50201,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50201,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTRD SENS BIS MON STRP AD","code_information":[{"code":"145458","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":51.83,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"}]}]},{"description":"ELECTRD SENS BIS MON STRP AD","code_information":[{"code":"145458","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":33.37,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":33.37,"methodology":"fee schedule"}]}]},{"description":"BUR SHV INCIS HELICUT 4.5MM","code_information":[{"code":"147557","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":211.7,"maximum":278.4,"gross_charge":290,"discounted_cash":160.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":266.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":249.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":240.7,"methodology":"fee schedule"}]}]},{"description":"BUR SHV INCIS HELICUT 4.5MM","code_information":[{"code":"147557","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":136.3,"maximum":278.4,"gross_charge":290,"discounted_cash":160.69,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":266.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":249.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":240.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":200.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":136.3,"methodology":"fee schedule"}]}]},{"description":"CATH FOL COUDE TIEM 20FRX5ML","code_information":[{"code":"147978","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"CATH FOL COUDE TIEM 20FRX5ML","code_information":[{"code":"147978","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":44.18,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":44.18,"methodology":"fee schedule"}]}]},{"description":"SET IV BLD FLD WRM W INJ PRT","code_information":[{"code":"148230","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":25.2726,"maximum":33.2352,"gross_charge":34.62,"discounted_cash":19.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":33.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.86,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.74,"methodology":"fee schedule"}]}]},{"description":"SET IV BLD FLD WRM W INJ PRT","code_information":[{"code":"148230","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":16.2714,"maximum":33.2352,"gross_charge":34.62,"discounted_cash":19.19,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":33.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.86,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.28,"methodology":"fee schedule"}]}]},{"description":"BIT DRL CERV STP 3.0X16 NS","code_information":[{"code":"149200","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":428.51,"maximum":563.52,"gross_charge":587,"discounted_cash":325.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":563.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":481.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":540.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":504.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":428.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":487.21,"methodology":"fee schedule"}]}]},{"description":"BIT DRL CERV STP 3.0X16 NS","code_information":[{"code":"149200","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":275.89,"maximum":563.52,"gross_charge":587,"discounted_cash":325.26,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":563.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":481.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":540.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":504.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":428.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":487.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":405.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":275.89,"methodology":"fee schedule"}]}]},{"description":"DRAIN WND PENROSE 0.25X12IN","code_information":[{"code":"149311","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2.19,"maximum":2.88,"gross_charge":3,"discounted_cash":1.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.49,"methodology":"fee schedule"}]}]},{"description":"DRAIN WND PENROSE 0.25X12IN","code_information":[{"code":"149311","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1.41,"maximum":2.88,"gross_charge":3,"discounted_cash":1.67,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.41,"methodology":"fee schedule"}]}]},{"description":"WOUND PREP TRK/ARM/LEG","code_information":[{"code":"15002","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WOUND PREP F/N/HF/G","code_information":[{"code":"15004","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH KT CRICO UNCUF 6MMX7.5CM","code_information":[{"code":"150162","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":321.2,"maximum":422.4,"gross_charge":440,"discounted_cash":243.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":422.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":360.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":404.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":378.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":365.2,"methodology":"fee schedule"}]}]},{"description":"CATH KT CRICO UNCUF 6MMX7.5CM","code_information":[{"code":"150162","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":206.8,"maximum":422.4,"gross_charge":440,"discounted_cash":243.81,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":418,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":422.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":360.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":404.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":378.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":365.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":303.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":206.8,"methodology":"fee schedule"}]}]},{"description":"SPNG SURGCEL 4X8IN LF STRL","code_information":[{"code":"150164","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":237.25,"maximum":312,"gross_charge":325,"discounted_cash":180.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":312,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":266.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":299,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":279.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":269.75,"methodology":"fee schedule"}]}]},{"description":"SPNG SURGCEL 4X8IN LF STRL","code_information":[{"code":"150164","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":152.75,"maximum":312,"gross_charge":325,"discounted_cash":180.09,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":312,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":266.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":299,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":279.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":269.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":224.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":152.75,"methodology":"fee schedule"}]}]},{"description":"HARVEST CULTURED SKIN GRAFT","code_information":[{"code":"15040","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN PINCH GRAFT","code_information":[{"code":"15050","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN SPLT GRFT TRNK/ARM/LEG","code_information":[{"code":"15100","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EPIDRM AUTOGRFT TRNK/ARM/LEG","code_information":[{"code":"15110","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EPIDRM A-GRFT FACE/NCK/HF/G","code_information":[{"code":"15115","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKN SPLT A-GRFT FAC/NCK/HF/G","code_information":[{"code":"15120","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DERM AUTOGRAFT TRNK/ARM/LEG","code_information":[{"code":"15130","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DERM AUTOGRAFT FACE/NCK/HF/G","code_information":[{"code":"15135","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PAD GRND REM POLYHESIVE II 9FT","code_information":[{"code":"151353","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":11.68,"maximum":15.36,"gross_charge":16,"discounted_cash":8.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13.28,"methodology":"fee schedule"}]}]},{"description":"PAD GRND REM POLYHESIVE II 9FT","code_information":[{"code":"151353","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":7.52,"maximum":16,"gross_charge":16,"discounted_cash":8.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.52,"methodology":"fee schedule"}]}]},{"description":"CULT SKIN GRFT T/ARM/LEG","code_information":[{"code":"15150","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CULT SKIN GRAFT F/N/HF/G","code_information":[{"code":"15155","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SOL ORAL POLIBAR 1900ML","code_information":[{"code":"151686","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":126.8302,"maximum":166.7904,"gross_charge":173.74,"discounted_cash":96.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":165.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":166.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":159.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":144.21,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL POLIBAR 1900ML","code_information":[{"code":"151686","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":81.6578,"maximum":166.7904,"gross_charge":173.74,"discounted_cash":96.27,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":165.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":166.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":159.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":144.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":119.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":81.66,"methodology":"fee schedule"}]}]},{"description":"BLDE SAW OSC SAG MED 9X25X0.38","code_information":[{"code":"151745","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":88.33,"maximum":116.16,"gross_charge":121,"discounted_cash":67.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.43,"methodology":"fee schedule"}]}]},{"description":"BLDE SAW OSC SAG MED 9X25X0.38","code_information":[{"code":"151745","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":56.87,"maximum":116.16,"gross_charge":121,"discounted_cash":67.05,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":56.87,"methodology":"fee schedule"}]}]},{"description":"SKIN FULL GRAFT TRUNK","code_information":[{"code":"15200","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN FULL GRAFT SCLP/ARM/LEG","code_information":[{"code":"15220","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN FULL GRFT FACE/GENIT/HF","code_information":[{"code":"15240","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN FULL GRAFT EEN  LIPS","code_information":[{"code":"15260","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN SUB GRAFT TRNK/ARM/LEG","code_information":[{"code":"15271","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN SUB GRFT T/ARM/LG CHILD","code_information":[{"code":"15273","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN SUB GRAFT FACE/NK/HF/G","code_information":[{"code":"15275","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKN SUB GRFT F/N/HF/G CHILD","code_information":[{"code":"15277","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PORT SL MRI ATTACH GROSH 8FR","code_information":[{"code":"153493","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":546.77,"maximum":719.04,"gross_charge":749,"discounted_cash":415.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":719.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":614.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":689.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":644.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":546.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":621.67,"methodology":"fee schedule"}]}]},{"description":"PORT SL MRI ATTACH GROSH 8FR","code_information":[{"code":"153493","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":352.03,"maximum":719.04,"gross_charge":749,"discounted_cash":415.03,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":719.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":614.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":689.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":644.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":546.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":621.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":516.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":352.03,"methodology":"fee schedule"}]}]},{"description":"RETRCT FAN 10MM 36CM","code_information":[{"code":"153612","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":221.19,"maximum":290.88,"gross_charge":303,"discounted_cash":167.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":287.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":290.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":248.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":278.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":260.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":221.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":251.49,"methodology":"fee schedule"}]}]},{"description":"RETRCT FAN 10MM 36CM","code_information":[{"code":"153612","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":142.41,"maximum":290.88,"gross_charge":303,"discounted_cash":167.9,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":287.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":290.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":248.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":278.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":260.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":221.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":251.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":209.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":142.41,"methodology":"fee schedule"}]}]},{"description":"CATH URET OPN CONE 8FRX65CM","code_information":[{"code":"153846","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":35.77,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"}]}]},{"description":"CATH URET OPN CONE 8FRX65CM","code_information":[{"code":"153846","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":23.03,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.03,"methodology":"fee schedule"}]}]},{"description":"BX TY BONE MAR JAMSH-II 11GX4","code_information":[{"code":"154992","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":56.8962,"maximum":74.8224,"gross_charge":77.94,"discounted_cash":43.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":74.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":74.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":71.71,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":64.7,"methodology":"fee schedule"}]}]},{"description":"BX TY BONE MAR JAMSH-II 11GX4","code_information":[{"code":"154992","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":36.6318,"maximum":74.8224,"gross_charge":77.94,"discounted_cash":43.19,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":74.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":74.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":71.71,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":64.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":36.64,"methodology":"fee schedule"}]}]},{"description":"SOL D10 1000ML BG LF","code_information":[{"code":"155126","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"SOL D10 1000ML BG LF","code_information":[{"code":"155126","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"STAPLER INT PRSTRNG 65MM SS","code_information":[{"code":"155579","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":321.93,"maximum":423.36,"gross_charge":441,"discounted_cash":244.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":423.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":405.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":379.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":366.03,"methodology":"fee schedule"}]}]},{"description":"STAPLER INT PRSTRNG 65MM SS","code_information":[{"code":"155579","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":207.27,"maximum":423.36,"gross_charge":441,"discounted_cash":244.36,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":423.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":405.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":379.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":366.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":304.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":207.27,"methodology":"fee schedule"}]}]},{"description":"TAP 4.0MM SCR CORTX EXP-HD NS","code_information":[{"code":"155630","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":242.36,"maximum":318.72,"gross_charge":332,"discounted_cash":183.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":315.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":318.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":305.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":285.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":242.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":275.56,"methodology":"fee schedule"}]}]},{"description":"TAP 4.0MM SCR CORTX EXP-HD NS","code_information":[{"code":"155630","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":156.04,"maximum":318.72,"gross_charge":332,"discounted_cash":183.97,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":315.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":318.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":305.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":285.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":242.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":275.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":229.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":156.04,"methodology":"fee schedule"}]}]},{"description":"FRCP BX CLD ALGTR 2.8X230CM","code_information":[{"code":"155671","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":22.63,"maximum":29.76,"gross_charge":31,"discounted_cash":17.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.73,"methodology":"fee schedule"}]}]},{"description":"FRCP BX CLD ALGTR 2.8X230CM","code_information":[{"code":"155671","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":14.57,"maximum":29.76,"gross_charge":31,"discounted_cash":17.18,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.57,"methodology":"fee schedule"}]}]},{"description":"SKIN PEDICLE FLAP TRUNK","code_information":[{"code":"15570","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN PEDICLE FLAP ARMS/LEGS","code_information":[{"code":"15572","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PEDCLE FH/CH/CH/M/N/AX/G/H/F","code_information":[{"code":"15574","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELOAD STPLR LIN TX 60-3.5MM","code_information":[{"code":"155754","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":121.18,"maximum":159.36,"gross_charge":166,"discounted_cash":91.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":152.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":142.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":137.78,"methodology":"fee schedule"}]}]},{"description":"RELOAD STPLR LIN TX 60-3.5MM","code_information":[{"code":"155754","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":78.02,"maximum":159.36,"gross_charge":166,"discounted_cash":91.99,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":152.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":142.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":137.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"PEDICLE E/N/E/L/NTRORAL","code_information":[{"code":"15576","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH FOL 24FRX5ML SIL X3","code_information":[{"code":"155835","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":10.22,"maximum":13.44,"gross_charge":14,"discounted_cash":7.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.62,"methodology":"fee schedule"}]}]},{"description":"CATH FOL 24FRX5ML SIL X3","code_information":[{"code":"155835","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":6.58,"maximum":14,"gross_charge":14,"discounted_cash":7.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.58,"methodology":"fee schedule"}]}]},{"description":"DELAY FLAP TRUNK","code_information":[{"code":"15600","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DELAY FLAP ARMS/LEGS","code_information":[{"code":"15610","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DELAY FLAP F/C/C/N/AX/G/H/F","code_information":[{"code":"15620","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DELAY FLAP EYE/NOS/EAR/LIP","code_information":[{"code":"15630","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSFER SKIN PEDICLE FLAP","code_information":[{"code":"15650","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLLAR CERV LG X1","code_information":[{"code":"156898","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":29.93,"maximum":39.36,"gross_charge":41,"discounted_cash":22.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.03,"methodology":"fee schedule"}]}]},{"description":"COLLAR CERV LG X1","code_information":[{"code":"156898","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":19.27,"maximum":39.36,"gross_charge":41,"discounted_cash":22.72,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.27,"methodology":"fee schedule"}]}]},{"description":"MDFC FLAP W/PRSRV VASC PEDCL","code_information":[{"code":"15730","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FOREHEAD FLAP W/VASC PEDICLE","code_information":[{"code":"15731","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MUSC MYOQ/FSCQ FLP HN PEDCL","code_information":[{"code":"15733","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MUSCLE-SKIN GRAFT TRUNK","code_information":[{"code":"15734","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MUSCLE-SKIN GRAFT ARM","code_information":[{"code":"15736","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MUSCLE-SKIN GRAFT LEG","code_information":[{"code":"15738","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ISLAND PEDICLE FLAP GRAFT","code_information":[{"code":"15740","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEUROVASCULAR PEDICLE FLAP","code_information":[{"code":"15750","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COMPOSITE SKIN GRAFT","code_information":[{"code":"15760","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TB TRACH UNCUF 5.0 PED","code_information":[{"code":"157654","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":71.54,"maximum":94.08,"gross_charge":98,"discounted_cash":54.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.34,"methodology":"fee schedule"}]}]},{"description":"TB TRACH UNCUF 5.0 PED","code_information":[{"code":"157654","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":46.06,"maximum":94.08,"gross_charge":98,"discounted_cash":54.31,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":46.06,"methodology":"fee schedule"}]}]},{"description":"GRFG AUTOL SOFT TISS DIR EXC","code_information":[{"code":"15769","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DERMA-FAT-FASCIA GRAFT","code_information":[{"code":"15770","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GRFG AUTOL FAT LIPO 50 CC/<","code_information":[{"code":"15771","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GRFG AUTOL FAT LIPO EA ADDL","code_information":[{"code":"15772","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GRFG AUTOL FAT LIPO 25 CC/<","code_information":[{"code":"15773","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GFRG AUTOL FAT LIPO EA ADDL","code_information":[{"code":"15774","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HAIR TRNSPL 1-15 PUNCH GRFTS","code_information":[{"code":"15775","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HAIR TRNSPL >15 PUNCH GRAFTS","code_information":[{"code":"15776","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DERMABRASION TOTAL FACE","code_information":[{"code":"15780","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DERMABRASION SEGMENTAL FACE","code_information":[{"code":"15781","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DERMABRASION OTHER THAN FACE","code_information":[{"code":"15782","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DERMABRASION SUPRFL ANY SITE","code_information":[{"code":"15783","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABRASION LESION SINGLE","code_information":[{"code":"15786","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMICAL PEEL FACE EPIDERM","code_information":[{"code":"15788","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMICAL PEEL FACE DERMAL","code_information":[{"code":"15789","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMICAL PEEL NONFACIAL","code_information":[{"code":"15792","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMICAL PEEL NONFACIAL","code_information":[{"code":"15793","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLASTIC SURGERY NECK","code_information":[{"code":"15819","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF LOWER EYELID","code_information":[{"code":"15820","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF LOWER EYELID","code_information":[{"code":"15821","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF UPPER EYELID","code_information":[{"code":"15822","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF UPPER EYELID","code_information":[{"code":"15823","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FOREHEAD WRINKLES","code_information":[{"code":"15824","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF NECK WRINKLES","code_information":[{"code":"15825","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF BROW WRINKLES","code_information":[{"code":"15826","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FACE WRINKLES","code_information":[{"code":"15828","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SKIN WRINKLES","code_information":[{"code":"15829","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC SKIN ABD","code_information":[{"code":"15830","type":"CPT"}],"standard_charges":[{"minimum":8894.19,"maximum":8894.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8894.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE EXCESSIVE SKIN THIGH","code_information":[{"code":"15832","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE EXCESSIVE SKIN LEG","code_information":[{"code":"15833","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE EXCESSIVE SKIN HIP","code_information":[{"code":"15834","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE EXCESSIVE SKIN BUTTCK","code_information":[{"code":"15835","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE EXCESSIVE SKIN ARM","code_information":[{"code":"15836","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE EXCESS SKIN ARM/HAND","code_information":[{"code":"15837","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE EXCESS SKIN FAT PAD","code_information":[{"code":"15838","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE EXCESS SKIN  TISSUE","code_information":[{"code":"15839","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE PALSY FASCIAL GRAFT","code_information":[{"code":"15840","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE PALSY MUSCLE GRAFT","code_information":[{"code":"15841","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE PALSY MICROSURG GRAFT","code_information":[{"code":"15842","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN AND MUSCLE REPAIR FACE","code_information":[{"code":"15845","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SUTURES SAME SURGEON","code_information":[{"code":"15850","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SUTURES DIFF SURGEON","code_information":[{"code":"15851","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRESSING CHANGE NOT FOR BURN","code_information":[{"code":"15852","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TEST FOR BLOOD FLOW IN GRAFT","code_information":[{"code":"15860","type":"CPT"}],"standard_charges":[{"minimum":434.29,"maximum":434.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":434.29,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRCR ENDOSCP BLNT TIP 10MM X2","code_information":[{"code":"158728","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":488.37,"maximum":642.24,"gross_charge":669,"discounted_cash":370.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":635.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":642.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":548.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":615.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":575.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":488.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":555.27,"methodology":"fee schedule"}]}]},{"description":"TRCR ENDOSCP BLNT TIP 10MM X2","code_information":[{"code":"158728","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":314.43,"maximum":642.24,"gross_charge":669,"discounted_cash":370.7,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":635.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":642.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":548.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":615.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":575.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":488.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":555.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":461.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":314.43,"methodology":"fee schedule"}]}]},{"description":"SUCTION LIPECTOMY HEADNECK","code_information":[{"code":"15876","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUCTION LIPECTOMY TRUNK","code_information":[{"code":"15877","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUCTION LIPECTOMY UPR EXTREM","code_information":[{"code":"15878","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUCTION LIPECTOMY LWR EXTREM","code_information":[{"code":"15879","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TAIL BONE ULCER","code_information":[{"code":"15920","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TAIL BONE ULCER","code_information":[{"code":"15922","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SACRUM PRESSURE SORE","code_information":[{"code":"15931","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SACRUM PRESSURE SORE","code_information":[{"code":"15933","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SACRUM PRESSURE SORE","code_information":[{"code":"15934","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH THOR STR TRCR 32FRX16IN","code_information":[{"code":"159341","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":48.91,"maximum":64.32,"gross_charge":67,"discounted_cash":37.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":64.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.61,"methodology":"fee schedule"}]}]},{"description":"CATH THOR STR TRCR 32FRX16IN","code_information":[{"code":"159341","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":31.49,"maximum":64.32,"gross_charge":67,"discounted_cash":37.13,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":64.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":31.49,"methodology":"fee schedule"}]}]},{"description":"REMOVE SACRUM PRESSURE SORE","code_information":[{"code":"15935","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SACRUM PRESSURE SORE","code_information":[{"code":"15936","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH KT GASTSTMY PEG 24IN","code_information":[{"code":"159360","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":300.76,"maximum":395.52,"gross_charge":412,"discounted_cash":228.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":395.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":379.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":354.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":341.96,"methodology":"fee schedule"}]}]},{"description":"CATH KT GASTSTMY PEG 24IN","code_information":[{"code":"159360","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":193.64,"maximum":395.52,"gross_charge":412,"discounted_cash":228.29,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":391.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":395.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":379.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":354.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":341.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":284.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":193.64,"methodology":"fee schedule"}]}]},{"description":"REMOVE SACRUM PRESSURE SORE","code_information":[{"code":"15937","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HIP PRESSURE SORE","code_information":[{"code":"15940","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HIP PRESSURE SORE","code_information":[{"code":"15941","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HIP PRESSURE SORE","code_information":[{"code":"15944","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HIP PRESSURE SORE","code_information":[{"code":"15945","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HIP PRESSURE SORE","code_information":[{"code":"15946","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15950","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15951","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15952","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15953","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15956","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE THIGH PRESSURE SORE","code_information":[{"code":"15958","type":"CPT"}],"standard_charges":[{"minimum":5660.82,"maximum":5660.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF PRESSURE SORE","code_information":[{"code":"15999","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX BURN 1ST DEGREE INIT ER","code_information":[{"code":"16000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":173.01,"maximum":227.52,"gross_charge":237,"discounted_cash":131.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":227.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":218.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":203.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":196.71,"methodology":"fee schedule"}]}]},{"description":"TX BURN 1ST DEGREE INIT ER","code_information":[{"code":"16000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":111.39,"maximum":288.56,"gross_charge":237,"discounted_cash":131.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":227.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":218.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":203.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":196.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":163.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":111.39,"methodology":"fee schedule"}]}]},{"description":"MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY","code_information":[{"code":"1601","type":"APR-DRG"}],"standard_charges":[{"minimum":73279,"maximum":73279,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":73279,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY","code_information":[{"code":"1602","type":"APR-DRG"}],"standard_charges":[{"minimum":84597,"maximum":84597,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":84597,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRESS/DEB BURN <5% TOTAL SM ER","code_information":[{"code":"16020","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":222.65,"maximum":292.8,"gross_charge":305,"discounted_cash":169.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":292.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":280.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":262.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":253.15,"methodology":"fee schedule"}]}]},{"description":"DRESS/DEB BURN <5% TOTAL SM ER","code_information":[{"code":"16020","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":143.35,"maximum":292.8,"gross_charge":305,"discounted_cash":169.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":292.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":280.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":262.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":253.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":143.35,"methodology":"fee schedule"}]}]},{"description":"DRESS/DEB BRN 5-10% TTL MED ER","code_information":[{"code":"16025","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":310.25,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"}]}]},{"description":"DRESS/DEB BRN 5-10% TTL MED ER","code_information":[{"code":"16025","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":199.75,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":293.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":199.75,"methodology":"fee schedule"}]}]},{"description":"MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY","code_information":[{"code":"1603","type":"APR-DRG"}],"standard_charges":[{"minimum":118352,"maximum":118352,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":118352,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRESS/DEBRID P-THICK BURN L","code_information":[{"code":"16030","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF BURN SCAB INITI","code_information":[{"code":"16035","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY","code_information":[{"code":"1604","type":"APR-DRG"}],"standard_charges":[{"minimum":225336,"maximum":225336,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":225336,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RELOAD STPLR LIN CUT PROX 55X1","code_information":[{"code":"160527","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":136.51,"maximum":179.52,"gross_charge":187,"discounted_cash":103.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":179.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":160.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":155.21,"methodology":"fee schedule"}]}]},{"description":"RELOAD STPLR LIN CUT PROX 55X1","code_information":[{"code":"160527","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":87.89,"maximum":179.52,"gross_charge":187,"discounted_cash":103.62,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":179.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":160.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":155.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":87.89,"methodology":"fee schedule"}]}]},{"description":"IMPLANTABLE HEART ASSIST SYSTEMS","code_information":[{"code":"1611","type":"APR-DRG"}],"standard_charges":[{"minimum":238505,"maximum":238505,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":238505,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"IMPLANTABLE HEART ASSIST SYSTEMS","code_information":[{"code":"1612","type":"APR-DRG"}],"standard_charges":[{"minimum":251119,"maximum":251119,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":251119,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"IMPLANTABLE HEART ASSIST SYSTEMS","code_information":[{"code":"1613","type":"APR-DRG"}],"standard_charges":[{"minimum":389896,"maximum":389896,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":389896,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH FOL 3W BARD 22FR 30ML LF","code_information":[{"code":"161380","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":27.0684,"maximum":35.5968,"gross_charge":37.08,"discounted_cash":20.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":35.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":35.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":31.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":30.78,"methodology":"fee schedule"}]}]},{"description":"CATH FOL 3W BARD 22FR 30ML LF","code_information":[{"code":"161380","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":17.4276,"maximum":35.5968,"gross_charge":37.08,"discounted_cash":20.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":35.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":35.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":31.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":30.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.43,"methodology":"fee schedule"}]}]},{"description":"IMPLANTABLE HEART ASSIST SYSTEMS","code_information":[{"code":"1614","type":"APR-DRG"}],"standard_charges":[{"minimum":522475,"maximum":522475,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":522475,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1621","type":"APR-DRG"}],"standard_charges":[{"minimum":86274,"maximum":86274,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":86274,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SOL NACL 0.9PCT 500ML BG LF","code_information":[{"code":"162109","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":12.41,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"}]}]},{"description":"SOL NACL 0.9PCT 500ML BG LF","code_information":[{"code":"162109","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":7.99,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.99,"methodology":"fee schedule"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1622","type":"APR-DRG"}],"standard_charges":[{"minimum":90064,"maximum":90064,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90064,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1623","type":"APR-DRG"}],"standard_charges":[{"minimum":113903,"maximum":113903,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":113903,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1624","type":"APR-DRG"}],"standard_charges":[{"minimum":184007,"maximum":184007,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":184007,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BAG DRNGE URIN LEG LG 32OZ X2","code_information":[{"code":"162905","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":12.41,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"}]}]},{"description":"BAG DRNGE URIN LEG LG 32OZ X2","code_information":[{"code":"162905","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":7.99,"maximum":17,"gross_charge":17,"discounted_cash":9.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.99,"methodology":"fee schedule"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1631","type":"APR-DRG"}],"standard_charges":[{"minimum":53215,"maximum":53215,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53215,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1632","type":"APR-DRG"}],"standard_charges":[{"minimum":60240,"maximum":60240,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60240,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1633","type":"APR-DRG"}],"standard_charges":[{"minimum":93539,"maximum":93539,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":93539,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1634","type":"APR-DRG"}],"standard_charges":[{"minimum":157438,"maximum":157438,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":157438,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"STAPLER INT ROTIC TA 55-3.5MM","code_information":[{"code":"163773","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":433.62,"maximum":570.24,"gross_charge":594,"discounted_cash":329.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":570.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":487.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":546.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":510.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":433.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":493.02,"methodology":"fee schedule"}]}]},{"description":"STAPLER INT ROTIC TA 55-3.5MM","code_information":[{"code":"163773","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":279.18,"maximum":570.24,"gross_charge":594,"discounted_cash":329.14,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":564.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":570.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":487.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":546.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":510.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":433.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":493.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":409.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":279.18,"methodology":"fee schedule"}]}]},{"description":"TAP 50MM SCR CORTX 1.5 NS","code_information":[{"code":"164928","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":253.31,"maximum":333.12,"gross_charge":347,"discounted_cash":192.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":333.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":319.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":298.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":288.01,"methodology":"fee schedule"}]}]},{"description":"TAP 50MM SCR CORTX 1.5 NS","code_information":[{"code":"164928","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":163.09,"maximum":333.12,"gross_charge":347,"discounted_cash":192.28,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":333.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":319.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":298.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":288.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":239.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":163.09,"methodology":"fee schedule"}]}]},{"description":"CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1651","type":"APR-DRG"}],"standard_charges":[{"minimum":59365,"maximum":59365,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":59365,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1652","type":"APR-DRG"}],"standard_charges":[{"minimum":68917,"maximum":68917,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68917,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1653","type":"APR-DRG"}],"standard_charges":[{"minimum":80200,"maximum":80200,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":80200,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1654","type":"APR-DRG"}],"standard_charges":[{"minimum":112856,"maximum":112856,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":112856,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PIN FIX TEMP SS","code_information":[{"code":"166067","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":154.76,"maximum":203.52,"gross_charge":212,"discounted_cash":117.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":203.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":195.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":182.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":175.96,"methodology":"fee schedule"}]}]},{"description":"PIN FIX TEMP SS","code_information":[{"code":"166067","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":99.64,"maximum":203.52,"gross_charge":212,"discounted_cash":117.47,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":203.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":195.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":182.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":175.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":99.64,"methodology":"fee schedule"}]}]},{"description":"TRCR VISIPORT 5M-12M OPTICAL","code_information":[{"code":"166069","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":247.47,"maximum":325.44,"gross_charge":339,"discounted_cash":187.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":325.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":311.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":291.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":281.37,"methodology":"fee schedule"}]}]},{"description":"TRCR VISIPORT 5M-12M OPTICAL","code_information":[{"code":"166069","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":159.33,"maximum":325.44,"gross_charge":339,"discounted_cash":187.84,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":325.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":311.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":291.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":281.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":233.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":159.33,"methodology":"fee schedule"}]}]},{"description":"CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1661","type":"APR-DRG"}],"standard_charges":[{"minimum":46681,"maximum":46681,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46681,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1662","type":"APR-DRG"}],"standard_charges":[{"minimum":56063,"maximum":56063,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56063,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1663","type":"APR-DRG"}],"standard_charges":[{"minimum":68187,"maximum":68187,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68187,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"1664","type":"APR-DRG"}],"standard_charges":[{"minimum":222167,"maximum":222167,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":222167,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES","code_information":[{"code":"1671","type":"APR-DRG"}],"standard_charges":[{"minimum":48141,"maximum":48141,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":48141,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FRCP BCOCK ENDOSCP 10MM X1","code_information":[{"code":"167120","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":429.97,"maximum":565.44,"gross_charge":589,"discounted_cash":326.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":559.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":565.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":482.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":541.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":506.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":429.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":488.87,"methodology":"fee schedule"}]}]},{"description":"FRCP BCOCK ENDOSCP 10MM X1","code_information":[{"code":"167120","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":276.83,"maximum":565.44,"gross_charge":589,"discounted_cash":326.37,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":559.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":565.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":482.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":541.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":506.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":429.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":488.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":406.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":276.83,"methodology":"fee schedule"}]}]},{"description":"OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES","code_information":[{"code":"1672","type":"APR-DRG"}],"standard_charges":[{"minimum":53491,"maximum":53491,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53491,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES","code_information":[{"code":"1673","type":"APR-DRG"}],"standard_charges":[{"minimum":80651,"maximum":80651,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":80651,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES","code_information":[{"code":"1674","type":"APR-DRG"}],"standard_charges":[{"minimum":153432,"maximum":153432,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":153432,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAIN WND FLAT 0.75 JP 10MM","code_information":[{"code":"168405","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":10.512,"maximum":13.824,"gross_charge":14.4,"discounted_cash":7.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.25,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.96,"methodology":"fee schedule"}]}]},{"description":"DRAIN WND FLAT 0.75 JP 10MM","code_information":[{"code":"168405","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.768,"maximum":13.824,"gross_charge":14.4,"discounted_cash":7.98,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.25,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.77,"methodology":"fee schedule"}]}]},{"description":"MAJOR ABDOMINAL VASCULAR PROCEDURES","code_information":[{"code":"1691","type":"APR-DRG"}],"standard_charges":[{"minimum":60764,"maximum":60764,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60764,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR ABDOMINAL VASCULAR PROCEDURES","code_information":[{"code":"1692","type":"APR-DRG"}],"standard_charges":[{"minimum":62560,"maximum":62560,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":62560,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR ABDOMINAL VASCULAR PROCEDURES","code_information":[{"code":"1693","type":"APR-DRG"}],"standard_charges":[{"minimum":75460,"maximum":75460,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":75460,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR ABDOMINAL VASCULAR PROCEDURES","code_information":[{"code":"1694","type":"APR-DRG"}],"standard_charges":[{"minimum":173238,"maximum":173238,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":173238,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEST LESN PREMALIG 1ST LES ER","code_information":[{"code":"17000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":306.6,"maximum":403.2,"gross_charge":420,"discounted_cash":232.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":386.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":361.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":348.6,"methodology":"fee schedule"}]}]},{"description":"DEST LESN PREMALIG 1ST LES ER","code_information":[{"code":"17000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":197.4,"maximum":403.2,"gross_charge":420,"discounted_cash":232.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":386.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":361.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":348.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":289.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":197.4,"methodology":"fee schedule"}]}]},{"description":"DEST LSN BNGN 2-14 ER","code_information":[{"code":"17003","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":40.88,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"}]}]},{"description":"DEST LSN BNGN 2-14 ER","code_information":[{"code":"17003","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":26.32,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":26.32,"methodology":"fee schedule"}]}]},{"description":"DESTROY PREMAL LESIONS 15/>","code_information":[{"code":"17004","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK","code_information":[{"code":"1701","type":"APR-DRG"}],"standard_charges":[{"minimum":46746,"maximum":46746,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46746,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK","code_information":[{"code":"1702","type":"APR-DRG"}],"standard_charges":[{"minimum":52150,"maximum":52150,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52150,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK","code_information":[{"code":"1703","type":"APR-DRG"}],"standard_charges":[{"minimum":65309,"maximum":65309,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65309,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK","code_information":[{"code":"1704","type":"APR-DRG"}],"standard_charges":[{"minimum":95055,"maximum":95055,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95055,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17106","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17107","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17108","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK","code_information":[{"code":"1711","type":"APR-DRG"}],"standard_charges":[{"minimum":31261,"maximum":31261,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31261,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DESTRUCT BENIGN LESN <15 ER","code_information":[{"code":"17110","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":306.6,"maximum":403.2,"gross_charge":420,"discounted_cash":232.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":386.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":361.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":348.6,"methodology":"fee schedule"}]}]},{"description":"DESTRUCT BENIGN LESN <15 ER","code_information":[{"code":"17110","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":197.4,"maximum":403.2,"gross_charge":420,"discounted_cash":232.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":399,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":403.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":344.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":386.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":361.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":348.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":289.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":197.4,"methodology":"fee schedule"}]}]},{"description":"DESTRUCT LESION 15 OR MORE","code_information":[{"code":"17111","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK","code_information":[{"code":"1712","type":"APR-DRG"}],"standard_charges":[{"minimum":32416,"maximum":32416,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32416,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK","code_information":[{"code":"1713","type":"APR-DRG"}],"standard_charges":[{"minimum":45966,"maximum":45966,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45966,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK","code_information":[{"code":"1714","type":"APR-DRG"}],"standard_charges":[{"minimum":74081,"maximum":74081,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":74081,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RELOAD VCRL 2-0 SH 6IN VIOL","code_information":[{"code":"171475","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":70.81,"maximum":93.12,"gross_charge":97,"discounted_cash":53.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":93.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":89.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":83.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":80.51,"methodology":"fee schedule"}]}]},{"description":"RELOAD VCRL 2-0 SH 6IN VIOL","code_information":[{"code":"171475","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":45.59,"maximum":93.12,"gross_charge":97,"discounted_cash":53.75,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":93.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":89.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":83.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":80.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":45.59,"methodology":"fee schedule"}]}]},{"description":"SOL IRR NACL 0.9PCT 2000ML BG","code_information":[{"code":"171908","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":11.68,"maximum":15.36,"gross_charge":16,"discounted_cash":8.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13.28,"methodology":"fee schedule"}]}]},{"description":"SOL IRR NACL 0.9PCT 2000ML BG","code_information":[{"code":"171908","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":7.52,"maximum":15.36,"gross_charge":16,"discounted_cash":8.87,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.52,"methodology":"fee schedule"}]}]},{"description":"CAUT CHEM TISSUE GRNLTN ER","code_information":[{"code":"17250","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":222.65,"maximum":292.8,"gross_charge":305,"discounted_cash":169.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":292.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":280.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":262.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":253.15,"methodology":"fee schedule"}]}]},{"description":"CAUT CHEM TISSUE GRNLTN ER","code_information":[{"code":"17250","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":143.35,"maximum":292.8,"gross_charge":305,"discounted_cash":169.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":289.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":292.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":280.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":262.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":253.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":210.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":143.35,"methodology":"fee schedule"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17260","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17261","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17262","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17263","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17264","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17266","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17270","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17271","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17272","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17273","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17274","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17276","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17280","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17281","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17282","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17283","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17284","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION OF SKIN LESIONS","code_information":[{"code":"17286","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MOHS 1 STAGE H/N/HF/G","code_information":[{"code":"17311","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MOHS 1 STAGE T/A/L","code_information":[{"code":"17313","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CRYOTHERAPY OF SKIN","code_information":[{"code":"17340","type":"CPT"}],"standard_charges":[{"minimum":54.39,"maximum":54.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN PEEL THERAPY","code_information":[{"code":"17360","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STAPLER INT TA 60 DST 3.5MM","code_information":[{"code":"173719","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":173.01,"maximum":227.52,"gross_charge":237,"discounted_cash":131.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":227.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":218.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":203.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":196.71,"methodology":"fee schedule"}]}]},{"description":"STAPLER INT TA 60 DST 3.5MM","code_information":[{"code":"173719","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":111.39,"maximum":227.52,"gross_charge":237,"discounted_cash":131.33,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":225.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":227.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":218.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":203.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":196.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":163.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":111.39,"methodology":"fee schedule"}]}]},{"description":"HAIR REMOVAL BY ELECTROLYSIS","code_information":[{"code":"17380","type":"CPT"}],"standard_charges":[{"minimum":842.46,"maximum":842.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":842.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH THOR RCR 2 EYE 10FRX8IN","code_information":[{"code":"174018","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":31.39,"maximum":41.28,"gross_charge":43,"discounted_cash":23.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.69,"methodology":"fee schedule"}]}]},{"description":"CATH THOR RCR 2 EYE 10FRX8IN","code_information":[{"code":"174018","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":20.21,"maximum":41.28,"gross_charge":43,"discounted_cash":23.83,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.21,"methodology":"fee schedule"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITH AMI","code_information":[{"code":"1741","type":"APR-DRG"}],"standard_charges":[{"minimum":25687,"maximum":25687,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25687,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITH AMI","code_information":[{"code":"1742","type":"APR-DRG"}],"standard_charges":[{"minimum":26878,"maximum":26878,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26878,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITH AMI","code_information":[{"code":"1743","type":"APR-DRG"}],"standard_charges":[{"minimum":34376,"maximum":34376,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34376,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITH AMI","code_information":[{"code":"1744","type":"APR-DRG"}],"standard_charges":[{"minimum":68511,"maximum":68511,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68511,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BLDE SHV RAZ CUT EP-1 5.5MM","code_information":[{"code":"174611","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":165.71,"maximum":217.92,"gross_charge":227,"discounted_cash":125.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":217.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":208.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":195.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":188.41,"methodology":"fee schedule"}]}]},{"description":"BLDE SHV RAZ CUT EP-1 5.5MM","code_information":[{"code":"174611","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":106.69,"maximum":217.92,"gross_charge":227,"discounted_cash":125.79,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":217.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":208.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":195.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":188.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":156.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":106.69,"methodology":"fee schedule"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI","code_information":[{"code":"1751","type":"APR-DRG"}],"standard_charges":[{"minimum":24651,"maximum":24651,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24651,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI","code_information":[{"code":"1752","type":"APR-DRG"}],"standard_charges":[{"minimum":28254,"maximum":28254,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28254,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTRD HEARTSTART + PED DISP","code_information":[{"code":"175241","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":58.4,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"}]}]},{"description":"ELECTRD HEARTSTART + PED DISP","code_information":[{"code":"175241","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":37.6,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.6,"methodology":"fee schedule"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI","code_information":[{"code":"1753","type":"APR-DRG"}],"standard_charges":[{"minimum":43365,"maximum":43365,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43365,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI","code_information":[{"code":"1754","type":"APR-DRG"}],"standard_charges":[{"minimum":68581,"maximum":68581,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68581,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HOOK PED USS USS OP L TI NS","code_information":[{"code":"175757","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1037.33,"maximum":1364.16,"gross_charge":1421,"discounted_cash":787.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1364.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1165.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1307.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1222.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1037.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1179.43,"methodology":"fee schedule"}]}]},{"description":"HOOK PED USS USS OP L TI NS","code_information":[{"code":"175757","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":667.87,"maximum":1364.16,"gross_charge":1421,"discounted_cash":787.38,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1349.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1364.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1165.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1307.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1222.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1037.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1179.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":980.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":667.87,"methodology":"fee schedule"}]}]},{"description":"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES","code_information":[{"code":"1761","type":"APR-DRG"}],"standard_charges":[{"minimum":36111,"maximum":36111,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36111,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES","code_information":[{"code":"1762","type":"APR-DRG"}],"standard_charges":[{"minimum":43847,"maximum":43847,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43847,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES","code_information":[{"code":"1763","type":"APR-DRG"}],"standard_charges":[{"minimum":65099,"maximum":65099,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65099,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES","code_information":[{"code":"1764","type":"APR-DRG"}],"standard_charges":[{"minimum":106157,"maximum":106157,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":106157,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH KT THOR TRCR 20FRX10IN","code_information":[{"code":"176584","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":89.79,"maximum":118.08,"gross_charge":123,"discounted_cash":68.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":118.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":105.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":102.09,"methodology":"fee schedule"}]}]},{"description":"CATH KT THOR TRCR 20FRX10IN","code_information":[{"code":"176584","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":57.81,"maximum":118.08,"gross_charge":123,"discounted_cash":68.16,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":118.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":105.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":102.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":84.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":57.81,"methodology":"fee schedule"}]}]},{"description":"STPLR HNDL ENDO GIA ULTRA 12MX","code_information":[{"code":"176630","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":155.49,"maximum":204.48,"gross_charge":213,"discounted_cash":118.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":204.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":174.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":195.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":183.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":155.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":176.79,"methodology":"fee schedule"}]}]},{"description":"STPLR HNDL ENDO GIA ULTRA 12MX","code_information":[{"code":"176630","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":100.11,"maximum":204.48,"gross_charge":213,"discounted_cash":118.03,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":202.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":204.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":174.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":195.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":183.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":155.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":176.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":146.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":100.11,"methodology":"fee schedule"}]}]},{"description":"CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT","code_information":[{"code":"1771","type":"APR-DRG"}],"standard_charges":[{"minimum":22891,"maximum":22891,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22891,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT","code_information":[{"code":"1772","type":"APR-DRG"}],"standard_charges":[{"minimum":37827,"maximum":37827,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37827,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTRD KNF COLLINS NDL 45DEG","code_information":[{"code":"177240","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":159.14,"maximum":209.28,"gross_charge":218,"discounted_cash":120.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":209.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":200.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":187.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.94,"methodology":"fee schedule"}]}]},{"description":"ELECTRD KNF COLLINS NDL 45DEG","code_information":[{"code":"177240","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":102.46,"maximum":209.28,"gross_charge":218,"discounted_cash":120.8,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":209.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":200.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":187.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":150.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":102.46,"methodology":"fee schedule"}]}]},{"description":"CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT","code_information":[{"code":"1773","type":"APR-DRG"}],"standard_charges":[{"minimum":50421,"maximum":50421,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50421,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIT DRL QC 2.5X125MM GLD","code_information":[{"code":"177340","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":254.77,"maximum":335.04,"gross_charge":349,"discounted_cash":193.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":331.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":335.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":321.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":300.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":254.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":289.67,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC 2.5X125MM GLD","code_information":[{"code":"177340","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":164.03,"maximum":335.04,"gross_charge":349,"discounted_cash":193.39,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":331.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":335.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":286.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":321.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":300.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":254.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":289.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":240.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":164.03,"methodology":"fee schedule"}]}]},{"description":"CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT","code_information":[{"code":"1774","type":"APR-DRG"}],"standard_charges":[{"minimum":66684,"maximum":66684,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66684,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTERNAL HEART ASSIST SYSTEMS","code_information":[{"code":"1781","type":"APR-DRG"}],"standard_charges":[{"minimum":99647,"maximum":99647,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":99647,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTERNAL HEART ASSIST SYSTEMS","code_information":[{"code":"1782","type":"APR-DRG"}],"standard_charges":[{"minimum":121186,"maximum":121186,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":121186,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTERNAL HEART ASSIST SYSTEMS","code_information":[{"code":"1783","type":"APR-DRG"}],"standard_charges":[{"minimum":122393,"maximum":122393,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":122393,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRNGE KT THOR ATS COMPATIBLE","code_information":[{"code":"178308","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":120.45,"maximum":158.4,"gross_charge":165,"discounted_cash":91.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"}]}]},{"description":"DRNGE KT THOR ATS COMPATIBLE","code_information":[{"code":"178308","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":77.55,"maximum":158.4,"gross_charge":165,"discounted_cash":91.43,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":77.55,"methodology":"fee schedule"}]}]},{"description":"EXTERNAL HEART ASSIST SYSTEMS","code_information":[{"code":"1784","type":"APR-DRG"}],"standard_charges":[{"minimum":197344,"maximum":197344,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":197344,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CANN TRACH INNR SNAP LOK 4MM","code_information":[{"code":"179079","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":85.41,"maximum":112.32,"gross_charge":117,"discounted_cash":64.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":112.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":100.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.11,"methodology":"fee schedule"}]}]},{"description":"CANN TRACH INNR SNAP LOK 4MM","code_information":[{"code":"179079","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":54.99,"maximum":112.32,"gross_charge":117,"discounted_cash":64.83,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":112.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":100.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":54.99,"methodology":"fee schedule"}]}]},{"description":"DEFIBRILLATOR IMPLANTS","code_information":[{"code":"1791","type":"APR-DRG"}],"standard_charges":[{"minimum":62754,"maximum":62754,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":62754,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEFIBRILLATOR IMPLANTS","code_information":[{"code":"1792","type":"APR-DRG"}],"standard_charges":[{"minimum":63700,"maximum":63700,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63700,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEFIBRILLATOR IMPLANTS","code_information":[{"code":"1793","type":"APR-DRG"}],"standard_charges":[{"minimum":94638,"maximum":94638,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":94638,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEFIBRILLATOR IMPLANTS","code_information":[{"code":"1794","type":"APR-DRG"}],"standard_charges":[{"minimum":96737,"maximum":96737,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":96737,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SKIN TISSUE PROCEDURE","code_information":[{"code":"17999","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER CIRCULATORY SYSTEM PROCEDURES","code_information":[{"code":"1801","type":"APR-DRG"}],"standard_charges":[{"minimum":23779,"maximum":23779,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23779,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER CIRCULATORY SYSTEM PROCEDURES","code_information":[{"code":"1802","type":"APR-DRG"}],"standard_charges":[{"minimum":38459,"maximum":38459,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38459,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER CIRCULATORY SYSTEM PROCEDURES","code_information":[{"code":"1803","type":"APR-DRG"}],"standard_charges":[{"minimum":38531,"maximum":38531,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38531,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER CIRCULATORY SYSTEM PROCEDURES","code_information":[{"code":"1804","type":"APR-DRG"}],"standard_charges":[{"minimum":64202,"maximum":64202,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64202,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTRD CUT LOOP 0.035MM 24FR","code_information":[{"code":"180980","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":227.03,"maximum":298.56,"gross_charge":311,"discounted_cash":172.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":295.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":298.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":286.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":267.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":258.13,"methodology":"fee schedule"}]}]},{"description":"ELECTRD CUT LOOP 0.035MM 24FR","code_information":[{"code":"180980","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":146.17,"maximum":298.56,"gross_charge":311,"discounted_cash":172.33,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":295.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":298.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":286.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":267.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":258.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":214.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":146.17,"methodology":"fee schedule"}]}]},{"description":"LOWER EXTREMITY ARTERIAL PROCEDURES","code_information":[{"code":"1811","type":"APR-DRG"}],"standard_charges":[{"minimum":33053,"maximum":33053,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33053,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LOWER EXTREMITY ARTERIAL PROCEDURES","code_information":[{"code":"1812","type":"APR-DRG"}],"standard_charges":[{"minimum":45264,"maximum":45264,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45264,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LOWER EXTREMITY ARTERIAL PROCEDURES","code_information":[{"code":"1813","type":"APR-DRG"}],"standard_charges":[{"minimum":67426,"maximum":67426,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":67426,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LOWER EXTREMITY ARTERIAL PROCEDURES","code_information":[{"code":"1814","type":"APR-DRG"}],"standard_charges":[{"minimum":116361,"maximum":116361,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":116361,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EPIDURAL SET CONT EPI 17GX3.X1","code_information":[{"code":"181402","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":92.71,"maximum":121.92,"gross_charge":127,"discounted_cash":70.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":120.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":121.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":116.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":109.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":105.41,"methodology":"fee schedule"}]}]},{"description":"EPIDURAL SET CONT EPI 17GX3.X1","code_information":[{"code":"181402","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":59.69,"maximum":121.92,"gross_charge":127,"discounted_cash":70.38,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":120.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":121.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":116.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":109.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":105.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":59.69,"methodology":"fee schedule"}]}]},{"description":"COLLAR USS 6MM DUAL-OP IT NS","code_information":[{"code":"181434","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":298.57,"maximum":392.64,"gross_charge":409,"discounted_cash":226.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":392.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":335.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":376.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":351.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":339.47,"methodology":"fee schedule"}]}]},{"description":"COLLAR USS 6MM DUAL-OP IT NS","code_information":[{"code":"181434","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":392.64,"gross_charge":409,"discounted_cash":226.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":392.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":335.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":376.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":351.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":339.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":282.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":192.23,"methodology":"fee schedule"}]}]},{"description":"TY THORACENTESIS/PARACENTESIS","code_information":[{"code":"181446","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":73.73,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"}]}]},{"description":"TY THORACENTESIS/PARACENTESIS","code_information":[{"code":"181446","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":47.47,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":47.47,"methodology":"fee schedule"}]}]},{"description":"OTHER PERIPHERAL VASCULAR PROCEDURES","code_information":[{"code":"1821","type":"APR-DRG"}],"standard_charges":[{"minimum":43302,"maximum":43302,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43302,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER PERIPHERAL VASCULAR PROCEDURES","code_information":[{"code":"1822","type":"APR-DRG"}],"standard_charges":[{"minimum":50802,"maximum":50802,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50802,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPNG KTNR ENDOSCP 5MM STRL","code_information":[{"code":"182245","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":43.8,"maximum":57.6,"gross_charge":60,"discounted_cash":33.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":51.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":49.8,"methodology":"fee schedule"}]}]},{"description":"SPNG KTNR ENDOSCP 5MM STRL","code_information":[{"code":"182245","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":28.2,"maximum":57.6,"gross_charge":60,"discounted_cash":33.25,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":51.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":49.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":28.2,"methodology":"fee schedule"}]}]},{"description":"OTHER PERIPHERAL VASCULAR PROCEDURES","code_information":[{"code":"1823","type":"APR-DRG"}],"standard_charges":[{"minimum":77086,"maximum":77086,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":77086,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER PERIPHERAL VASCULAR PROCEDURES","code_information":[{"code":"1824","type":"APR-DRG"}],"standard_charges":[{"minimum":88286,"maximum":88286,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":88286,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"STOCKING ANTIEMB TH 16MM SM RG","code_information":[{"code":"182875","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":16.06,"maximum":21.12,"gross_charge":22,"discounted_cash":12.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.26,"methodology":"fee schedule"}]}]},{"description":"STOCKING ANTIEMB TH 16MM SM RG","code_information":[{"code":"182875","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":10.34,"maximum":22,"gross_charge":22,"discounted_cash":12.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.34,"methodology":"fee schedule"}]}]},{"description":"PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES","code_information":[{"code":"1831","type":"APR-DRG"}],"standard_charges":[{"minimum":90409,"maximum":90409,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90409,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH KT GAST LAV EASI-LAV 24FR","code_information":[{"code":"183126","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":124.83,"maximum":164.16,"gross_charge":171,"discounted_cash":94.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":162.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":164.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":157.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.93,"methodology":"fee schedule"}]}]},{"description":"CATH KT GAST LAV EASI-LAV 24FR","code_information":[{"code":"183126","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":80.37,"maximum":164.16,"gross_charge":171,"discounted_cash":94.76,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":162.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":164.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":157.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":80.37,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL POLIBAR + 1900ML","code_information":[{"code":"183168","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":31.7039,"maximum":41.6928,"gross_charge":43.43,"discounted_cash":24.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.05,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL POLIBAR + 1900ML","code_information":[{"code":"183168","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":20.4121,"maximum":41.6928,"gross_charge":43.43,"discounted_cash":24.07,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.42,"methodology":"fee schedule"}]}]},{"description":"PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES","code_information":[{"code":"1832","type":"APR-DRG"}],"standard_charges":[{"minimum":98719,"maximum":98719,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":98719,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES","code_information":[{"code":"1833","type":"APR-DRG"}],"standard_charges":[{"minimum":104961,"maximum":104961,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":104961,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES","code_information":[{"code":"1834","type":"APR-DRG"}],"standard_charges":[{"minimum":154827,"maximum":154827,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":154827,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"APPLIER LIG ROT ENDOSCP 12MM","code_information":[{"code":"183615","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":208.78,"maximum":274.56,"gross_charge":286,"discounted_cash":158.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":274.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":234.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":263.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":245.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":237.38,"methodology":"fee schedule"}]}]},{"description":"APPLIER LIG ROT ENDOSCP 12MM","code_information":[{"code":"183615","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":134.42,"maximum":274.56,"gross_charge":286,"discounted_cash":158.48,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":274.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":234.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":263.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":245.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":237.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":134.42,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL READICAT 15OZ","code_information":[{"code":"183672","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":5.0224,"maximum":6.6048,"gross_charge":6.88,"discounted_cash":3.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.33,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.72,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL READICAT 15OZ","code_information":[{"code":"183672","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3.2336,"maximum":6.6048,"gross_charge":6.88,"discounted_cash":3.82,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.33,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.24,"methodology":"fee schedule"}]}]},{"description":"CLAMP FX LP USS TI NS","code_information":[{"code":"183754","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1874.64,"maximum":2465.28,"gross_charge":2568,"discounted_cash":1422.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2439.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2465.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2105.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2362.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2208.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1874.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2131.44,"methodology":"fee schedule"}]}]},{"description":"CLAMP FX LP USS TI NS","code_information":[{"code":"183754","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1206.96,"maximum":2465.28,"gross_charge":2568,"discounted_cash":1422.93,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2439.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2465.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2105.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2362.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2208.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1874.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2131.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1771.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1206.96,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC 1.5X85 NS","code_information":[{"code":"184285","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":157.68,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC 1.5X85 NS","code_information":[{"code":"184285","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":101.52,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":101.52,"methodology":"fee schedule"}]}]},{"description":"CONN TRNS AXN 60MM TI NS","code_information":[{"code":"185045","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1092.08,"maximum":1436.16,"gross_charge":1496,"discounted_cash":828.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1421.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1436.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1226.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1376.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1286.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1092.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1241.68,"methodology":"fee schedule"}]}]},{"description":"CONN TRNS AXN 60MM TI NS","code_information":[{"code":"185045","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":703.12,"maximum":1436.16,"gross_charge":1496,"discounted_cash":828.94,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1421.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1436.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1226.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1376.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1286.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1092.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1241.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1032.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":703.12,"methodology":"fee schedule"}]}]},{"description":"SOL IRR H2O 500ML STRL PB","code_information":[{"code":"186510","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":8.5556,"maximum":11.2512,"gross_charge":11.72,"discounted_cash":6.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.79,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.73,"methodology":"fee schedule"}]}]},{"description":"SOL IRR H2O 500ML STRL PB","code_information":[{"code":"186510","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":5.5084,"maximum":11.2512,"gross_charge":11.72,"discounted_cash":6.5,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.79,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.51,"methodology":"fee schedule"}]}]},{"description":"HANDPIECE LAPSCP COAG OPTI 4","code_information":[{"code":"186573","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":91.98,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"}]}]},{"description":"HANDPIECE LAPSCP COAG OPTI 4","code_information":[{"code":"186573","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":59.22,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":59.22,"methodology":"fee schedule"}]}]},{"description":"GUIDE SET NDL 21GX1-2CM STRL","code_information":[{"code":"186674","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":66.43,"maximum":87.36,"gross_charge":91,"discounted_cash":50.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":87.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":83.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":78.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":75.53,"methodology":"fee schedule"}]}]},{"description":"GUIDE SET NDL 21GX1-2CM STRL","code_information":[{"code":"186674","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":42.77,"maximum":87.36,"gross_charge":91,"discounted_cash":50.43,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":87.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":83.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":78.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":75.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":42.77,"methodology":"fee schedule"}]}]},{"description":"SOL IRR NACL 0.9PCT 1L POUR","code_information":[{"code":"186936","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":11.1544,"maximum":14.6688,"gross_charge":15.28,"discounted_cash":8.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.06,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.69,"methodology":"fee schedule"}]}]},{"description":"SOL IRR NACL 0.9PCT 1L POUR","code_information":[{"code":"186936","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":7.1816,"maximum":14.6688,"gross_charge":15.28,"discounted_cash":8.47,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.06,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.19,"methodology":"fee schedule"}]}]},{"description":"DEVICE SUT ENDO STIT HNDL 10MM","code_information":[{"code":"188201","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":600.06,"maximum":789.12,"gross_charge":822,"discounted_cash":455.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":780.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":789.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":674.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":756.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":706.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":600.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":682.26,"methodology":"fee schedule"}]}]},{"description":"DEVICE SUT ENDO STIT HNDL 10MM","code_information":[{"code":"188201","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":386.34,"maximum":789.12,"gross_charge":822,"discounted_cash":455.48,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":780.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":789.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":674.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":756.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":706.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":600.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":682.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":567.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":386.34,"methodology":"fee schedule"}]}]},{"description":"NDL BONE MAR BX LL JAMSH 11GX4","code_information":[{"code":"188274","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":40.15,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"}]}]},{"description":"NDL BONE MAR BX LL JAMSH 11GX4","code_information":[{"code":"188274","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":25.85,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.85,"methodology":"fee schedule"}]}]},{"description":"STAPLER INT LIN SAF PROX 55MX1","code_information":[{"code":"188324","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":216.81,"maximum":285.12,"gross_charge":297,"discounted_cash":164.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":285.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":243.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":273.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":255.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":246.51,"methodology":"fee schedule"}]}]},{"description":"STAPLER INT LIN SAF PROX 55MX1","code_information":[{"code":"188324","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":139.59,"maximum":285.12,"gross_charge":297,"discounted_cash":164.57,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":285.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":243.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":273.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":255.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":246.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":204.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":139.59,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL RAPIDE 5-0 18IN P3 UD","code_information":[{"code":"188382","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":20.0896,"maximum":26.4192,"gross_charge":27.52,"discounted_cash":15.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.85,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL RAPIDE 5-0 18IN P3 UD","code_information":[{"code":"188382","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":12.9344,"maximum":26.4192,"gross_charge":27.52,"discounted_cash":15.25,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.94,"methodology":"fee schedule"}]}]},{"description":"DRSNG MOIST VPR 2 3/8X2.75IN","code_information":[{"code":"189633","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":0.73,"maximum":0.96,"gross_charge":1,"discounted_cash":0.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":0.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":0.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.83,"methodology":"fee schedule"}]}]},{"description":"DRSNG MOIST VPR 2 3/8X2.75IN","code_information":[{"code":"189633","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":0.47,"maximum":0.96,"gross_charge":1,"discounted_cash":0.56,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":0.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":0.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":0.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.47,"methodology":"fee schedule"}]}]},{"description":"LENS THER IRR MORGAN MEDI-FLO","code_information":[{"code":"189782","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":72.27,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"}]}]},{"description":"LENS THER IRR MORGAN MEDI-FLO","code_information":[{"code":"189782","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":46.53,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":46.53,"methodology":"fee schedule"}]}]},{"description":"BAG DRNGE URIN VLV IC 2000ML","code_information":[{"code":"189814","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.9204,"maximum":9.1008,"gross_charge":9.48,"discounted_cash":5.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.73,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.87,"methodology":"fee schedule"}]}]},{"description":"BAG DRNGE URIN VLV IC 2000ML","code_information":[{"code":"189814","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":4.4556,"maximum":9.1008,"gross_charge":9.48,"discounted_cash":5.26,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.73,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.46,"methodology":"fee schedule"}]}]},{"description":"DRAINAGE OF BREAST LESION","code_information":[{"code":"19000","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE MYOCARDIAL INFARCTION","code_information":[{"code":"1901","type":"APR-DRG"}],"standard_charges":[{"minimum":12492,"maximum":12492,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12492,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH KT SUPRPUB BONANNO 6FR","code_information":[{"code":"190104","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":148.19,"maximum":194.88,"gross_charge":203,"discounted_cash":112.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":194.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":186.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":174.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":168.49,"methodology":"fee schedule"}]}]},{"description":"CATH KT SUPRPUB BONANNO 6FR","code_information":[{"code":"190104","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":95.41,"maximum":194.88,"gross_charge":203,"discounted_cash":112.49,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":194.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":186.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":174.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":168.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":95.41,"methodology":"fee schedule"}]}]},{"description":"SOL NACL 0.9PCT PF 50/120ML","code_information":[{"code":"190153","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":5.84,"maximum":7.68,"gross_charge":8,"discounted_cash":4.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.64,"methodology":"fee schedule"}]}]},{"description":"SOL NACL 0.9PCT PF 50/120ML","code_information":[{"code":"190153","type":"CDM"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":3.76,"maximum":7.68,"gross_charge":8,"discounted_cash":4.44,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.76,"methodology":"fee schedule"}]}]},{"description":"ACUTE MYOCARDIAL INFARCTION","code_information":[{"code":"1902","type":"APR-DRG"}],"standard_charges":[{"minimum":14404,"maximum":14404,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14404,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCISION OF BREAST LESION","code_information":[{"code":"19020","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE MYOCARDIAL INFARCTION","code_information":[{"code":"1903","type":"APR-DRG"}],"standard_charges":[{"minimum":20758,"maximum":20758,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20758,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ACUTE MYOCARDIAL INFARCTION","code_information":[{"code":"1904","type":"APR-DRG"}],"standard_charges":[{"minimum":32237,"maximum":32237,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32237,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BX BREAST 1ST LESION STRTCTC","code_information":[{"code":"19081","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BX BREAST 1ST LESION US IMAG","code_information":[{"code":"19083","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BX BREAST 1ST LESION MR IMAG","code_information":[{"code":"19085","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BX BREAST NDL WO GUIDE ER","code_information":[{"code":"19100","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2382.72,"maximum":3133.44,"gross_charge":3264,"discounted_cash":1808.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3100.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2676.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3002.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2807.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2382.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2709.12,"methodology":"fee schedule"}]}]},{"description":"BX BREAST NDL WO GUIDE ER","code_information":[{"code":"19100","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1534.08,"maximum":3133.44,"gross_charge":3264,"discounted_cash":1808.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3100.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2676.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3002.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2807.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2382.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2709.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2252.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1534.08,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF BREAST OPEN","code_information":[{"code":"19101","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CRYOSURG ABLATE FA EACH","code_information":[{"code":"19105","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE","code_information":[{"code":"1911","type":"APR-DRG"}],"standard_charges":[{"minimum":13658,"maximum":13658,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13658,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NIPPLE EXPLORATION","code_information":[{"code":"19110","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE BREAST DUCT FISTULA","code_information":[{"code":"19112","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE","code_information":[{"code":"1912","type":"APR-DRG"}],"standard_charges":[{"minimum":15357,"maximum":15357,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15357,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF BREAST LESION","code_information":[{"code":"19120","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION BREAST LESION","code_information":[{"code":"19125","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE","code_information":[{"code":"1913","type":"APR-DRG"}],"standard_charges":[{"minimum":24254,"maximum":24254,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24254,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE","code_information":[{"code":"1914","type":"APR-DRG"}],"standard_charges":[{"minimum":45524,"maximum":45524,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45524,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"STAPLER ENDOSCP TRK HERN 5MM","code_information":[{"code":"191654","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1145.37,"maximum":1506.24,"gross_charge":1569,"discounted_cash":869.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1490.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1506.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1286.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1443.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1349.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1145.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1302.27,"methodology":"fee schedule"}]}]},{"description":"STAPLER ENDOSCP TRK HERN 5MM","code_information":[{"code":"191654","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":737.43,"maximum":1506.24,"gross_charge":1569,"discounted_cash":869.39,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1490.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1506.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1286.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1443.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1349.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1145.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1302.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1082.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":737.43,"methodology":"fee schedule"}]}]},{"description":"CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS","code_information":[{"code":"1921","type":"APR-DRG"}],"standard_charges":[{"minimum":13245,"maximum":13245,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13245,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS","code_information":[{"code":"1922","type":"APR-DRG"}],"standard_charges":[{"minimum":17341,"maximum":17341,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17341,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS","code_information":[{"code":"1923","type":"APR-DRG"}],"standard_charges":[{"minimum":23712,"maximum":23712,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23712,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS","code_information":[{"code":"1924","type":"APR-DRG"}],"standard_charges":[{"minimum":45125,"maximum":45125,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45125,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERQ DEVICE BREAST 1ST IMAG","code_information":[{"code":"19281","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ DEV BREAST 1ST STRTCTC","code_information":[{"code":"19283","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ DEV BREAST 1ST US IMAG","code_information":[{"code":"19285","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ DEV BREAST 1ST MR GUIDE","code_information":[{"code":"19287","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE PO BREAST CATH FOR RAD","code_information":[{"code":"19296","type":"CPT"}],"standard_charges":[{"minimum":14336.33,"maximum":14336.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14336.33,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHEARS ENDOSCP BARI-SHR LN 5MM","code_information":[{"code":"192970","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":746.06,"maximum":981.12,"gross_charge":1022,"discounted_cash":566.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":981.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":838.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":940.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":878.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":746.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":848.26,"methodology":"fee schedule"}]}]},{"description":"SHEARS ENDOSCP BARI-SHR LN 5MM","code_information":[{"code":"192970","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":480.34,"maximum":981.12,"gross_charge":1022,"discounted_cash":566.3,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":970.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":981.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":838.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":940.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":878.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":746.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":848.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":705.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":480.34,"methodology":"fee schedule"}]}]},{"description":"PLACE BREAST RAD TUBE/CATHS","code_information":[{"code":"19298","type":"CPT"}],"standard_charges":[{"minimum":8894.19,"maximum":8894.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8894.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF BREAST TISSUE","code_information":[{"code":"19300","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL MASTECTOMY","code_information":[{"code":"19301","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"P-MASTECTOMY W/LN REMOVAL","code_information":[{"code":"19302","type":"CPT"}],"standard_charges":[{"minimum":8894.19,"maximum":8894.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8894.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAST SIMPLE COMPLETE","code_information":[{"code":"19303","type":"CPT"}],"standard_charges":[{"minimum":8894.19,"maximum":8894.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8894.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAST MOD RAD","code_information":[{"code":"19307","type":"CPT"}],"standard_charges":[{"minimum":8894.19,"maximum":8894.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8894.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE AND SUBACUTE ENDOCARDITIS","code_information":[{"code":"1931","type":"APR-DRG"}],"standard_charges":[{"minimum":18613,"maximum":18613,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18613,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SUSPENSION OF BREAST","code_information":[{"code":"19316","type":"CPT"}],"standard_charges":[{"minimum":8894.19,"maximum":8894.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8894.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BREAST REDUCTION","code_information":[{"code":"19318","type":"CPT"}],"standard_charges":[{"minimum":8894.19,"maximum":8894.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8894.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE AND SUBACUTE ENDOCARDITIS","code_information":[{"code":"1932","type":"APR-DRG"}],"standard_charges":[{"minimum":24970,"maximum":24970,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24970,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BREAST AUGMENTATION W/IMPLT","code_information":[{"code":"19325","type":"CPT"}],"standard_charges":[{"minimum":14336.33,"maximum":14336.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14336.33,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF BREAST IMPLANT","code_information":[{"code":"19328","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE AND SUBACUTE ENDOCARDITIS","code_information":[{"code":"1933","type":"APR-DRG"}],"standard_charges":[{"minimum":34189,"maximum":34189,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34189,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF IMPLANT MATERIAL","code_information":[{"code":"19330","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE AND SUBACUTE ENDOCARDITIS","code_information":[{"code":"1934","type":"APR-DRG"}],"standard_charges":[{"minimum":50569,"maximum":50569,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50569,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"IMMEDIATE BREAST PROSTHESIS","code_information":[{"code":"19340","type":"CPT"}],"standard_charges":[{"minimum":8894.19,"maximum":8894.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8894.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DELAYED BREAST PROSTHESIS","code_information":[{"code":"19342","type":"CPT"}],"standard_charges":[{"minimum":14336.33,"maximum":14336.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14336.33,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BREAST RECONSTRUCTION","code_information":[{"code":"19350","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECT INVERTED NIPPLE(S)","code_information":[{"code":"19355","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BREAST RECONSTRUCTION","code_information":[{"code":"19357","type":"CPT"}],"standard_charges":[{"minimum":23993.5,"maximum":23993.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23993.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STAPLER GIA 60-3.8MM","code_information":[{"code":"193603","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":181.77,"maximum":239.04,"gross_charge":249,"discounted_cash":137.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":239.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":229.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":214.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":206.67,"methodology":"fee schedule"}]}]},{"description":"STAPLER GIA 60-3.8MM","code_information":[{"code":"193603","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":117.03,"maximum":239.04,"gross_charge":249,"discounted_cash":137.98,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":239.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":229.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":214.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":206.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":171.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":117.03,"methodology":"fee schedule"}]}]},{"description":"REVJ PERI-IMPLT CAPSULE BRST","code_information":[{"code":"19370","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERI-IMPLT CAPSLC BRST COMPL","code_information":[{"code":"19371","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE BREAST RECONSTRUCTION","code_information":[{"code":"19380","type":"CPT"}],"standard_charges":[{"minimum":8894.19,"maximum":8894.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8894.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESIGN CUSTOM BREAST IMPLANT","code_information":[{"code":"19396","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HEART FAILURE","code_information":[{"code":"1941","type":"APR-DRG"}],"standard_charges":[{"minimum":14092,"maximum":14092,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14092,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEART FAILURE","code_information":[{"code":"1942","type":"APR-DRG"}],"standard_charges":[{"minimum":14157,"maximum":14157,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14157,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEART FAILURE","code_information":[{"code":"1943","type":"APR-DRG"}],"standard_charges":[{"minimum":19198,"maximum":19198,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19198,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEART FAILURE","code_information":[{"code":"1944","type":"APR-DRG"}],"standard_charges":[{"minimum":21754,"maximum":21754,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21754,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"POUCH ENDOSCP SPEC RETRV 4X6X2","code_information":[{"code":"194704","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":164.98,"maximum":216.96,"gross_charge":226,"discounted_cash":125.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":216.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":185.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":207.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":194.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":187.58,"methodology":"fee schedule"}]}]},{"description":"POUCH ENDOSCP SPEC RETRV 4X6X2","code_information":[{"code":"194704","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":106.22,"maximum":216.96,"gross_charge":226,"discounted_cash":125.23,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":214.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":216.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":185.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":207.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":194.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":187.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":106.22,"methodology":"fee schedule"}]}]},{"description":"PASTE CNTRST BA SULF 1LB TB","code_information":[{"code":"194844","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":57.67,"maximum":75.84,"gross_charge":79,"discounted_cash":43.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.57,"methodology":"fee schedule"}]}]},{"description":"PASTE CNTRST BA SULF 1LB TB","code_information":[{"code":"194844","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":37.13,"maximum":75.84,"gross_charge":79,"discounted_cash":43.78,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.13,"methodology":"fee schedule"}]}]},{"description":"BREAST SURGERY PROCEDURE","code_information":[{"code":"19499","type":"CPT"}],"standard_charges":[{"minimum":5075.13,"maximum":5075.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5075.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELECTRD DEFIB LFEPK ADLT","code_information":[{"code":"195354","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":62.78,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"}]}]},{"description":"ELECTRD DEFIB LFEPK ADLT","code_information":[{"code":"195354","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":40.42,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"}]}]},{"description":"CARDIAC ARREST AND SHOCK","code_information":[{"code":"1961","type":"APR-DRG"}],"standard_charges":[{"minimum":8816,"maximum":8816,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8816,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC ARREST AND SHOCK","code_information":[{"code":"1962","type":"APR-DRG"}],"standard_charges":[{"minimum":11559,"maximum":11559,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11559,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC ARREST AND SHOCK","code_information":[{"code":"1963","type":"APR-DRG"}],"standard_charges":[{"minimum":21194,"maximum":21194,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21194,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PIN FX TEMP ACLP","code_information":[{"code":"196347","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":289.08,"maximum":380.16,"gross_charge":396,"discounted_cash":219.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":380.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":324.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":364.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":340.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":289.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":328.68,"methodology":"fee schedule"}]}]},{"description":"PIN FX TEMP ACLP","code_information":[{"code":"196347","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":186.12,"maximum":380.16,"gross_charge":396,"discounted_cash":219.43,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":380.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":324.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":364.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":340.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":289.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":328.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":186.12,"methodology":"fee schedule"}]}]},{"description":"CARDIAC ARREST AND SHOCK","code_information":[{"code":"1964","type":"APR-DRG"}],"standard_charges":[{"minimum":52076,"maximum":52076,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52076,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PNEUMOTHORAX KT CRV 8FRX16CM","code_information":[{"code":"196646","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":246.74,"maximum":324.48,"gross_charge":338,"discounted_cash":187.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":324.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":310.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":290.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":280.54,"methodology":"fee schedule"}]}]},{"description":"PNEUMOTHORAX KT CRV 8FRX16CM","code_information":[{"code":"196646","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":158.86,"maximum":324.48,"gross_charge":338,"discounted_cash":187.29,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":321.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":324.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":310.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":290.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":280.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":233.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":158.86,"methodology":"fee schedule"}]}]},{"description":"PERIPHERAL AND OTHER VASCULAR DISORDERS","code_information":[{"code":"1971","type":"APR-DRG"}],"standard_charges":[{"minimum":10550,"maximum":10550,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10550,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERIPHERAL AND OTHER VASCULAR DISORDERS","code_information":[{"code":"1972","type":"APR-DRG"}],"standard_charges":[{"minimum":14649,"maximum":14649,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14649,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERIPHERAL AND OTHER VASCULAR DISORDERS","code_information":[{"code":"1973","type":"APR-DRG"}],"standard_charges":[{"minimum":19770,"maximum":19770,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19770,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERIPHERAL AND OTHER VASCULAR DISORDERS","code_information":[{"code":"1974","type":"APR-DRG"}],"standard_charges":[{"minimum":46231,"maximum":46231,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46231,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS","code_information":[{"code":"1981","type":"APR-DRG"}],"standard_charges":[{"minimum":10440,"maximum":10440,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10440,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS","code_information":[{"code":"1982","type":"APR-DRG"}],"standard_charges":[{"minimum":12530,"maximum":12530,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12530,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS","code_information":[{"code":"1983","type":"APR-DRG"}],"standard_charges":[{"minimum":16476,"maximum":16476,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16476,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"STAPLER INT LIN TA 60-3.5MM","code_information":[{"code":"198340","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":205.86,"maximum":270.72,"gross_charge":282,"discounted_cash":156.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":267.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":270.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":231.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":259.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":242.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":234.06,"methodology":"fee schedule"}]}]},{"description":"STAPLER INT LIN TA 60-3.5MM","code_information":[{"code":"198340","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":132.54,"maximum":270.72,"gross_charge":282,"discounted_cash":156.26,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":267.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":270.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":231.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":259.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":242.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":234.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":194.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":132.54,"methodology":"fee schedule"}]}]},{"description":"ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS","code_information":[{"code":"1984","type":"APR-DRG"}],"standard_charges":[{"minimum":29483,"maximum":29483,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29483,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HYPERTENSION","code_information":[{"code":"1991","type":"APR-DRG"}],"standard_charges":[{"minimum":8280,"maximum":8280,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8280,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HYPERTENSION","code_information":[{"code":"1992","type":"APR-DRG"}],"standard_charges":[{"minimum":10895,"maximum":10895,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10895,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HYPERTENSION","code_information":[{"code":"1993","type":"APR-DRG"}],"standard_charges":[{"minimum":13019,"maximum":13019,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13019,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HYPERTENSION","code_information":[{"code":"1994","type":"APR-DRG"}],"standard_charges":[{"minimum":24678,"maximum":24678,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24678,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTRD LAPSCP MPLR L-HK","code_information":[{"code":"199451","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":327.04,"maximum":430.08,"gross_charge":448,"discounted_cash":248.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":430.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":367.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":412.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":385.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":327.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":371.84,"methodology":"fee schedule"}]}]},{"description":"ELECTRD LAPSCP MPLR L-HK","code_information":[{"code":"199451","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":210.56,"maximum":430.08,"gross_charge":448,"discounted_cash":248.24,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":425.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":430.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":367.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":412.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":385.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":327.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":371.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":210.56,"methodology":"fee schedule"}]}]},{"description":"CARDIAC STRUCTURAL AND VALVULAR DISORDERS","code_information":[{"code":"2001","type":"APR-DRG"}],"standard_charges":[{"minimum":9705,"maximum":9705,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9705,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC STRUCTURAL AND VALVULAR DISORDERS","code_information":[{"code":"2002","type":"APR-DRG"}],"standard_charges":[{"minimum":13047,"maximum":13047,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13047,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC STRUCTURAL AND VALVULAR DISORDERS","code_information":[{"code":"2003","type":"APR-DRG"}],"standard_charges":[{"minimum":19732,"maximum":19732,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19732,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SYR 60ML ANGIO F/MAXFORC BLLN","code_information":[{"code":"200358","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":89.06,"maximum":117.12,"gross_charge":122,"discounted_cash":67.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":117.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":112.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":101.26,"methodology":"fee schedule"}]}]},{"description":"SYR 60ML ANGIO F/MAXFORC BLLN","code_information":[{"code":"200358","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":57.34,"maximum":117.12,"gross_charge":122,"discounted_cash":67.61,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":117.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":112.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":101.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":84.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":57.34,"methodology":"fee schedule"}]}]},{"description":"CARDIAC STRUCTURAL AND VALVULAR DISORDERS","code_information":[{"code":"2004","type":"APR-DRG"}],"standard_charges":[{"minimum":42102,"maximum":42102,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42102,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXPLORE WOUND NECK","code_information":[{"code":"20100","type":"CPT"}],"standard_charges":[{"minimum":744.14,"maximum":744.14,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":744.14,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE WOUND CHEST","code_information":[{"code":"20101","type":"CPT"}],"standard_charges":[{"minimum":2821.81,"maximum":2821.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2821.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE WOUND ABDOMEN","code_information":[{"code":"20102","type":"CPT"}],"standard_charges":[{"minimum":2821.81,"maximum":2821.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2821.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE WOUND EXTREMITY","code_information":[{"code":"20103","type":"CPT"}],"standard_charges":[{"minimum":1023.15,"maximum":1023.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS","code_information":[{"code":"2011","type":"APR-DRG"}],"standard_charges":[{"minimum":8435,"maximum":8435,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8435,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS","code_information":[{"code":"2012","type":"APR-DRG"}],"standard_charges":[{"minimum":10635,"maximum":10635,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10635,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS","code_information":[{"code":"2013","type":"APR-DRG"}],"standard_charges":[{"minimum":18315,"maximum":18315,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18315,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS","code_information":[{"code":"2014","type":"APR-DRG"}],"standard_charges":[{"minimum":33225,"maximum":33225,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33225,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXCISE EPIPHYSEAL BAR","code_information":[{"code":"20150","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MUSCLE BIOPSY","code_information":[{"code":"20200","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DEEP MUSCLE BIOPSY","code_information":[{"code":"20205","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEEDLE BIOPSY MUSCLE","code_information":[{"code":"20206","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BONE BIOPSY TROCAR/NEEDLE","code_information":[{"code":"20220","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BONE BIOPSY TROCAR/NEEDLE","code_information":[{"code":"20225","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BONE BIOPSY OPEN SUPERFICIAL","code_information":[{"code":"20240","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BONE BIOPSY OPEN DEEP","code_information":[{"code":"20245","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN BONE BIOPSY","code_information":[{"code":"20250","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN BONE BIOPSY","code_information":[{"code":"20251","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROC TY THORCENT 8FRX18CM","code_information":[{"code":"202554","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":137.24,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"}]}]},{"description":"PROC TY THORCENT 8FRX18CM","code_information":[{"code":"202554","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":88.36,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":88.36,"methodology":"fee schedule"}]}]},{"description":"CHEST PAIN","code_information":[{"code":"2031","type":"APR-DRG"}],"standard_charges":[{"minimum":8828,"maximum":8828,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8828,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHEST PAIN","code_information":[{"code":"2032","type":"APR-DRG"}],"standard_charges":[{"minimum":12586,"maximum":12586,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12586,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHEST PAIN","code_information":[{"code":"2033","type":"APR-DRG"}],"standard_charges":[{"minimum":14828,"maximum":14828,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14828,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHEST PAIN","code_information":[{"code":"2034","type":"APR-DRG"}],"standard_charges":[{"minimum":22252,"maximum":22252,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22252,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SHEARS ENDOSCP UPLR 5MMX21CM","code_information":[{"code":"203629","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":141.62,"maximum":186.24,"gross_charge":194,"discounted_cash":107.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":186.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":178.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":166.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.02,"methodology":"fee schedule"}]}]},{"description":"SHEARS ENDOSCP UPLR 5MMX21CM","code_information":[{"code":"203629","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":91.18,"maximum":186.24,"gross_charge":194,"discounted_cash":107.5,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":186.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":178.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":166.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":91.18,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL VARIBAR PSTE HNY","code_information":[{"code":"203781","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":114.9239,"maximum":151.1328,"gross_charge":157.43,"discounted_cash":87.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":149.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":151.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":144.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":130.67,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL VARIBAR PSTE HNY","code_information":[{"code":"203781","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":73.9921,"maximum":151.1328,"gross_charge":157.43,"discounted_cash":87.24,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":149.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":151.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":144.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":130.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":74,"methodology":"fee schedule"}]}]},{"description":"SYNCOPE AND COLLAPSE","code_information":[{"code":"2041","type":"APR-DRG"}],"standard_charges":[{"minimum":11713,"maximum":11713,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11713,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SYNCOPE AND COLLAPSE","code_information":[{"code":"2042","type":"APR-DRG"}],"standard_charges":[{"minimum":12752,"maximum":12752,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12752,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SYNCOPE AND COLLAPSE","code_information":[{"code":"2043","type":"APR-DRG"}],"standard_charges":[{"minimum":15315,"maximum":15315,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15315,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SYNCOPE AND COLLAPSE","code_information":[{"code":"2044","type":"APR-DRG"}],"standard_charges":[{"minimum":29678,"maximum":29678,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29678,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIT DRL QC AO 2.7X125MM","code_information":[{"code":"204423","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":281.05,"maximum":369.6,"gross_charge":385,"discounted_cash":213.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC AO 2.7X125MM","code_information":[{"code":"204423","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":180.95,"maximum":369.6,"gross_charge":385,"discounted_cash":213.33,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":265.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":180.95,"methodology":"fee schedule"}]}]},{"description":"STAPLER SKIN MULT-DIR 35 W X1","code_information":[{"code":"204443","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":24.82,"maximum":32.64,"gross_charge":34,"discounted_cash":18.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":32.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.22,"methodology":"fee schedule"}]}]},{"description":"STAPLER SKIN MULT-DIR 35 W X1","code_information":[{"code":"204443","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":15.98,"maximum":32.64,"gross_charge":34,"discounted_cash":18.84,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":32.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.98,"methodology":"fee schedule"}]}]},{"description":"INJECTION OF SINUS TRACT","code_information":[{"code":"20500","type":"CPT"}],"standard_charges":[{"minimum":2225.36,"maximum":2225.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CARDIOMYOPATHY","code_information":[{"code":"2051","type":"APR-DRG"}],"standard_charges":[{"minimum":10902,"maximum":10902,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10902,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIOMYOPATHY","code_information":[{"code":"2052","type":"APR-DRG"}],"standard_charges":[{"minimum":13045,"maximum":13045,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13045,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF FOREIGN BODY","code_information":[{"code":"20520","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FOREIGN BODY","code_information":[{"code":"20525","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THER INJECTION CARP TUNNEL","code_information":[{"code":"20526","type":"CPT"}],"standard_charges":[{"minimum":429.62,"maximum":429.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJ DUPUYTREN CORD W/ENZYME","code_information":[{"code":"20527","type":"CPT"}],"standard_charges":[{"minimum":429.62,"maximum":429.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CARDIOMYOPATHY","code_information":[{"code":"2053","type":"APR-DRG"}],"standard_charges":[{"minimum":20241,"maximum":20241,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20241,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CARDIOMYOPATHY","code_information":[{"code":"2054","type":"APR-DRG"}],"standard_charges":[{"minimum":34427,"maximum":34427,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34427,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INJ TEND SHTH/LIG SINGLE ER","code_information":[{"code":"20550","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":448.22,"maximum":589.44,"gross_charge":614,"discounted_cash":340.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":583.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":589.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":503.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":564.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":528.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":448.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":509.62,"methodology":"fee schedule"}]}]},{"description":"INJ TEND SHTH/LIG SINGLE ER","code_information":[{"code":"20550","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":288.58,"maximum":589.44,"gross_charge":614,"discounted_cash":340.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":583.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":589.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":503.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":564.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":528.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":448.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":509.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":423.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":288.58,"methodology":"fee schedule"}]}]},{"description":"INJ TEND ORIG/INS SINGLE ER","code_information":[{"code":"20551","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":448.22,"maximum":589.44,"gross_charge":614,"discounted_cash":340.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":583.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":589.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":503.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":564.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":528.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":448.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":509.62,"methodology":"fee schedule"}]}]},{"description":"INJ TEND ORIG/INS SINGLE ER","code_information":[{"code":"20551","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":288.58,"maximum":589.44,"gross_charge":614,"discounted_cash":340.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":583.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":589.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":503.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":564.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":528.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":448.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":509.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":423.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":288.58,"methodology":"fee schedule"}]}]},{"description":"INJ TRIGGR PT 1-2 MUSCLE(S) ER","code_information":[{"code":"20552","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":490.56,"maximum":645.12,"gross_charge":672,"discounted_cash":372.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":638.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":645.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":618.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":577.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":490.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":557.76,"methodology":"fee schedule"}]}]},{"description":"INJ TRIGGR PT 1-2 MUSCLE(S) ER","code_information":[{"code":"20552","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":315.84,"maximum":645.12,"gross_charge":672,"discounted_cash":372.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":638.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":645.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":618.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":577.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":490.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":557.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":463.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":315.84,"methodology":"fee schedule"}]}]},{"description":"INJECT TRIGGER POINTS 3/>","code_information":[{"code":"20553","type":"CPT"}],"standard_charges":[{"minimum":429.62,"maximum":429.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE NDL MUSC/TIS FOR RT","code_information":[{"code":"20555","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NDL INSJ W/O NJX 1 OR 2 MUSC","code_information":[{"code":"20560","type":"CPT"}],"standard_charges":[{"minimum":40.59,"maximum":40.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NDL INSJ W/O NJX 3+ MUSC","code_information":[{"code":"20561","type":"CPT"}],"standard_charges":[{"minimum":40.59,"maximum":40.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ARTHROCENT ASP/INJ JT SMALL ER","code_information":[{"code":"20600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":403.69,"maximum":530.88,"gross_charge":553,"discounted_cash":306.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":530.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":453.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":508.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":475.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":403.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":458.99,"methodology":"fee schedule"}]}]},{"description":"ARTHROCENT ASP/INJ JT SMALL ER","code_information":[{"code":"20600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":259.91,"maximum":530.88,"gross_charge":553,"discounted_cash":306.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":530.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":453.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":508.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":475.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":403.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":458.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":381.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":259.91,"methodology":"fee schedule"}]}]},{"description":"DRAIN/INJ JOINT/BURSA W/US","code_information":[{"code":"20604","type":"CPT"}],"standard_charges":[{"minimum":429.62,"maximum":429.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ARTHROCENT ASP/INJ JT INTER ER","code_information":[{"code":"20605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":591.3,"maximum":777.6,"gross_charge":810,"discounted_cash":448.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":777.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":664.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":745.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":696.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":591.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":672.3,"methodology":"fee schedule"}]}]},{"description":"ARTHROCENT ASP/INJ JT INTER ER","code_information":[{"code":"20605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":380.7,"maximum":777.6,"gross_charge":810,"discounted_cash":448.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":777.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":664.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":745.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":696.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":591.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":672.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":558.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":380.7,"methodology":"fee schedule"}]}]},{"description":"DRAIN/INJ JOINT/BURSA W/US","code_information":[{"code":"20606","type":"CPT"}],"standard_charges":[{"minimum":1043.91,"maximum":1043.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1043.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE","code_information":[{"code":"2061","type":"APR-DRG"}],"standard_charges":[{"minimum":13362,"maximum":13362,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13362,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ARTHROCENT ASP/INJ JT MAJ ER","code_information":[{"code":"20610","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":637.29,"maximum":838.08,"gross_charge":873,"discounted_cash":483.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":829.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":838.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":715.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":803.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":750.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":637.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":724.59,"methodology":"fee schedule"}]}]},{"description":"ARTHROCENT ASP/INJ JT MAJ ER","code_information":[{"code":"20610","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":410.31,"maximum":838.08,"gross_charge":873,"discounted_cash":483.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":829.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":838.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":715.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":803.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":750.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":637.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":724.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":602.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":410.31,"methodology":"fee schedule"}]}]},{"description":"DRAIN/INJ JOINT/BURSA W/US","code_information":[{"code":"20611","type":"CPT"}],"standard_charges":[{"minimum":429.62,"maximum":429.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ASPIRATE/INJ GANGLION CYST","code_information":[{"code":"20612","type":"CPT"}],"standard_charges":[{"minimum":429.62,"maximum":429.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":429.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF BONE CYST","code_information":[{"code":"20615","type":"CPT"}],"standard_charges":[{"minimum":1023.15,"maximum":1023.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE","code_information":[{"code":"2062","type":"APR-DRG"}],"standard_charges":[{"minimum":13808,"maximum":13808,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13808,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE","code_information":[{"code":"2063","type":"APR-DRG"}],"standard_charges":[{"minimum":25855,"maximum":25855,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25855,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE","code_information":[{"code":"2064","type":"APR-DRG"}],"standard_charges":[{"minimum":37856,"maximum":37856,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37856,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INSERT AND REMOVE BONE PIN","code_information":[{"code":"20650","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLY REM FIXATION DEVICE","code_information":[{"code":"20660","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF HEAD BRACE","code_information":[{"code":"20661","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF PELVIS BRACE","code_information":[{"code":"20662","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF THIGH BRACE","code_information":[{"code":"20663","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF HALO","code_information":[{"code":"20664","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FIXATION DEVICE","code_information":[{"code":"20665","type":"CPT"}],"standard_charges":[{"minimum":444.53,"maximum":444.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":444.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SUPPORT IMPLANT","code_information":[{"code":"20670","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SUPPORT IMPLANT","code_information":[{"code":"20680","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLY BONE FIXATION DEVICE","code_information":[{"code":"20690","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLY BONE FIXATION DEVICE","code_information":[{"code":"20692","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ADJUST BONE FIXATION DEVICE","code_information":[{"code":"20693","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE BONE FIXATION DEVICE","code_information":[{"code":"20694","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COMP MULTIPLANE EXT FIXATION","code_information":[{"code":"20696","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COMP EXT FIXATE STRUT CHANGE","code_information":[{"code":"20697","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER CIRCULATORY SYSTEM DIAGNOSES","code_information":[{"code":"2071","type":"APR-DRG"}],"standard_charges":[{"minimum":11083,"maximum":11083,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11083,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER CIRCULATORY SYSTEM DIAGNOSES","code_information":[{"code":"2072","type":"APR-DRG"}],"standard_charges":[{"minimum":14209,"maximum":14209,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14209,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER CIRCULATORY SYSTEM DIAGNOSES","code_information":[{"code":"2073","type":"APR-DRG"}],"standard_charges":[{"minimum":14920,"maximum":14920,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14920,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER CIRCULATORY SYSTEM DIAGNOSES","code_information":[{"code":"2074","type":"APR-DRG"}],"standard_charges":[{"minimum":37768,"maximum":37768,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37768,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"APPLIER LIG MCA LG 13.25IN","code_information":[{"code":"207845","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":145.27,"maximum":191.04,"gross_charge":199,"discounted_cash":110.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":191.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":163.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":183.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":171.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":145.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":165.17,"methodology":"fee schedule"}]}]},{"description":"APPLIER LIG MCA LG 13.25IN","code_information":[{"code":"207845","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":93.53,"maximum":191.04,"gross_charge":199,"discounted_cash":110.27,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":189.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":191.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":163.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":183.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":171.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":145.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":165.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":137.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":93.53,"methodology":"fee schedule"}]}]},{"description":"CATH ESOPH CRE 15-18MMX8CM 6FR","code_information":[{"code":"207935","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":492.75,"maximum":648,"gross_charge":675,"discounted_cash":374.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":641.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":648,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":553.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":621,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":580.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":492.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":560.25,"methodology":"fee schedule"}]}]},{"description":"CATH ESOPH CRE 15-18MMX8CM 6FR","code_information":[{"code":"207935","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":317.25,"maximum":648,"gross_charge":675,"discounted_cash":374.02,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":641.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":648,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":553.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":621,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":580.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":492.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":560.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":465.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":317.25,"methodology":"fee schedule"}]}]},{"description":"REPLANTATION ARM COMPLETE","code_information":[{"code":"20802","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLANT FOREARM COMPLETE","code_information":[{"code":"20805","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLANTATION HAND COMPLETE","code_information":[{"code":"20808","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLANTATION DIGIT COMPLETE","code_information":[{"code":"20816","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLANTATION DIGIT COMPLETE","code_information":[{"code":"20822","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLANTATION THUMB COMPLETE","code_information":[{"code":"20824","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CNTNR EMP EVAC VAC 1000ML BTL","code_information":[{"code":"208240","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":38.69,"maximum":50.88,"gross_charge":53,"discounted_cash":29.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.99,"methodology":"fee schedule"}]}]},{"description":"CNTNR EMP EVAC VAC 1000ML BTL","code_information":[{"code":"208240","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":24.91,"maximum":50.88,"gross_charge":53,"discounted_cash":29.37,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24.91,"methodology":"fee schedule"}]}]},{"description":"REPLANTATION THUMB COMPLETE","code_information":[{"code":"20827","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLANTATION FOOT COMPLETE","code_information":[{"code":"20838","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF BONE FOR GRAFT","code_information":[{"code":"20900","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF BONE FOR GRAFT","code_information":[{"code":"20902","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE CARTILAGE FOR GRAFT","code_information":[{"code":"20910","type":"CPT"}],"standard_charges":[{"minimum":862.27,"maximum":862.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":862.27,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE CARTILAGE FOR GRAFT","code_information":[{"code":"20912","type":"CPT"}],"standard_charges":[{"minimum":5794.03,"maximum":5794.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5794.03,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FASCIA FOR GRAFT","code_information":[{"code":"20920","type":"CPT"}],"standard_charges":[{"minimum":2821.81,"maximum":2821.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2821.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FASCIA FOR GRAFT","code_information":[{"code":"20922","type":"CPT"}],"standard_charges":[{"minimum":2821.81,"maximum":2821.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2821.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TENDON FOR GRAFT","code_information":[{"code":"20924","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FLUID PRESSURE MUSCLE","code_information":[{"code":"20950","type":"CPT"}],"standard_charges":[{"minimum":1023.15,"maximum":1023.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FIBULA BONE GRAFT MICROVASC","code_information":[{"code":"20955","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ILIAC BONE GRAFT MICROVASC","code_information":[{"code":"20956","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MT BONE GRAFT MICROVASC","code_information":[{"code":"20957","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER BONE GRAFT MICROVASC","code_information":[{"code":"20962","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BONE/SKIN GRAFT MICROVASC","code_information":[{"code":"20969","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BONE/SKIN GRAFT ILIAC CREST","code_information":[{"code":"20970","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BONE/SKIN GRAFT METATARSAL","code_information":[{"code":"20972","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BONE/SKIN GRAFT GREAT TOE","code_information":[{"code":"20973","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"US BONE STIMULATION","code_information":[{"code":"20979","type":"CPT"}],"standard_charges":[{"minimum":40.59,"maximum":40.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABLATE BONE TUMOR(S) PERQ","code_information":[{"code":"20982","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABLATE BONE TUMOR(S) PERQ","code_information":[{"code":"20983","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MUSCULOSKELETAL SURGERY","code_information":[{"code":"20999","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF JAW JOINT","code_information":[{"code":"21010","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FACE LES SC <2 CM","code_information":[{"code":"21011","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FACE LES SBQ 2 CM/>","code_information":[{"code":"21012","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FACE TUM DEEP < 2 CM","code_information":[{"code":"21013","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FACE TUM DEEP 2 CM/>","code_information":[{"code":"21014","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT FACE/SCALP TUM < 2 CM","code_information":[{"code":"21015","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT FACE/SCALP TUM 2 CM/>","code_information":[{"code":"21016","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF BONE LOWER JAW","code_information":[{"code":"21025","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF FACIAL BONE(S)","code_information":[{"code":"21026","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONTOUR OF FACE BONE LESION","code_information":[{"code":"21029","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE MAX/ZYGOMA B9 TUMOR","code_information":[{"code":"21030","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EXOSTOSIS MANDIBLE","code_information":[{"code":"21031","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EXOSTOSIS MAXILLA","code_information":[{"code":"21032","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE MAX/ZYGOMA MAL TUMOR","code_information":[{"code":"21034","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE MANDIBLE LESION","code_information":[{"code":"21040","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF JAW BONE LESION","code_information":[{"code":"21044","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXTENSIVE JAW SURGERY","code_information":[{"code":"21045","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE MANDIBLE CYST COMPLEX","code_information":[{"code":"21046","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE LWR JAW CYST W/REPAIR","code_information":[{"code":"21047","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE MAXILLA CYST COMPLEX","code_information":[{"code":"21048","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCIS UPPR JAW CYST W/REPAIR","code_information":[{"code":"21049","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF JAW JOINT","code_information":[{"code":"21050","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE JAW JOINT CARTILAGE","code_information":[{"code":"21060","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CABLE SPNE SGL-LD CRMP 1.0X470","code_information":[{"code":"210692","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":524.14,"maximum":689.28,"gross_charge":718,"discounted_cash":397.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":682.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":689.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":588.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":660.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":617.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":524.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":595.94,"methodology":"fee schedule"}]}]},{"description":"CABLE SPNE SGL-LD CRMP 1.0X470","code_information":[{"code":"210692","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":337.46,"maximum":689.28,"gross_charge":718,"discounted_cash":397.85,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":682.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":689.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":588.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":660.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":617.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":524.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":595.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":495.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":337.46,"methodology":"fee schedule"}]}]},{"description":"REMOVE CORONOID PROCESS","code_information":[{"code":"21070","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MNPJ OF TMJ W/ANESTH","code_information":[{"code":"21073","type":"CPT"}],"standard_charges":[{"minimum":2225.36,"maximum":2225.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21076","type":"CPT"}],"standard_charges":[{"minimum":2225.36,"maximum":2225.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21077","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21079","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21080","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21081","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21082","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21083","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21084","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21085","type":"CPT"}],"standard_charges":[{"minimum":348.1,"maximum":348.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":348.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21086","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21087","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21088","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARE FACE/ORAL PROSTHESIS","code_information":[{"code":"21089","type":"CPT"}],"standard_charges":[{"minimum":348.1,"maximum":348.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":348.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAXILLOFACIAL FIXATION","code_information":[{"code":"21100","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTERDENTAL FIXATION","code_information":[{"code":"21110","type":"CPT"}],"standard_charges":[{"minimum":2225.36,"maximum":2225.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF CHIN","code_information":[{"code":"21120","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF CHIN","code_information":[{"code":"21121","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF CHIN","code_information":[{"code":"21122","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF CHIN","code_information":[{"code":"21123","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AUGMENTATION LOWER JAW BONE","code_information":[{"code":"21125","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AUGMENTATION LOWER JAW BONE","code_information":[{"code":"21127","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REDUCTION OF FOREHEAD","code_information":[{"code":"21137","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REDUCTION OF FOREHEAD","code_information":[{"code":"21138","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REDUCTION OF FOREHEAD","code_information":[{"code":"21139","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT I-1 PIECE W/O GRAFT","code_information":[{"code":"21141","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT I-2 PIECE W/O GRAFT","code_information":[{"code":"21142","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT I-3/> PIECE W/O GRAFT","code_information":[{"code":"21143","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT I-1 PIECE W/ GRAFT","code_information":[{"code":"21145","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT I-2 PIECE W/ GRAFT","code_information":[{"code":"21146","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT I-3/> PIECE W/ GRAFT","code_information":[{"code":"21147","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT II ANTERIOR INTRUSION","code_information":[{"code":"21150","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT II W/BONE GRAFTS","code_information":[{"code":"21151","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT III W/O LEFORT I","code_information":[{"code":"21154","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT III W/ LEFORT I","code_information":[{"code":"21155","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT III W/FHDW/O LEFORT I","code_information":[{"code":"21159","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEFORT III W/FHD W/ LEFORT I","code_information":[{"code":"21160","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT ORBIT/FOREHEAD","code_information":[{"code":"21172","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT ORBIT/FOREHEAD","code_information":[{"code":"21175","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT ENTIRE FOREHEAD","code_information":[{"code":"21179","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT ENTIRE FOREHEAD","code_information":[{"code":"21180","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONTOUR CRANIAL BONE LESION","code_information":[{"code":"21181","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT CRANIAL BONE","code_information":[{"code":"21182","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT CRANIAL BONE","code_information":[{"code":"21183","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT CRANIAL BONE","code_information":[{"code":"21184","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF MIDFACE","code_information":[{"code":"21188","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONST LWR JAW W/O GRAFT","code_information":[{"code":"21193","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONST LWR JAW W/GRAFT","code_information":[{"code":"21194","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONST LWR JAW W/O FIXATION","code_information":[{"code":"21195","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONST LWR JAW W/FIXATION","code_information":[{"code":"21196","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTR LWR JAW SEGMENT","code_information":[{"code":"21198","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTR LWR JAW W/ADVANCE","code_information":[{"code":"21199","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT UPPER JAW BONE","code_information":[{"code":"21206","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AUGMENTATION OF FACIAL BONES","code_information":[{"code":"21208","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REDUCTION OF FACIAL BONES","code_information":[{"code":"21209","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FACE BONE GRAFT","code_information":[{"code":"21210","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LOWER JAW BONE GRAFT","code_information":[{"code":"21215","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RIB CARTILAGE GRAFT","code_information":[{"code":"21230","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EAR CARTILAGE GRAFT","code_information":[{"code":"21235","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF JAW JOINT","code_information":[{"code":"21240","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF JAW JOINT","code_information":[{"code":"21242","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF JAW JOINT","code_information":[{"code":"21243","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF LOWER JAW","code_information":[{"code":"21244","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF JAW","code_information":[{"code":"21245","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF JAW","code_information":[{"code":"21246","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT LOWER JAW BONE","code_information":[{"code":"21247","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF JAW","code_information":[{"code":"21248","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF JAW","code_information":[{"code":"21249","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT LOWER JAW BONE","code_information":[{"code":"21255","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF ORBIT","code_information":[{"code":"21256","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYE SOCKETS","code_information":[{"code":"21260","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYE SOCKETS","code_information":[{"code":"21261","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYE SOCKETS","code_information":[{"code":"21263","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYE SOCKETS","code_information":[{"code":"21267","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYE SOCKETS","code_information":[{"code":"21268","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AUGMENTATION CHEEK BONE","code_information":[{"code":"21270","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION ORBITOFACIAL BONES","code_information":[{"code":"21275","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF EYELID","code_information":[{"code":"21280","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF EYELID","code_information":[{"code":"21282","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF JAW MUSCLE/BONE","code_information":[{"code":"21295","type":"CPT"}],"standard_charges":[{"minimum":2225.36,"maximum":2225.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF JAW MUSCLE/BONE","code_information":[{"code":"21296","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CRANIO/MAXILLOFACIAL SURGERY","code_information":[{"code":"21299","type":"CPT"}],"standard_charges":[{"minimum":348.1,"maximum":348.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":348.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLOSED TX NOSE FX W/O MANJ","code_information":[{"code":"21310","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX BONE NASAL WO STABL ER","code_information":[{"code":"21315","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1674.62,"maximum":2202.24,"gross_charge":2294,"discounted_cash":1271.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2179.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2202.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1881.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2110.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1972.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1674.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1904.02,"methodology":"fee schedule"}]}]},{"description":"TX FX BONE NASAL WO STABL ER","code_information":[{"code":"21315","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1078.18,"maximum":2225.36,"gross_charge":2294,"discounted_cash":1271.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2179.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2202.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1881.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2110.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1972.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1674.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1904.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1582.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1078.18,"methodology":"fee schedule"}]}]},{"description":"TX FX BONE NASAL W STABL CL ER","code_information":[{"code":"21320","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1674.62,"maximum":2202.24,"gross_charge":2294,"discounted_cash":1271.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2179.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2202.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1881.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2110.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1972.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1674.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1904.02,"methodology":"fee schedule"}]}]},{"description":"TX FX BONE NASAL W STABL CL ER","code_information":[{"code":"21320","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1078.18,"maximum":4501.42,"gross_charge":2294,"discounted_cash":1271.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2179.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2202.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1881.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2110.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1972.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1674.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1904.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1582.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1078.18,"methodology":"fee schedule"}]}]},{"description":"OPEN TX NOSE FX UNCOMPLICATD","code_information":[{"code":"21325","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN TX NOSE FX W/SKELE FIXJ","code_information":[{"code":"21330","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN TX NOSE  SEPTAL FX","code_information":[{"code":"21335","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN TX SEPTAL FX W/WO STABJ","code_information":[{"code":"21336","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX NASAL SEPTAL CLOSED ER","code_information":[{"code":"21337","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":3089.36,"maximum":4062.72,"gross_charge":4232,"discounted_cash":2344.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4020.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4062.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3470.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3893.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3639.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3089.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3512.56,"methodology":"fee schedule"}]}]},{"description":"TX FX NASAL SEPTAL CLOSED ER","code_information":[{"code":"21337","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1989.04,"maximum":4501.42,"gross_charge":4232,"discounted_cash":2344.96,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4020.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4062.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3470.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3893.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3639.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3089.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3512.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2920.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1989.04,"methodology":"fee schedule"}]}]},{"description":"OPEN NASOETHMOID FX W/O FIXJ","code_information":[{"code":"21338","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN NASOETHMOID FX W/ FIXJ","code_information":[{"code":"21339","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ TX NASOETHMOID FX","code_information":[{"code":"21340","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN TX DPRSD FRONT SINUS FX","code_information":[{"code":"21343","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN TX COMPL FRONT SINUS FX","code_information":[{"code":"21344","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLOSED TX NOSE/JAW FX","code_information":[{"code":"21345","type":"CPT"}],"standard_charges":[{"minimum":2225.36,"maximum":2225.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX NASOMAX FX W/FIXJ","code_information":[{"code":"21346","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX NASOMAX FX MULTPLE","code_information":[{"code":"21347","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX NASOMAX FX W/GRAFT","code_information":[{"code":"21348","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ TX MALAR FRACTURE","code_information":[{"code":"21355","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX DPRSD ZYGOMATIC ARCH","code_information":[{"code":"21356","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX DPRSD MALAR FRACTURE","code_information":[{"code":"21360","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX COMPLX MALAR FX","code_information":[{"code":"21365","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX COMPLX MALAR W/GRFT","code_information":[{"code":"21366","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX ORBIT FX TRANSANTRAL","code_information":[{"code":"21385","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX ORBIT FX PERIORBITAL","code_information":[{"code":"21386","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX ORBIT FX COMBINED","code_information":[{"code":"21387","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX ORBIT PERIORBTL IMPLT","code_information":[{"code":"21390","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX ORBIT PERIORBT W/GRFT","code_information":[{"code":"21395","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX ORBIT WO MAN CLSD ER","code_information":[{"code":"21400","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1219.83,"maximum":1604.16,"gross_charge":1671,"discounted_cash":925.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1604.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1370.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1537.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1437.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1219.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1386.93,"methodology":"fee schedule"}]}]},{"description":"TX FX ORBIT WO MAN CLSD ER","code_information":[{"code":"21400","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":744.14,"maximum":1604.16,"gross_charge":1671,"discounted_cash":925.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":744.14,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1604.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1370.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1537.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1437.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1219.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1386.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1152.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":785.37,"methodology":"fee schedule"}]}]},{"description":"CLOSED TX ORBIT W/MANIPULJ","code_information":[{"code":"21401","type":"CPT"}],"standard_charges":[{"minimum":2225.36,"maximum":2225.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX ORBIT FX W/O IMPLANT","code_information":[{"code":"21406","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX ORBIT FX W/IMPLANT","code_information":[{"code":"21407","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPN TX ORBIT FX W/BONE GRFT","code_information":[{"code":"21408","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX PALATAL/MAXILL W FIX ER","code_information":[{"code":"21421","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":7025.52,"maximum":9239.04,"gross_charge":9624,"discounted_cash":5332.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9142.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9239.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7891.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8854.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8276.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7025.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7987.92,"methodology":"fee schedule"}]}]},{"description":"TX FX PALATAL/MAXILL W FIX ER","code_information":[{"code":"21421","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":4501.42,"maximum":9239.04,"gross_charge":9624,"discounted_cash":5332.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9142.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9239.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7891.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8854.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8276.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7025.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7987.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6640.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4523.28,"methodology":"fee schedule"}]}]},{"description":"TREAT MOUTH ROOF FRACTURE","code_information":[{"code":"21422","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT MOUTH ROOF FRACTURE","code_information":[{"code":"21423","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FRCP BCOCK 10MMX39.7CM X1","code_information":[{"code":"214256","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":168.63,"maximum":221.76,"gross_charge":231,"discounted_cash":128,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":221.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":212.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":198.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":191.73,"methodology":"fee schedule"}]}]},{"description":"FRCP BCOCK 10MMX39.7CM X1","code_information":[{"code":"214256","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":108.57,"maximum":221.76,"gross_charge":231,"discounted_cash":128,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":219.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":221.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":212.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":198.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":191.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":159.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":108.57,"methodology":"fee schedule"}]}]},{"description":"TREAT CRANIOFACIAL FRACTURE","code_information":[{"code":"21431","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT CRANIOFACIAL FRACTURE","code_information":[{"code":"21432","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT CRANIOFACIAL FRACTURE","code_information":[{"code":"21433","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT CRANIOFACIAL FRACTURE","code_information":[{"code":"21435","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT CRANIOFACIAL FRACTURE","code_information":[{"code":"21436","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT DENTAL RIDGE FRACTURE","code_information":[{"code":"21440","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT DENTAL RIDGE FRACTURE","code_information":[{"code":"21445","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER JAW FRACTURE","code_information":[{"code":"21450","type":"CPT"}],"standard_charges":[{"minimum":744.14,"maximum":744.14,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":744.14,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER JAW FRACTURE","code_information":[{"code":"21451","type":"CPT"}],"standard_charges":[{"minimum":2225.36,"maximum":2225.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER JAW FRACTURE","code_information":[{"code":"21452","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER JAW FRACTURE","code_information":[{"code":"21453","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER JAW FRACTURE","code_information":[{"code":"21454","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER JAW FRACTURE","code_information":[{"code":"21461","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER JAW FRACTURE","code_information":[{"code":"21462","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER JAW FRACTURE","code_information":[{"code":"21465","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER JAW FRACTURE","code_information":[{"code":"21470","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESET DISLOCATED JAW","code_information":[{"code":"21480","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESET DISLOCATED JAW","code_information":[{"code":"21485","type":"CPT"}],"standard_charges":[{"minimum":2225.36,"maximum":2225.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR DISLOCATED JAW","code_information":[{"code":"21490","type":"CPT"}],"standard_charges":[{"minimum":4501.42,"maximum":4501.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4501.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTERDENTAL WIRING","code_information":[{"code":"21497","type":"CPT"}],"standard_charges":[{"minimum":2225.36,"maximum":2225.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HEAD SURGERY PROCEDURE","code_information":[{"code":"21499","type":"CPT"}],"standard_charges":[{"minimum":348.1,"maximum":348.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":348.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN NECK/CHEST LESION","code_information":[{"code":"21501","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN CHEST LESION","code_information":[{"code":"21502","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF BONE LESION","code_information":[{"code":"21510","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TAP AO WUICK 3.5X125MM","code_information":[{"code":"215424","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":329.96,"maximum":433.92,"gross_charge":452,"discounted_cash":250.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":429.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":433.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":415.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":388.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":329.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":375.16,"methodology":"fee schedule"}]}]},{"description":"TAP AO WUICK 3.5X125MM","code_information":[{"code":"215424","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":212.44,"maximum":433.92,"gross_charge":452,"discounted_cash":250.46,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":429.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":433.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":415.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":388.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":329.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":375.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":311.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":212.44,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF NECK/CHEST","code_information":[{"code":"21550","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC NECK LES SC 3 CM/>","code_information":[{"code":"21552","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC NECK TUM DEEP 5 CM/>","code_information":[{"code":"21554","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC NECK LES SC < 3 CM","code_information":[{"code":"21555","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC NECK TUM DEEP < 5 CM","code_information":[{"code":"21556","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT NECK THORAX TUMOR<5CM","code_information":[{"code":"21557","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT NECK TUMOR 5 CM/>","code_information":[{"code":"21558","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF RIB","code_information":[{"code":"21600","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC CHEST WALL TUMOR W/RIBS","code_information":[{"code":"21601","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC CH WAL TUM W/O LYMPHADEC","code_information":[{"code":"21602","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC CH WAL TUM W/LYMPHADEC","code_information":[{"code":"21603","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF RIB","code_information":[{"code":"21610","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF RIB","code_information":[{"code":"21615","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF RIB AND NERVES","code_information":[{"code":"21616","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF STERNUM","code_information":[{"code":"21620","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STERNAL DEBRIDEMENT","code_information":[{"code":"21627","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXTENSIVE STERNUM SURGERY","code_information":[{"code":"21630","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXTENSIVE STERNUM SURGERY","code_information":[{"code":"21632","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIT DRL STP 2.5X12 NS","code_information":[{"code":"216424","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":419.75,"maximum":552,"gross_charge":575,"discounted_cash":318.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":546.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":552,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":471.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":529,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":494.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":419.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":477.25,"methodology":"fee schedule"}]}]},{"description":"BIT DRL STP 2.5X12 NS","code_information":[{"code":"216424","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":270.25,"maximum":552,"gross_charge":575,"discounted_cash":318.61,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":546.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":552,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":471.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":529,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":494.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":419.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":477.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":396.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":270.25,"methodology":"fee schedule"}]}]},{"description":"RELOAD GIA 80MM-3.8 SULU","code_information":[{"code":"216448","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":198.56,"maximum":261.12,"gross_charge":272,"discounted_cash":150.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":261.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":223.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":250.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":233.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":225.76,"methodology":"fee schedule"}]}]},{"description":"RELOAD GIA 80MM-3.8 SULU","code_information":[{"code":"216448","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":127.84,"maximum":261.12,"gross_charge":272,"discounted_cash":150.72,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":261.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":223.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":250.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":233.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":225.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":127.84,"methodology":"fee schedule"}]}]},{"description":"STAPLER GIA 80MM-3.8MM","code_information":[{"code":"216449","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":323.39,"maximum":425.28,"gross_charge":443,"discounted_cash":245.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":420.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":425.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":363.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":407.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":380.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":367.69,"methodology":"fee schedule"}]}]},{"description":"STAPLER GIA 80MM-3.8MM","code_information":[{"code":"216449","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":208.21,"maximum":425.28,"gross_charge":443,"discounted_cash":245.47,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":420.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":425.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":363.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":407.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":380.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":367.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":305.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":208.21,"methodology":"fee schedule"}]}]},{"description":"PIN FX TEMP DETACH NS","code_information":[{"code":"216608","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":229.22,"maximum":301.44,"gross_charge":314,"discounted_cash":173.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":301.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":257.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":288.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":270.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":260.62,"methodology":"fee schedule"}]}]},{"description":"PIN FX TEMP DETACH NS","code_information":[{"code":"216608","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":147.58,"maximum":301.44,"gross_charge":314,"discounted_cash":173.99,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":298.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":301.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":257.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":288.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":270.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":260.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":216.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":147.58,"methodology":"fee schedule"}]}]},{"description":"HYOID MYOTOMY  SUSPENSION","code_information":[{"code":"21685","type":"CPT"}],"standard_charges":[{"minimum":8366.68,"maximum":8366.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8366.68,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF NECK MUSCLE","code_information":[{"code":"21700","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF NECK MUSCLE/RIB","code_information":[{"code":"21705","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF NECK MUSCLE","code_information":[{"code":"21720","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF NECK MUSCLE","code_information":[{"code":"21725","type":"CPT"}],"standard_charges":[{"minimum":1023.15,"maximum":1023.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF STERNUM","code_information":[{"code":"21740","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR STERN/NUSS W/O SCOPE","code_information":[{"code":"21742","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR STERNUM/NUSS W/SCOPE","code_information":[{"code":"21743","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF STERNUM SEPARATION","code_information":[{"code":"21750","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FRCP BX RAD JAW 4 W/NDLEA1/BX2","code_information":[{"code":"217534","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":110.96,"maximum":145.92,"gross_charge":152,"discounted_cash":84.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":145.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":139.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":126.16,"methodology":"fee schedule"}]}]},{"description":"FRCP BX RAD JAW 4 W/NDLEA1/BX2","code_information":[{"code":"217534","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":71.44,"maximum":145.92,"gross_charge":152,"discounted_cash":84.23,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":145.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":139.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":126.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":71.44,"methodology":"fee schedule"}]}]},{"description":"OPTX OF RIB FX W/FIXJ SCOPE","code_information":[{"code":"21811","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF RIB FRACTURE","code_information":[{"code":"21812","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF RIB FRACTURE","code_information":[{"code":"21813","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT STERNUM FRACTURE","code_information":[{"code":"21820","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT STERNUM FRACTURE","code_information":[{"code":"21825","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NECK/CHEST SURGERY PROCEDURE","code_information":[{"code":"21899","type":"CPT"}],"standard_charges":[{"minimum":348.1,"maximum":348.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":348.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY SOFT TISSUE OF BACK","code_information":[{"code":"21920","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY SOFT TISSUE OF BACK","code_information":[{"code":"21925","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC BACK LES SC < 3 CM","code_information":[{"code":"21930","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC BACK LES SC 3 CM/>","code_information":[{"code":"21931","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC BACK TUM DEEP < 5 CM","code_information":[{"code":"21932","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC BACK TUM DEEP 5 CM/>","code_information":[{"code":"21933","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT BACK TUM < 5 CM","code_information":[{"code":"21935","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT BACK TUM 5 CM/>","code_information":[{"code":"21936","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES","code_information":[{"code":"2201","type":"APR-DRG"}],"standard_charges":[{"minimum":18936,"maximum":18936,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18936,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ID P-SPINE C/T/CERV-THOR","code_information":[{"code":"22010","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ID ABSCESS P-SPINE L/S/LS","code_information":[{"code":"22015","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES","code_information":[{"code":"2202","type":"APR-DRG"}],"standard_charges":[{"minimum":31134,"maximum":31134,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31134,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES","code_information":[{"code":"2203","type":"APR-DRG"}],"standard_charges":[{"minimum":70514,"maximum":70514,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70514,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES","code_information":[{"code":"2204","type":"APR-DRG"}],"standard_charges":[{"minimum":113522,"maximum":113522,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":113522,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE PART OF NECK VERTEBRA","code_information":[{"code":"22100","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PART THORAX VERTEBRA","code_information":[{"code":"22101","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PART LUMBAR VERTEBRA","code_information":[{"code":"22102","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PART OF NECK VERTEBRA","code_information":[{"code":"22110","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PART THORAX VERTEBRA","code_information":[{"code":"22112","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PART LUMBAR VERTEBRA","code_information":[{"code":"22114","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCIS SPINE 3 COLUMN THORAC","code_information":[{"code":"22206","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCIS SPINE 3 COLUMN LUMBAR","code_information":[{"code":"22207","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES","code_information":[{"code":"2221","type":"APR-DRG"}],"standard_charges":[{"minimum":15330,"maximum":15330,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15330,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCIS 1 VERTEBRAL SEG CERV","code_information":[{"code":"22210","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCIS 1 VERTEBRAL SEG THORAC","code_information":[{"code":"22212","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCIS 1 VERTEBRAL SEG LUMBAR","code_information":[{"code":"22214","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES","code_information":[{"code":"2222","type":"APR-DRG"}],"standard_charges":[{"minimum":24887,"maximum":24887,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24887,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCIS W/DISCECTOMY CERVICAL","code_information":[{"code":"22220","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCIS W/DISCECTOMY THORACIC","code_information":[{"code":"22222","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCIS W/DISCECTOMY LUMBAR","code_information":[{"code":"22224","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES","code_information":[{"code":"2223","type":"APR-DRG"}],"standard_charges":[{"minimum":36228,"maximum":36228,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36228,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES","code_information":[{"code":"2224","type":"APR-DRG"}],"standard_charges":[{"minimum":86407,"maximum":86407,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":86407,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER SMALL AND LARGE BOWEL PROCEDURES","code_information":[{"code":"2231","type":"APR-DRG"}],"standard_charges":[{"minimum":18548,"maximum":18548,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18548,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CLOSED TX VERT FX W/O MANJ","code_information":[{"code":"22310","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLOSED TX VERT FX W/MANJ","code_information":[{"code":"22315","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT ODONTOID FX W/O GRAFT","code_information":[{"code":"22318","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT ODONTOID FX W/GRAFT","code_information":[{"code":"22319","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER SMALL AND LARGE BOWEL PROCEDURES","code_information":[{"code":"2232","type":"APR-DRG"}],"standard_charges":[{"minimum":29239,"maximum":29239,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29239,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREAT SPINE FRACTURE","code_information":[{"code":"22325","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT NECK SPINE FRACTURE","code_information":[{"code":"22326","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THORAX SPINE FRACTURE","code_information":[{"code":"22327","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER SMALL AND LARGE BOWEL PROCEDURES","code_information":[{"code":"2233","type":"APR-DRG"}],"standard_charges":[{"minimum":57778,"maximum":57778,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57778,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER SMALL AND LARGE BOWEL PROCEDURES","code_information":[{"code":"2234","type":"APR-DRG"}],"standard_charges":[{"minimum":85032,"maximum":85032,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":85032,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERITONEAL ADHESIOLYSIS","code_information":[{"code":"2241","type":"APR-DRG"}],"standard_charges":[{"minimum":25763,"maximum":25763,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25763,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CANN ENDOPATH EXCEL STBL SLV","code_information":[{"code":"224156","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":82.49,"maximum":108.48,"gross_charge":113,"discounted_cash":62.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":93.79,"methodology":"fee schedule"}]}]},{"description":"CANN ENDOPATH EXCEL STBL SLV","code_information":[{"code":"224156","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":53.11,"maximum":108.48,"gross_charge":113,"discounted_cash":62.62,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":93.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":53.11,"methodology":"fee schedule"}]}]},{"description":"PERITONEAL ADHESIOLYSIS","code_information":[{"code":"2242","type":"APR-DRG"}],"standard_charges":[{"minimum":29990,"maximum":29990,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29990,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERITONEAL ADHESIOLYSIS","code_information":[{"code":"2243","type":"APR-DRG"}],"standard_charges":[{"minimum":49199,"maximum":49199,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49199,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PERITONEAL ADHESIOLYSIS","code_information":[{"code":"2244","type":"APR-DRG"}],"standard_charges":[{"minimum":82463,"maximum":82463,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":82463,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MANIPULATION OF SPINE","code_information":[{"code":"22505","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ CERVICOTHORACIC INJECT","code_information":[{"code":"22510","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ LUMBOSACRAL INJECTION","code_information":[{"code":"22511","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ VERTEBRAL AUGMENTATION","code_information":[{"code":"22513","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ VERTEBRAL AUGMENTATION","code_information":[{"code":"22514","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IDET SINGLE LEVEL","code_information":[{"code":"22526","type":"CPT"}],"standard_charges":[{"minimum":4089.17,"maximum":4089.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4089.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IDET 1 OR MORE LEVELS","code_information":[{"code":"22527","type":"CPT"}],"standard_charges":[{"minimum":4089.17,"maximum":4089.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4089.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAT THORAX SPINE FUSION","code_information":[{"code":"22532","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAT LUMBAR SPINE FUSION","code_information":[{"code":"22533","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NDL SPINE PENCAN 25GX5IN","code_information":[{"code":"225371","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":14.1328,"maximum":18.5856,"gross_charge":19.36,"discounted_cash":10.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.07,"methodology":"fee schedule"}]}]},{"description":"NDL SPINE PENCAN 25GX5IN","code_information":[{"code":"225371","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":9.0992,"maximum":18.5856,"gross_charge":19.36,"discounted_cash":10.73,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.1,"methodology":"fee schedule"}]}]},{"description":"BINDER ABD 4PNL 12X45-62IN","code_information":[{"code":"225471","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":32.12,"maximum":42.24,"gross_charge":44,"discounted_cash":24.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"}]}]},{"description":"BINDER ABD 4PNL 12X45-62IN","code_information":[{"code":"225471","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":20.68,"maximum":44,"gross_charge":44,"discounted_cash":24.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.68,"methodology":"fee schedule"}]}]},{"description":"NECK SPINE FUSION","code_information":[{"code":"22548","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NECK SPINE FUSEREMOV BEL C2","code_information":[{"code":"22551","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NECK SPINE FUSION","code_information":[{"code":"22554","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THORAX SPINE FUSION","code_information":[{"code":"22556","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LUMBAR SPINE FUSION","code_information":[{"code":"22558","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH KT MULTI LUMEN STRL 7FR 8","code_information":[{"code":"225839","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":209.51,"maximum":275.52,"gross_charge":287,"discounted_cash":159.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":264.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":238.21,"methodology":"fee schedule"}]}]},{"description":"CATH KT MULTI LUMEN STRL 7FR 8","code_information":[{"code":"225839","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":134.89,"maximum":275.52,"gross_charge":287,"discounted_cash":159.03,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":272.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":264.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":238.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":198.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":134.89,"methodology":"fee schedule"}]}]},{"description":"PRESCRL FUSE W/ INSTR L5-S1","code_information":[{"code":"22586","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SPINE  SKULL SPINAL FUSION","code_information":[{"code":"22590","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NECK SPINAL FUSION","code_information":[{"code":"22595","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NECK SPINE FUSION","code_information":[{"code":"22600","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANAL PROCEDURES","code_information":[{"code":"2261","type":"APR-DRG"}],"standard_charges":[{"minimum":16371,"maximum":16371,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16371,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"THORAX SPINE FUSION","code_information":[{"code":"22610","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LUMBAR SPINE FUSION","code_information":[{"code":"22612","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANAL PROCEDURES","code_information":[{"code":"2262","type":"APR-DRG"}],"standard_charges":[{"minimum":20050,"maximum":20050,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20050,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANAL PROCEDURES","code_information":[{"code":"2263","type":"APR-DRG"}],"standard_charges":[{"minimum":36003,"maximum":36003,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36003,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LUMBAR SPINE FUSION","code_information":[{"code":"22630","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LUMBAR SPINE FUSION COMBINED","code_information":[{"code":"22633","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANAL PROCEDURES","code_information":[{"code":"2264","type":"APR-DRG"}],"standard_charges":[{"minimum":63605,"maximum":63605,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63605,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BLDE SHV CUT AGR FORM 4MM STRL","code_information":[{"code":"226948","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":135.05,"maximum":177.6,"gross_charge":185,"discounted_cash":102.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":177.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":170.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":153.55,"methodology":"fee schedule"}]}]},{"description":"BLDE SHV CUT AGR FORM 4MM STRL","code_information":[{"code":"226948","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":86.95,"maximum":177.6,"gross_charge":185,"discounted_cash":102.51,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":177.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":170.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":153.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":127.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":86.95,"methodology":"fee schedule"}]}]},{"description":"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL","code_information":[{"code":"2271","type":"APR-DRG"}],"standard_charges":[{"minimum":24366,"maximum":24366,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24366,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL","code_information":[{"code":"2272","type":"APR-DRG"}],"standard_charges":[{"minimum":28443,"maximum":28443,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28443,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL","code_information":[{"code":"2273","type":"APR-DRG"}],"standard_charges":[{"minimum":37968,"maximum":37968,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37968,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL","code_information":[{"code":"2274","type":"APR-DRG"}],"standard_charges":[{"minimum":135824,"maximum":135824,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":135824,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TB CHST KT PLEURA GD INSRT","code_information":[{"code":"227610","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":181.04,"maximum":238.08,"gross_charge":248,"discounted_cash":137.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":228.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":213.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":205.84,"methodology":"fee schedule"}]}]},{"description":"TB CHST KT PLEURA GD INSRT","code_information":[{"code":"227610","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":116.56,"maximum":238.08,"gross_charge":248,"discounted_cash":137.42,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":228.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":213.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":205.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":171.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":116.56,"methodology":"fee schedule"}]}]},{"description":"DEVICE RETRV POLYP 3X6CM NET","code_information":[{"code":"227824","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":200.02,"maximum":263.04,"gross_charge":274,"discounted_cash":151.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":263.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":252.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":235.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":227.42,"methodology":"fee schedule"}]}]},{"description":"DEVICE RETRV POLYP 3X6CM NET","code_information":[{"code":"227824","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":128.78,"maximum":263.04,"gross_charge":274,"discounted_cash":151.83,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":263.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":252.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":235.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":227.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":189.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":128.78,"methodology":"fee schedule"}]}]},{"description":"POST FUSION </6 VERT SEG","code_information":[{"code":"22800","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"POST FUSION 7-12 VERT SEG","code_information":[{"code":"22802","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"POST FUSION 13/> VERT SEG","code_information":[{"code":"22804","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANT FUSION 2-3 VERT SEG","code_information":[{"code":"22808","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES","code_information":[{"code":"2281","type":"APR-DRG"}],"standard_charges":[{"minimum":18447,"maximum":18447,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18447,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANT FUSION 4-7 VERT SEG","code_information":[{"code":"22810","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANT FUSION 8/> VERT SEG","code_information":[{"code":"22812","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KYPHECTOMY 1-2 SEGMENTS","code_information":[{"code":"22818","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KYPHECTOMY 3 OR MORE","code_information":[{"code":"22819","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES","code_information":[{"code":"2282","type":"APR-DRG"}],"standard_charges":[{"minimum":25028,"maximum":25028,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25028,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES","code_information":[{"code":"2283","type":"APR-DRG"}],"standard_charges":[{"minimum":31721,"maximum":31721,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31721,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXPLORATION OF SPINAL FUSION","code_information":[{"code":"22830","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES","code_information":[{"code":"2284","type":"APR-DRG"}],"standard_charges":[{"minimum":56755,"maximum":56755,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56755,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REINSERT SPINAL FIXATION","code_information":[{"code":"22849","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE FIXATION DEVICE","code_information":[{"code":"22850","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE FIXATION DEVICE","code_information":[{"code":"22852","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE FIXATION DEVICE","code_information":[{"code":"22855","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CERV ARTIFIC DISKECTOMY","code_information":[{"code":"22856","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LUMBAR ARTIF DISKECTOMY","code_information":[{"code":"22857","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE CERV ARTIFIC DISC","code_information":[{"code":"22861","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE LUMBAR ARTIF DISC","code_information":[{"code":"22862","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE CERV ARTIF DISC","code_information":[{"code":"22864","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE LUMB ARTIF DISC","code_information":[{"code":"22865","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSJ STABLJ DEV W/DCMPRN","code_information":[{"code":"22867","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSJ STABLJ DEV W/O DCMPRN","code_information":[{"code":"22869","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SPINE SURGERY PROCEDURE","code_information":[{"code":"22899","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC ABDL TUM DEEP < 5 CM","code_information":[{"code":"22900","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC ABDL TUM DEEP 5 CM/>","code_information":[{"code":"22901","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC ABD LES SC < 3 CM","code_information":[{"code":"22902","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC ABD LES SC 3 CM/>","code_information":[{"code":"22903","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RADICAL RESECT ABD TUMOR<5CM","code_information":[{"code":"22904","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RAD RESECT ABD TUMOR 5 CM/>","code_information":[{"code":"22905","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES","code_information":[{"code":"2291","type":"APR-DRG"}],"standard_charges":[{"minimum":19525,"maximum":19525,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19525,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES","code_information":[{"code":"2292","type":"APR-DRG"}],"standard_charges":[{"minimum":23813,"maximum":23813,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23813,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES","code_information":[{"code":"2293","type":"APR-DRG"}],"standard_charges":[{"minimum":49410,"maximum":49410,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49410,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES","code_information":[{"code":"2294","type":"APR-DRG"}],"standard_charges":[{"minimum":82617,"maximum":82617,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":82617,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ABDOMEN SURGERY PROCEDURE","code_information":[{"code":"22999","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF CALCIUM DEPOSITS","code_information":[{"code":"23000","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR SMALL BOWEL PROCEDURES","code_information":[{"code":"2301","type":"APR-DRG"}],"standard_charges":[{"minimum":23550,"maximum":23550,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23550,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"APPLIER CLP LIG 5MM","code_information":[{"code":"230105","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":292,"maximum":384,"gross_charge":400,"discounted_cash":221.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":380,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":384,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":328,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":368,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":344,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":332,"methodology":"fee schedule"}]}]},{"description":"APPLIER CLP LIG 5MM","code_information":[{"code":"230105","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":188,"maximum":384,"gross_charge":400,"discounted_cash":221.64,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":380,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":384,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":328,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":368,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":344,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":332,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":276,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":188,"methodology":"fee schedule"}]}]},{"description":"MAJOR SMALL BOWEL PROCEDURES","code_information":[{"code":"2302","type":"APR-DRG"}],"standard_charges":[{"minimum":33328,"maximum":33328,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33328,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RELEASE SHOULDER JOINT","code_information":[{"code":"23020","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR SMALL BOWEL PROCEDURES","code_information":[{"code":"2303","type":"APR-DRG"}],"standard_charges":[{"minimum":43510,"maximum":43510,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43510,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAIN SHOULDER LESION","code_information":[{"code":"23030","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN SHOULDER BURSA","code_information":[{"code":"23031","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN SHOULDER BONE LESION","code_information":[{"code":"23035","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FRCP BX HOT RAD 3 2.8X240CM","code_information":[{"code":"230378","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":46.72,"maximum":61.44,"gross_charge":64,"discounted_cash":35.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"}]}]},{"description":"FRCP BX HOT RAD 3 2.8X240CM","code_information":[{"code":"230378","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":30.08,"maximum":61.44,"gross_charge":64,"discounted_cash":35.47,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.08,"methodology":"fee schedule"}]}]},{"description":"MAJOR SMALL BOWEL PROCEDURES","code_information":[{"code":"2304","type":"APR-DRG"}],"standard_charges":[{"minimum":128178,"maximum":128178,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":128178,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXPLORATORY SHOULDER SURGERY","code_information":[{"code":"23040","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATORY SHOULDER SURGERY","code_information":[{"code":"23044","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY SHOULDER TISSUES","code_information":[{"code":"23065","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY SHOULDER TISSUES","code_information":[{"code":"23066","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC SHOULDER LES SC 3 CM/>","code_information":[{"code":"23071","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC SHOULDER TUM DEEP 5 CM/>","code_information":[{"code":"23073","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STPLR CUTTER CNTR CURVED","code_information":[{"code":"230744","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":735.84,"maximum":967.68,"gross_charge":1008,"discounted_cash":558.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":967.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":826.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":927.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":866.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":735.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":836.64,"methodology":"fee schedule"}]}]},{"description":"STPLR CUTTER CNTR CURVED","code_information":[{"code":"230744","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":473.76,"maximum":967.68,"gross_charge":1008,"discounted_cash":558.54,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":957.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":967.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":826.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":927.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":866.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":735.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":836.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":695.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":473.76,"methodology":"fee schedule"}]}]},{"description":"EXC SHOULDER LES SC < 3 CM","code_information":[{"code":"23075","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUT VCRL 8-0 12IN TG1408 CTD","code_information":[{"code":"230752","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":36.5,"maximum":48,"gross_charge":50,"discounted_cash":27.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.5,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL 8-0 12IN TG1408 CTD","code_information":[{"code":"230752","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":23.5,"maximum":48,"gross_charge":50,"discounted_cash":27.71,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.5,"methodology":"fee schedule"}]}]},{"description":"EXC SHOULDER TUM DEEP < 5 CM","code_information":[{"code":"23076","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT SHOULDER TUMOR < 5 CM","code_information":[{"code":"23077","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT SHOULDER TUMOR 5 CM/>","code_information":[{"code":"23078","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF SHOULDER JOINT","code_information":[{"code":"23100","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHOULDER JOINT SURGERY","code_information":[{"code":"23101","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SHOULDER JOINT LINING","code_information":[{"code":"23105","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF COLLARBONE JOINT","code_information":[{"code":"23106","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE TREAT SHOULDER JOINT","code_information":[{"code":"23107","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR LARGE BOWEL PROCEDURES","code_information":[{"code":"2311","type":"APR-DRG"}],"standard_charges":[{"minimum":27734,"maximum":27734,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27734,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR LARGE BOWEL PROCEDURES","code_information":[{"code":"2312","type":"APR-DRG"}],"standard_charges":[{"minimum":33044,"maximum":33044,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33044,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL REMOVAL COLLAR BONE","code_information":[{"code":"23120","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF COLLAR BONE","code_information":[{"code":"23125","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR LARGE BOWEL PROCEDURES","code_information":[{"code":"2313","type":"APR-DRG"}],"standard_charges":[{"minimum":43262,"maximum":43262,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43262,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE SHOULDER BONE PART","code_information":[{"code":"23130","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR LARGE BOWEL PROCEDURES","code_information":[{"code":"2314","type":"APR-DRG"}],"standard_charges":[{"minimum":95468,"maximum":95468,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95468,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF BONE LESION","code_information":[{"code":"23140","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF BONE LESION","code_information":[{"code":"23145","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF BONE LESION","code_information":[{"code":"23146","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HUMERUS LESION","code_information":[{"code":"23150","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HUMERUS LESION","code_information":[{"code":"23155","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HUMERUS LESION","code_information":[{"code":"23156","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BINDER ABD 3PNL UNIV 9X30-45IN","code_information":[{"code":"231613","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":24.09,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"}]}]},{"description":"BINDER ABD 3PNL UNIV 9X30-45IN","code_information":[{"code":"231613","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":15.51,"maximum":33,"gross_charge":33,"discounted_cash":18.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.51,"methodology":"fee schedule"}]}]},{"description":"BINDER ABD 3PNL UNIV 9X45-62IN","code_information":[{"code":"231614","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":20.44,"maximum":26.88,"gross_charge":28,"discounted_cash":15.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.24,"methodology":"fee schedule"}]}]},{"description":"BINDER ABD 3PNL UNIV 9X45-62IN","code_information":[{"code":"231614","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":13.16,"maximum":28,"gross_charge":28,"discounted_cash":15.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.16,"methodology":"fee schedule"}]}]},{"description":"REMOVE COLLAR BONE LESION","code_information":[{"code":"23170","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SHOULDER BLADE LESION","code_information":[{"code":"23172","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HUMERUS LESION","code_information":[{"code":"23174","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE COLLAR BONE LESION","code_information":[{"code":"23180","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SHOULDER BLADE LESION","code_information":[{"code":"23182","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HUMERUS LESION","code_information":[{"code":"23184","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF SCAPULA","code_information":[{"code":"23190","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HEAD OF HUMERUS","code_information":[{"code":"23195","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT CLAVICLE TUMOR","code_information":[{"code":"23200","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GASTRIC FUNDOPLICATION","code_information":[{"code":"2321","type":"APR-DRG"}],"standard_charges":[{"minimum":18579,"maximum":18579,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18579,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESECT SCAPULA TUMOR","code_information":[{"code":"23210","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GASTRIC FUNDOPLICATION","code_information":[{"code":"2322","type":"APR-DRG"}],"standard_charges":[{"minimum":26200,"maximum":26200,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26200,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESECT PROX HUMERUS TUMOR","code_information":[{"code":"23220","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SOL NACL SF 10ML PREFIL SYR","code_information":[{"code":"232291","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1.4965,"maximum":1.968,"gross_charge":2.05,"discounted_cash":1.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.71,"methodology":"fee schedule"}]}]},{"description":"SOL NACL SF 10ML PREFIL SYR","code_information":[{"code":"232291","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":0.9635,"maximum":1.968,"gross_charge":2.05,"discounted_cash":1.14,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.97,"methodology":"fee schedule"}]}]},{"description":"GASTRIC FUNDOPLICATION","code_information":[{"code":"2323","type":"APR-DRG"}],"standard_charges":[{"minimum":40818,"maximum":40818,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40818,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"GASTRIC FUNDOPLICATION","code_information":[{"code":"2324","type":"APR-DRG"}],"standard_charges":[{"minimum":95113,"maximum":95113,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95113,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH URETH ROB STRL LF 14FR","code_information":[{"code":"232708","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1.1388,"maximum":1.4976,"gross_charge":1.56,"discounted_cash":0.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.3,"methodology":"fee schedule"}]}]},{"description":"CATH URETH ROB STRL LF 14FR","code_information":[{"code":"232708","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":0.7332,"maximum":1.4976,"gross_charge":1.56,"discounted_cash":0.87,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.74,"methodology":"fee schedule"}]}]},{"description":"APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"2331","type":"APR-DRG"}],"standard_charges":[{"minimum":18346,"maximum":18346,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18346,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"2332","type":"APR-DRG"}],"standard_charges":[{"minimum":24645,"maximum":24645,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24645,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"2333","type":"APR-DRG"}],"standard_charges":[{"minimum":39048,"maximum":39048,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39048,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE SHOULDER FOREIGN BODY","code_information":[{"code":"23330","type":"CPT"}],"standard_charges":[{"minimum":1023.15,"maximum":1023.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SHOULDER FB DEEP","code_information":[{"code":"23333","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHOULDER PROSTHESIS REMOVAL","code_information":[{"code":"23334","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHOULDER PROSTHESIS REMOVAL","code_information":[{"code":"23335","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"2334","type":"APR-DRG"}],"standard_charges":[{"minimum":66989,"maximum":66989,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66989,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRANSCONN 25.5-30.5MM","code_information":[{"code":"233554","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":711.02,"maximum":935.04,"gross_charge":974,"discounted_cash":539.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":925.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":935.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":798.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":896.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":837.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":711.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":808.42,"methodology":"fee schedule"}]}]},{"description":"TRANSCONN 25.5-30.5MM","code_information":[{"code":"233554","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":457.78,"maximum":935.04,"gross_charge":974,"discounted_cash":539.7,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":925.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":935.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":798.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":896.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":837.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":711.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":808.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":672.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":457.78,"methodology":"fee schedule"}]}]},{"description":"HOOK TRNVRS PROC CLCK-X R TI","code_information":[{"code":"233557","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":971.63,"maximum":1277.76,"gross_charge":1331,"discounted_cash":737.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1264.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1277.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1091.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1224.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1144.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":971.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1104.73,"methodology":"fee schedule"}]}]},{"description":"HOOK TRNVRS PROC CLCK-X R TI","code_information":[{"code":"233557","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":625.57,"maximum":1277.76,"gross_charge":1331,"discounted_cash":737.51,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1264.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1277.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1091.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1224.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1144.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":971.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1104.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":918.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":625.57,"methodology":"fee schedule"}]}]},{"description":"MUSCLE TRANSFER SHOULDER/ARM","code_information":[{"code":"23395","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MUSCLE TRANSFERS","code_information":[{"code":"23397","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELECTRD QUICK COMBO PED","code_information":[{"code":"233983","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"ELECTRD QUICK COMBO PED","code_information":[{"code":"233983","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":44.18,"maximum":94,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":94,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":44.18,"methodology":"fee schedule"}]}]},{"description":"FIXATION OF SHOULDER BLADE","code_information":[{"code":"23400","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF TENDON  MUSCLE","code_information":[{"code":"23405","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE TENDON(S)  MUSCLE(S)","code_information":[{"code":"23406","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"2341","type":"APR-DRG"}],"standard_charges":[{"minimum":18108,"maximum":18108,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18108,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR ROTATOR CUFF ACUTE","code_information":[{"code":"23410","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR ROTATOR CUFF CHRONIC","code_information":[{"code":"23412","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE OF SHOULDER LIGAMENT","code_information":[{"code":"23415","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"2342","type":"APR-DRG"}],"standard_charges":[{"minimum":22463,"maximum":22463,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22463,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR OF SHOULDER","code_information":[{"code":"23420","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"2343","type":"APR-DRG"}],"standard_charges":[{"minimum":34078,"maximum":34078,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34078,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR BICEPS TENDON","code_information":[{"code":"23430","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS","code_information":[{"code":"2344","type":"APR-DRG"}],"standard_charges":[{"minimum":55838,"maximum":55838,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55838,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE/TRANSPLANT TENDON","code_information":[{"code":"23440","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HANDSWITCH LIGASURE ATLS 37CM","code_information":[{"code":"234420","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":797.16,"maximum":1048.32,"gross_charge":1092,"discounted_cash":605.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":895.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1004.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":939.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":797.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":906.36,"methodology":"fee schedule"}]}]},{"description":"HANDSWITCH LIGASURE ATLS 37CM","code_information":[{"code":"234420","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":513.24,"maximum":1048.32,"gross_charge":1092,"discounted_cash":605.08,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1037.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":895.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1004.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":939.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":797.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":906.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":753.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":513.24,"methodology":"fee schedule"}]}]},{"description":"REPAIR SHOULDER CAPSULE","code_information":[{"code":"23450","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR SHOULDER CAPSULE","code_information":[{"code":"23455","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR SHOULDER CAPSULE","code_information":[{"code":"23460","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR SHOULDER CAPSULE","code_information":[{"code":"23462","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR SHOULDER CAPSULE","code_information":[{"code":"23465","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR SHOULDER CAPSULE","code_information":[{"code":"23466","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT SHOULDER JOINT","code_information":[{"code":"23470","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT SHOULDER JOINT","code_information":[{"code":"23472","type":"CPT"}],"standard_charges":[{"minimum":20844.54,"maximum":20844.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20844.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVIS RECONST SHOULDER JOINT","code_information":[{"code":"23473","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVIS RECONST SHOULDER JOINT","code_information":[{"code":"23474","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF COLLAR BONE","code_information":[{"code":"23480","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF COLLAR BONE","code_information":[{"code":"23485","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINFORCE CLAVICLE","code_information":[{"code":"23490","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINFORCE SHOULDER BONES","code_information":[{"code":"23491","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX CLAVICLE WO MANIP ER","code_information":[{"code":"23500","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX CLAVICLE WO MANIP ER","code_information":[{"code":"23500","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX FX CLAVICLE W MANIP CLOS ER","code_information":[{"code":"23505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1990.71,"maximum":2617.92,"gross_charge":2727,"discounted_cash":1511.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2590.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2617.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2236.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2508.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2345.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1990.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2263.41,"methodology":"fee schedule"}]}]},{"description":"TX FX CLAVICLE W MANIP CLOS ER","code_information":[{"code":"23505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1281.69,"maximum":2617.92,"gross_charge":2727,"discounted_cash":1511.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2590.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2617.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2236.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2508.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2345.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1990.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2263.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1881.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1281.69,"methodology":"fee schedule"}]}]},{"description":"TREAT CLAVICLE FRACTURE","code_information":[{"code":"23515","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT CLAVICLE DISLOCATION","code_information":[{"code":"23520","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT CLAVICLE DISLOCATION","code_information":[{"code":"23525","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT CLAVICLE DISLOCATION","code_information":[{"code":"23530","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT CLAVICLE DISLOCATION","code_information":[{"code":"23532","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX DISL ACROMIOCLAV CLSD ER","code_information":[{"code":"23540","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":417.56,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"}]}]},{"description":"TX DISL ACROMIOCLAV CLSD ER","code_information":[{"code":"23540","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":268.84,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":268.84,"methodology":"fee schedule"}]}]},{"description":"TREAT CLAVICLE DISLOCATION","code_information":[{"code":"23545","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT CLAVICLE DISLOCATION","code_information":[{"code":"23550","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT CLAVICLE DISLOCATION","code_information":[{"code":"23552","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CREAM SENSI-CARE BODY LV 2","code_information":[{"code":"235642","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":8.03,"maximum":10.56,"gross_charge":11,"discounted_cash":6.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.13,"methodology":"fee schedule"}]}]},{"description":"CREAM SENSI-CARE BODY LV 2","code_information":[{"code":"235642","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":5.17,"maximum":11,"gross_charge":11,"discounted_cash":6.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.17,"methodology":"fee schedule"}]}]},{"description":"TX FX SCAPULA WO MAN CLSD ER","code_information":[{"code":"23570","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX SCAPULA WO MAN CLSD ER","code_information":[{"code":"23570","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TREAT SHOULDER BLADE FX","code_information":[{"code":"23575","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SCAPULA FRACTURE","code_information":[{"code":"23585","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX HUMER PROX WO MAN CL ER","code_information":[{"code":"23600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX HUMER PROX WO MAN CL ER","code_information":[{"code":"23600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX FX HUMER PROX W MAN CLSD ER","code_information":[{"code":"23605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2712.68,"maximum":3567.36,"gross_charge":3716,"discounted_cash":2059.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3530.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3567.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3047.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3418.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3195.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2712.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3084.28,"methodology":"fee schedule"}]}]},{"description":"TX FX HUMER PROX W MAN CLSD ER","code_information":[{"code":"23605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1746.52,"maximum":3567.36,"gross_charge":3716,"discounted_cash":2059.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3530.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3567.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3047.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3418.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3195.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2712.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3084.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2564.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1746.52,"methodology":"fee schedule"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"23615","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"23616","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"23620","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PUMP/FLUSH ST KANGAROO","code_information":[{"code":"236206","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":17.52,"maximum":23.04,"gross_charge":24,"discounted_cash":13.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.92,"methodology":"fee schedule"}]}]},{"description":"PUMP/FLUSH ST KANGAROO","code_information":[{"code":"236206","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":11.28,"maximum":24,"gross_charge":24,"discounted_cash":13.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.28,"methodology":"fee schedule"}]}]},{"description":"TX FX HUM TUBR W MAN CLS ER","code_information":[{"code":"23625","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2285.63,"maximum":3005.76,"gross_charge":3131,"discounted_cash":1734.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2974.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3005.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2567.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2880.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2692.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2285.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2598.73,"methodology":"fee schedule"}]}]},{"description":"TX FX HUM TUBR W MAN CLS ER","code_information":[{"code":"23625","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1471.57,"maximum":3005.76,"gross_charge":3131,"discounted_cash":1734.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2974.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3005.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2567.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2880.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2692.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2285.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2598.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2160.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1471.57,"methodology":"fee schedule"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"23630","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX DISL SHLDR W MAN CLSD ER","code_information":[{"code":"23650","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX DISL SHLDR W MAN CLSD ER","code_information":[{"code":"23650","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX DISL SHLDR W MAN/ANES CL ER","code_information":[{"code":"23655","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2902.48,"maximum":3816.96,"gross_charge":3976,"discounted_cash":2203.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3777.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3816.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3260.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3657.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3419.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2902.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3300.08,"methodology":"fee schedule"}]}]},{"description":"TX DISL SHLDR W MAN/ANES CL ER","code_information":[{"code":"23655","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1868.72,"maximum":3816.96,"gross_charge":3976,"discounted_cash":2203.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3777.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3816.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3260.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3657.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3419.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2902.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3300.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2743.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1868.72,"methodology":"fee schedule"}]}]},{"description":"TREAT SHOULDER DISLOCATION","code_information":[{"code":"23660","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT DISLOCATION/FRACTURE","code_information":[{"code":"23665","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT DISLOCATION/FRACTURE","code_information":[{"code":"23670","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT DISLOCATION/FRACTURE","code_information":[{"code":"23675","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT DISLOCATION/FRACTURE","code_information":[{"code":"23680","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FIXATION OF SHOULDER","code_information":[{"code":"23700","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF SHOULDER JOINT","code_information":[{"code":"23800","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF SHOULDER JOINT","code_information":[{"code":"23802","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF ARM  GIRDLE","code_information":[{"code":"23900","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION AT SHOULDER JOINT","code_information":[{"code":"23920","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"23921","type":"CPT"}],"standard_charges":[{"minimum":2821.81,"maximum":2821.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2821.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHOULDER SURGERY PROCEDURE","code_information":[{"code":"23929","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF ARM LESION","code_information":[{"code":"23930","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF ARM BURSA","code_information":[{"code":"23931","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN ARM/ELBOW BONE LESION","code_information":[{"code":"23935","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATORY ELBOW SURGERY","code_information":[{"code":"24000","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE ELBOW JOINT","code_information":[{"code":"24006","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIGESTIVE MALIGNANCY","code_information":[{"code":"2401","type":"APR-DRG"}],"standard_charges":[{"minimum":15283,"maximum":15283,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15283,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DIGESTIVE MALIGNANCY","code_information":[{"code":"2402","type":"APR-DRG"}],"standard_charges":[{"minimum":25851,"maximum":25851,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25851,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DIGESTIVE MALIGNANCY","code_information":[{"code":"2403","type":"APR-DRG"}],"standard_charges":[{"minimum":35326,"maximum":35326,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35326,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DIGESTIVE MALIGNANCY","code_information":[{"code":"2404","type":"APR-DRG"}],"standard_charges":[{"minimum":86265,"maximum":86265,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":86265,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY ARM/ELBOW SOFT TISSUE","code_information":[{"code":"24065","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY ARM/ELBOW SOFT TISSUE","code_information":[{"code":"24066","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC ARM/ELBOW LES SC 3 CM/>","code_information":[{"code":"24071","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EX ARM/ELBOW TUM DEEP 5 CM/>","code_information":[{"code":"24073","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC ARM/ELBOW LES SC < 3 CM","code_information":[{"code":"24075","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EX ARM/ELBOW TUM DEEP < 5 CM","code_information":[{"code":"24076","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT ARM/ELBOW TUM < 5 CM","code_information":[{"code":"24077","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT ARM/ELBOW TUM 5 CM/>","code_information":[{"code":"24079","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SOL ORAL VARIBAR THIN 148GM","code_information":[{"code":"240817","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":15.6366,"maximum":20.5632,"gross_charge":21.42,"discounted_cash":11.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.71,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.78,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL VARIBAR THIN 148GM","code_information":[{"code":"240817","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":10.0674,"maximum":20.5632,"gross_charge":21.42,"discounted_cash":11.87,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.71,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.07,"methodology":"fee schedule"}]}]},{"description":"BIOPSY ELBOW JOINT LINING","code_information":[{"code":"24100","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT ELBOW JOINT","code_information":[{"code":"24101","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ELBOW JOINT LINING","code_information":[{"code":"24102","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ELBOW BURSA","code_information":[{"code":"24105","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PEPTIC ULCER AND GASTRITIS","code_information":[{"code":"2411","type":"APR-DRG"}],"standard_charges":[{"minimum":12348,"maximum":12348,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12348,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE HUMERUS LESION","code_information":[{"code":"24110","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT BONE LESION","code_information":[{"code":"24115","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT BONE LESION","code_information":[{"code":"24116","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PEPTIC ULCER AND GASTRITIS","code_information":[{"code":"2412","type":"APR-DRG"}],"standard_charges":[{"minimum":13229,"maximum":13229,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13229,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE ELBOW LESION","code_information":[{"code":"24120","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT BONE LESION","code_information":[{"code":"24125","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT BONE LESION","code_information":[{"code":"24126","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PEPTIC ULCER AND GASTRITIS","code_information":[{"code":"2413","type":"APR-DRG"}],"standard_charges":[{"minimum":19776,"maximum":19776,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19776,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF HEAD OF RADIUS","code_information":[{"code":"24130","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ARM BONE LESION","code_information":[{"code":"24134","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE RADIUS BONE LESION","code_information":[{"code":"24136","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ELBOW BONE LESION","code_information":[{"code":"24138","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PEPTIC ULCER AND GASTRITIS","code_information":[{"code":"2414","type":"APR-DRG"}],"standard_charges":[{"minimum":87147,"maximum":87147,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":87147,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL REMOVAL OF ARM BONE","code_information":[{"code":"24140","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF RADIUS","code_information":[{"code":"24145","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF ELBOW","code_information":[{"code":"24147","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RADICAL RESECTION OF ELBOW","code_information":[{"code":"24149","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT DISTAL HUMERUS TUMOR","code_information":[{"code":"24150","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT RADIUS TUMOR","code_information":[{"code":"24152","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ELBOW JOINT","code_information":[{"code":"24155","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ELBOW JOINT IMPLANT","code_information":[{"code":"24160","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE RADIUS HEAD IMPLANT","code_information":[{"code":"24164","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ARM FOREIGN BODY","code_information":[{"code":"24200","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ARM FOREIGN BODY","code_information":[{"code":"24201","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR ESOPHAGEAL DISORDERS","code_information":[{"code":"2421","type":"APR-DRG"}],"standard_charges":[{"minimum":10752,"maximum":10752,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10752,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR ESOPHAGEAL DISORDERS","code_information":[{"code":"2422","type":"APR-DRG"}],"standard_charges":[{"minimum":14839,"maximum":14839,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14839,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR ESOPHAGEAL DISORDERS","code_information":[{"code":"2423","type":"APR-DRG"}],"standard_charges":[{"minimum":21373,"maximum":21373,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21373,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR ESOPHAGEAL DISORDERS","code_information":[{"code":"2424","type":"APR-DRG"}],"standard_charges":[{"minimum":46699,"maximum":46699,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46699,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MANIPULATE ELBOW W/ANESTH","code_information":[{"code":"24300","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MUSCLE/TENDON TRANSFER","code_information":[{"code":"24301","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ARM TENDON LENGTHENING","code_information":[{"code":"24305","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER ESOPHAGEAL DISORDERS","code_information":[{"code":"2431","type":"APR-DRG"}],"standard_charges":[{"minimum":11119,"maximum":11119,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11119,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF ARM TENDON","code_information":[{"code":"24310","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER ESOPHAGEAL DISORDERS","code_information":[{"code":"2432","type":"APR-DRG"}],"standard_charges":[{"minimum":14216,"maximum":14216,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14216,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR OF ARM TENDON","code_information":[{"code":"24320","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER ESOPHAGEAL DISORDERS","code_information":[{"code":"2433","type":"APR-DRG"}],"standard_charges":[{"minimum":21880,"maximum":21880,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21880,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF ARM MUSCLES","code_information":[{"code":"24330","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF ARM MUSCLES","code_information":[{"code":"24331","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TENOLYSIS TRICEPS","code_information":[{"code":"24332","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER ESOPHAGEAL DISORDERS","code_information":[{"code":"2434","type":"APR-DRG"}],"standard_charges":[{"minimum":39013,"maximum":39013,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39013,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR OF BICEPS TENDON","code_information":[{"code":"24340","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR ARM TENDON/MUSCLE","code_information":[{"code":"24341","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF RUPTURED TENDON","code_information":[{"code":"24342","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPR ELBOW LAT LIGMNT W/TISS","code_information":[{"code":"24343","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT ELBOW LAT LIGMNT","code_information":[{"code":"24344","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPR ELBW MED LIGMNT W/TISSU","code_information":[{"code":"24345","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT ELBOW MED LIGMNT","code_information":[{"code":"24346","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR ELBOW PERC","code_information":[{"code":"24357","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR ELBOW W/DEB OPEN","code_information":[{"code":"24358","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR ELBOW DEB/ATTCH OPEN","code_information":[{"code":"24359","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT ELBOW JOINT","code_information":[{"code":"24360","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT ELBOW JOINT","code_information":[{"code":"24361","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT ELBOW JOINT","code_information":[{"code":"24362","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLACE ELBOW JOINT","code_information":[{"code":"24363","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT HEAD OF RADIUS","code_information":[{"code":"24365","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT HEAD OF RADIUS","code_information":[{"code":"24366","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE RECONST ELBOW JOINT","code_information":[{"code":"24370","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE RECONST ELBOW JOINT","code_information":[{"code":"24371","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF HUMERUS","code_information":[{"code":"24400","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIVERTICULITIS AND DIVERTICULOSIS","code_information":[{"code":"2441","type":"APR-DRG"}],"standard_charges":[{"minimum":10159,"maximum":10159,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10159,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF HUMERUS","code_information":[{"code":"24410","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIVERTICULITIS AND DIVERTICULOSIS","code_information":[{"code":"2442","type":"APR-DRG"}],"standard_charges":[{"minimum":14128,"maximum":14128,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14128,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF HUMERUS","code_information":[{"code":"24420","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIVERTICULITIS AND DIVERTICULOSIS","code_information":[{"code":"2443","type":"APR-DRG"}],"standard_charges":[{"minimum":15992,"maximum":15992,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15992,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR OF HUMERUS","code_information":[{"code":"24430","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR HUMERUS WITH GRAFT","code_information":[{"code":"24435","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIVERTICULITIS AND DIVERTICULOSIS","code_information":[{"code":"2444","type":"APR-DRG"}],"standard_charges":[{"minimum":39900,"maximum":39900,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39900,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF ELBOW JOINT","code_information":[{"code":"24470","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BAG DRNGE URIN LEG TB 17IN","code_information":[{"code":"244868","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3.066,"maximum":4.032,"gross_charge":4.2,"discounted_cash":2.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.87,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.49,"methodology":"fee schedule"}]}]},{"description":"BAG DRNGE URIN LEG TB 17IN","code_information":[{"code":"244868","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1.974,"maximum":4.032,"gross_charge":4.2,"discounted_cash":2.33,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.87,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.98,"methodology":"fee schedule"}]}]},{"description":"DECOMPRESSION OF FOREARM","code_information":[{"code":"24495","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINFORCE HUMERUS","code_information":[{"code":"24498","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX HUMER SHAFT CLOSED ER","code_information":[{"code":"24500","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":417.56,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"}]}]},{"description":"TX FX HUMER SHAFT CLOSED ER","code_information":[{"code":"24500","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":268.84,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":268.84,"methodology":"fee schedule"}]}]},{"description":"TX FX HUMER SHAFT W MAN BIL ER","code_information":[{"code":"24505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2338.19,"maximum":3074.88,"gross_charge":3203,"discounted_cash":1774.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3042.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3074.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2626.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2946.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2754.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2338.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2658.49,"methodology":"fee schedule"}]}]},{"description":"TX FX HUMER SHAFT W MAN BIL ER","code_information":[{"code":"24505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1505.41,"maximum":3074.88,"gross_charge":3203,"discounted_cash":1774.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3042.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3074.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2626.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2946.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2754.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2338.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2658.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2210.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1505.41,"methodology":"fee schedule"}]}]},{"description":"INFLAMMATORY BOWEL DISEASE","code_information":[{"code":"2451","type":"APR-DRG"}],"standard_charges":[{"minimum":10079,"maximum":10079,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10079,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24515","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24516","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INFLAMMATORY BOWEL DISEASE","code_information":[{"code":"2452","type":"APR-DRG"}],"standard_charges":[{"minimum":15848,"maximum":15848,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15848,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INFLAMMATORY BOWEL DISEASE","code_information":[{"code":"2453","type":"APR-DRG"}],"standard_charges":[{"minimum":20079,"maximum":20079,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20079,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TX FX HUMER SUPRA/TRAN CLSD ER","code_information":[{"code":"24530","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX HUMER SUPRA/TRAN CLSD ER","code_information":[{"code":"24530","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX FX HUMER SUPRA/TRAN MAN ER","code_information":[{"code":"24535","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":404.42,"maximum":531.84,"gross_charge":554,"discounted_cash":306.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":526.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":531.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":454.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":509.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":476.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":404.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":459.82,"methodology":"fee schedule"}]}]},{"description":"TX FX HUMER SUPRA/TRAN MAN ER","code_information":[{"code":"24535","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":260.38,"maximum":2290.45,"gross_charge":554,"discounted_cash":306.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":526.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":531.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":454.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":509.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":476.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":404.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":459.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":382.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":260.38,"methodology":"fee schedule"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24538","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INFLAMMATORY BOWEL DISEASE","code_information":[{"code":"2454","type":"APR-DRG"}],"standard_charges":[{"minimum":35649,"maximum":35649,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35649,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24545","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24546","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24560","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24565","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BLDE SAW SAG COARSE 5.5X25.5","code_information":[{"code":"245652","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":154.03,"maximum":202.56,"gross_charge":211,"discounted_cash":116.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":200.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":202.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":194.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":181.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":175.13,"methodology":"fee schedule"}]}]},{"description":"BLDE SAW SAG COARSE 5.5X25.5","code_information":[{"code":"245652","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":99.17,"maximum":202.56,"gross_charge":211,"discounted_cash":116.92,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":200.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":202.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":194.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":181.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":175.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":99.17,"methodology":"fee schedule"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24566","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24575","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24576","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24577","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24579","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HUMERUS FRACTURE","code_information":[{"code":"24582","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT ELBOW FRACTURE","code_information":[{"code":"24586","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT ELBOW FRACTURE","code_information":[{"code":"24587","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX DISL ELBOW WO ANES CLSD ER","code_information":[{"code":"24600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX DISL ELBOW WO ANES CLSD ER","code_information":[{"code":"24600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX DISL ELBOW W ANES CLSD ER","code_information":[{"code":"24605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2195.84,"maximum":2887.68,"gross_charge":3008,"discounted_cash":1666.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2857.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2887.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2466.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2767.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2586.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2195.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2496.64,"methodology":"fee schedule"}]}]},{"description":"TX DISL ELBOW W ANES CLSD ER","code_information":[{"code":"24605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1413.76,"maximum":2887.68,"gross_charge":3008,"discounted_cash":1666.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2857.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2887.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2466.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2767.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2586.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2195.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2496.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2075.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1413.76,"methodology":"fee schedule"}]}]},{"description":"GASTROINTESTINAL VASCULAR INSUFFICIENCY","code_information":[{"code":"2461","type":"APR-DRG"}],"standard_charges":[{"minimum":11498,"maximum":11498,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11498,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREAT ELBOW DISLOCATION","code_information":[{"code":"24615","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GASTROINTESTINAL VASCULAR INSUFFICIENCY","code_information":[{"code":"2462","type":"APR-DRG"}],"standard_charges":[{"minimum":17074,"maximum":17074,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17074,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREAT ELBOW FRACTURE","code_information":[{"code":"24620","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GASTROINTESTINAL VASCULAR INSUFFICIENCY","code_information":[{"code":"2463","type":"APR-DRG"}],"standard_charges":[{"minimum":17694,"maximum":17694,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17694,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREAT ELBOW FRACTURE","code_information":[{"code":"24635","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GASTROINTESTINAL VASCULAR INSUFFICIENCY","code_information":[{"code":"2464","type":"APR-DRG"}],"standard_charges":[{"minimum":34519,"maximum":34519,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34519,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TX ELBOW CHILD W MAN CLSD ER","code_information":[{"code":"24640","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX ELBOW CHILD W MAN CLSD ER","code_information":[{"code":"24640","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TREAT RADIUS FRACTURE","code_information":[{"code":"24650","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT RADIUS FRACTURE","code_information":[{"code":"24655","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT RADIUS FRACTURE","code_information":[{"code":"24665","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT RADIUS FRACTURE","code_information":[{"code":"24666","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX ULNA PROX CLOSED ER","code_information":[{"code":"24670","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX ULNA PROX CLOSED ER","code_information":[{"code":"24670","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TREAT ULNAR FRACTURE","code_information":[{"code":"24675","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT ULNAR FRACTURE","code_information":[{"code":"24685","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTESTINAL OBSTRUCTION","code_information":[{"code":"2471","type":"APR-DRG"}],"standard_charges":[{"minimum":8530,"maximum":8530,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8530,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KT DRAINAGE PLEURX W/1000 VAC","code_information":[{"code":"247127","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":156.95,"maximum":206.4,"gross_charge":215,"discounted_cash":119.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":206.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":184.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":178.45,"methodology":"fee schedule"}]}]},{"description":"KT DRAINAGE PLEURX W/1000 VAC","code_information":[{"code":"247127","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":101.05,"maximum":206.4,"gross_charge":215,"discounted_cash":119.14,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":204.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":206.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":184.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":178.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":101.05,"methodology":"fee schedule"}]}]},{"description":"INTESTINAL OBSTRUCTION","code_information":[{"code":"2472","type":"APR-DRG"}],"standard_charges":[{"minimum":11097,"maximum":11097,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11097,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTESTINAL OBSTRUCTION","code_information":[{"code":"2473","type":"APR-DRG"}],"standard_charges":[{"minimum":18812,"maximum":18812,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18812,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTESTINAL OBSTRUCTION","code_information":[{"code":"2474","type":"APR-DRG"}],"standard_charges":[{"minimum":32746,"maximum":32746,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32746,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FUSION OF ELBOW JOINT","code_information":[{"code":"24800","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION/GRAFT OF ELBOW JOINT","code_information":[{"code":"24802","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS","code_information":[{"code":"2481","type":"APR-DRG"}],"standard_charges":[{"minimum":11927,"maximum":11927,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11927,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS","code_information":[{"code":"2482","type":"APR-DRG"}],"standard_charges":[{"minimum":14191,"maximum":14191,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14191,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS","code_information":[{"code":"2483","type":"APR-DRG"}],"standard_charges":[{"minimum":17931,"maximum":17931,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17931,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS","code_information":[{"code":"2484","type":"APR-DRG"}],"standard_charges":[{"minimum":47892,"maximum":47892,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47892,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"AMPUTATION OF UPPER ARM","code_information":[{"code":"24900","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER GASTROENTERITIS, NAUSEA AND VOMITING","code_information":[{"code":"2491","type":"APR-DRG"}],"standard_charges":[{"minimum":9292,"maximum":9292,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9292,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER GASTROENTERITIS, NAUSEA AND VOMITING","code_information":[{"code":"2492","type":"APR-DRG"}],"standard_charges":[{"minimum":10828,"maximum":10828,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10828,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"AMPUTATION OF UPPER ARM","code_information":[{"code":"24920","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"24925","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER GASTROENTERITIS, NAUSEA AND VOMITING","code_information":[{"code":"2493","type":"APR-DRG"}],"standard_charges":[{"minimum":22194,"maximum":22194,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22194,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"24930","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATE UPPER ARM  IMPLANT","code_information":[{"code":"24931","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF AMPUTATION","code_information":[{"code":"24935","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER GASTROENTERITIS, NAUSEA AND VOMITING","code_information":[{"code":"2494","type":"APR-DRG"}],"standard_charges":[{"minimum":49275,"maximum":49275,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49275,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF UPPER ARM","code_information":[{"code":"24940","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRSNG KT VAC SENSA GRANU MED","code_information":[{"code":"249497","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":132.86,"maximum":174.72,"gross_charge":182,"discounted_cash":100.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":167.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.06,"methodology":"fee schedule"}]}]},{"description":"DRSNG KT VAC SENSA GRANU MED","code_information":[{"code":"249497","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":85.54,"maximum":174.72,"gross_charge":182,"discounted_cash":100.85,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":167.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":85.54,"methodology":"fee schedule"}]}]},{"description":"UPPER ARM/ELBOW SURGERY","code_information":[{"code":"24999","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF TENDON SHEATH","code_information":[{"code":"25000","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE FLEXOR CARPI RADIALIS","code_information":[{"code":"25001","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESS FOREARM 1 SPACE","code_information":[{"code":"25020","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESS FOREARM 1 SPACE","code_information":[{"code":"25023","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESS FOREARM 2 SPACES","code_information":[{"code":"25024","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESS FOREARM 2 SPACES","code_information":[{"code":"25025","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF FOREARM LESION","code_information":[{"code":"25028","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF FOREARM BURSA","code_information":[{"code":"25031","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FOREARM BONE LESION","code_information":[{"code":"25035","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT WRIST JOINT","code_information":[{"code":"25040","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY FOREARM SOFT TISSUES","code_information":[{"code":"25065","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY FOREARM SOFT TISSUES","code_information":[{"code":"25066","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FOREARM LES SC 3 CM/>","code_information":[{"code":"25071","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FOREARM TUM DEEP 3 CM/>","code_information":[{"code":"25073","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FOREARM LES SC < 3 CM","code_information":[{"code":"25075","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FOREARM TUM DEEP < 3 CM","code_information":[{"code":"25076","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT FOREARM/WRIST TUM<3CM","code_information":[{"code":"25077","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT FORARM/WRIST TUM 3CM>","code_information":[{"code":"25078","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF WRIST CAPSULE","code_information":[{"code":"25085","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF WRIST JOINT","code_information":[{"code":"25100","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT WRIST JOINT","code_information":[{"code":"25101","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE WRIST JOINT LINING","code_information":[{"code":"25105","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE WRIST JOINT CARTILAGE","code_information":[{"code":"25107","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE TENDON FOREARM/WRIST","code_information":[{"code":"25109","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABDOMINAL PAIN","code_information":[{"code":"2511","type":"APR-DRG"}],"standard_charges":[{"minimum":12732,"maximum":12732,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12732,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE WRIST TENDON LESION","code_information":[{"code":"25110","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC GANGLION WRIST PRIM ER","code_information":[{"code":"25111","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2433.09,"maximum":3199.68,"gross_charge":3333,"discounted_cash":1846.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3166.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3199.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2733.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3066.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2866.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2433.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2766.39,"methodology":"fee schedule"}]}]},{"description":"EXC GANGLION WRIST PRIM ER","code_information":[{"code":"25111","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1566.51,"maximum":3199.68,"gross_charge":3333,"discounted_cash":1846.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3166.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3199.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2733.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3066.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2866.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2433.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2766.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2299.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1566.51,"methodology":"fee schedule"}]}]},{"description":"REREMOVE WRIST TENDON LESION","code_information":[{"code":"25112","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE WRIST/FOREARM LESION","code_information":[{"code":"25115","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE WRIST/FOREARM LESION","code_information":[{"code":"25116","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE WRIST TENDON SHEATH","code_information":[{"code":"25118","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF ULNA","code_information":[{"code":"25119","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABDOMINAL PAIN","code_information":[{"code":"2512","type":"APR-DRG"}],"standard_charges":[{"minimum":14476,"maximum":14476,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14476,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF FOREARM LESION","code_information":[{"code":"25120","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT FOREARM LESION","code_information":[{"code":"25125","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT FOREARM LESION","code_information":[{"code":"25126","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABDOMINAL PAIN","code_information":[{"code":"2513","type":"APR-DRG"}],"standard_charges":[{"minimum":16142,"maximum":16142,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16142,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF WRIST LESION","code_information":[{"code":"25130","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE  GRAFT WRIST LESION","code_information":[{"code":"25135","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE  GRAFT WRIST LESION","code_information":[{"code":"25136","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABDOMINAL PAIN","code_information":[{"code":"2514","type":"APR-DRG"}],"standard_charges":[{"minimum":29597,"maximum":29597,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29597,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE FOREARM BONE LESION","code_information":[{"code":"25145","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF ULNA","code_information":[{"code":"25150","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF RADIUS","code_information":[{"code":"25151","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT RADIUS/ULNAR TUMOR","code_information":[{"code":"25170","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE","code_information":[{"code":"2521","type":"APR-DRG"}],"standard_charges":[{"minimum":10749,"maximum":10749,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10749,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF WRIST BONE","code_information":[{"code":"25210","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF WRIST BONES","code_information":[{"code":"25215","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE","code_information":[{"code":"2522","type":"APR-DRG"}],"standard_charges":[{"minimum":13375,"maximum":13375,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13375,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRCR ENDO BLDELSS XLG 12M2","code_information":[{"code":"252229","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":450.41,"maximum":592.32,"gross_charge":617,"discounted_cash":341.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":586.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":592.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":505.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":567.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":530.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":450.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":512.11,"methodology":"fee schedule"}]}]},{"description":"TRCR ENDO BLDELSS XLG 12M2","code_information":[{"code":"252229","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":289.99,"maximum":592.32,"gross_charge":617,"discounted_cash":341.88,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":586.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":592.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":505.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":567.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":530.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":450.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":512.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":425.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":289.99,"methodology":"fee schedule"}]}]},{"description":"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE","code_information":[{"code":"2523","type":"APR-DRG"}],"standard_charges":[{"minimum":20180,"maximum":20180,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20180,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL REMOVAL OF RADIUS","code_information":[{"code":"25230","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE","code_information":[{"code":"2524","type":"APR-DRG"}],"standard_charges":[{"minimum":40688,"maximum":40688,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40688,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL REMOVAL OF ULNA","code_information":[{"code":"25240","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE FOREARM FOREIGN BODY","code_information":[{"code":"25248","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF WRIST PROSTHESIS","code_information":[{"code":"25250","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF WRIST PROSTHESIS","code_information":[{"code":"25251","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MANIPULATE WRIST W/ANESTHES","code_information":[{"code":"25259","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FOREARM TENDON/MUSCLE","code_information":[{"code":"25260","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FOREARM TENDON/MUSCLE","code_information":[{"code":"25263","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FOREARM TENDON/MUSCLE","code_information":[{"code":"25265","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FOREARM TENDON/MUSCLE","code_information":[{"code":"25270","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FOREARM TENDON/MUSCLE","code_information":[{"code":"25272","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FOREARM TENDON/MUSCLE","code_information":[{"code":"25274","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FOREARM TENDON SHEATH","code_information":[{"code":"25275","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE WRIST/FOREARM TENDON","code_information":[{"code":"25280","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE WRIST/FOREARM TENDON","code_information":[{"code":"25290","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE WRIST/FOREARM TENDON","code_information":[{"code":"25295","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF TENDONS AT WRIST","code_information":[{"code":"25300","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF TENDONS AT WRIST","code_information":[{"code":"25301","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE","code_information":[{"code":"2531","type":"APR-DRG"}],"standard_charges":[{"minimum":12029,"maximum":12029,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12029,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRANSPLANT FOREARM TENDON","code_information":[{"code":"25310","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPLANT FOREARM TENDON","code_information":[{"code":"25312","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE PALSY HAND TENDON(S)","code_information":[{"code":"25315","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE PALSY HAND TENDON(S)","code_information":[{"code":"25316","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE","code_information":[{"code":"2532","type":"APR-DRG"}],"standard_charges":[{"minimum":14187,"maximum":14187,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14187,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR/REVISE WRIST JOINT","code_information":[{"code":"25320","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE","code_information":[{"code":"2533","type":"APR-DRG"}],"standard_charges":[{"minimum":23497,"maximum":23497,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23497,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISE WRIST JOINT","code_information":[{"code":"25332","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REALIGNMENT OF HAND","code_information":[{"code":"25335","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT ULNA/RADIOULNAR","code_information":[{"code":"25337","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE","code_information":[{"code":"2534","type":"APR-DRG"}],"standard_charges":[{"minimum":35143,"maximum":35143,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35143,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF RADIUS","code_information":[{"code":"25350","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF RADIUS","code_information":[{"code":"25355","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF ULNA","code_information":[{"code":"25360","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE RADIUS  ULNA","code_information":[{"code":"25365","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE RADIUS OR ULNA","code_information":[{"code":"25370","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE RADIUS  ULNA","code_information":[{"code":"25375","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHORTEN RADIUS OR ULNA","code_information":[{"code":"25390","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LENGTHEN RADIUS OR ULNA","code_information":[{"code":"25391","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHORTEN RADIUS  ULNA","code_information":[{"code":"25392","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LENGTHEN RADIUS  ULNA","code_information":[{"code":"25393","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR CARPAL BONE SHORTEN","code_information":[{"code":"25394","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR RADIUS OR ULNA","code_information":[{"code":"25400","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT RADIUS OR ULNA","code_information":[{"code":"25405","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER DIGESTIVE SYSTEM DIAGNOSES","code_information":[{"code":"2541","type":"APR-DRG"}],"standard_charges":[{"minimum":9947,"maximum":9947,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9947,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR RADIUS  ULNA","code_information":[{"code":"25415","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER DIGESTIVE SYSTEM DIAGNOSES","code_information":[{"code":"2542","type":"APR-DRG"}],"standard_charges":[{"minimum":11774,"maximum":11774,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11774,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR/GRAFT RADIUS  ULNA","code_information":[{"code":"25420","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT RADIUS OR ULNA","code_information":[{"code":"25425","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT RADIUS  ULNA","code_information":[{"code":"25426","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NDL EPIDRL PERIFIX 22GX3IN","code_information":[{"code":"254266","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":18.9508,"maximum":24.9216,"gross_charge":25.96,"discounted_cash":14.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.55,"methodology":"fee schedule"}]}]},{"description":"NDL EPIDRL PERIFIX 22GX3IN","code_information":[{"code":"254266","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":12.2012,"maximum":24.9216,"gross_charge":25.96,"discounted_cash":14.39,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.21,"methodology":"fee schedule"}]}]},{"description":"OTHER DIGESTIVE SYSTEM DIAGNOSES","code_information":[{"code":"2543","type":"APR-DRG"}],"standard_charges":[{"minimum":16911,"maximum":16911,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16911,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VASC GRAFT INTO CARPAL BONE","code_information":[{"code":"25430","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR NONUNION CARPAL BONE","code_information":[{"code":"25431","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER DIGESTIVE SYSTEM DIAGNOSES","code_information":[{"code":"2544","type":"APR-DRG"}],"standard_charges":[{"minimum":46111,"maximum":46111,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46111,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR/GRAFT WRIST BONE","code_information":[{"code":"25440","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUT VCRL RAPIDE 4-0 27IN PS2","code_information":[{"code":"254405","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":19.6005,"maximum":25.776,"gross_charge":26.85,"discounted_cash":14.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.71,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.29,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL RAPIDE 4-0 27IN PS2","code_information":[{"code":"254405","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":12.6195,"maximum":25.776,"gross_charge":26.85,"discounted_cash":14.88,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.71,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.62,"methodology":"fee schedule"}]}]},{"description":"RECONSTRUCT WRIST JOINT","code_information":[{"code":"25441","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT WRIST JOINT","code_information":[{"code":"25442","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT WRIST JOINT","code_information":[{"code":"25443","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT WRIST JOINT","code_information":[{"code":"25444","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT WRIST JOINT","code_information":[{"code":"25445","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WRIST REPLACEMENT","code_information":[{"code":"25446","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR WRIST JOINTS","code_information":[{"code":"25447","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE WRIST JOINT IMPLANT","code_information":[{"code":"25449","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF WRIST JOINT","code_information":[{"code":"25450","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF WRIST JOINT","code_information":[{"code":"25455","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINFORCE RADIUS","code_information":[{"code":"25490","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINFORCE ULNA","code_information":[{"code":"25491","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINFORCE RADIUS AND ULNA","code_information":[{"code":"25492","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX RADIAL SHFT WO MAN C ER","code_information":[{"code":"25500","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX RADIAL SHFT WO MAN C ER","code_information":[{"code":"25500","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX FX RADIAL SHFT W MAN CLS ER","code_information":[{"code":"25505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":595.68,"maximum":783.36,"gross_charge":816,"discounted_cash":452.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"}]}]},{"description":"TX FX RADIAL SHFT W MAN CLS ER","code_information":[{"code":"25505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":383.52,"maximum":2290.45,"gross_charge":816,"discounted_cash":452.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":563.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":383.52,"methodology":"fee schedule"}]}]},{"description":"TREAT FRACTURE OF RADIUS","code_information":[{"code":"25515","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FRACTURE OF RADIUS","code_information":[{"code":"25520","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FRACTURE OF RADIUS","code_information":[{"code":"25525","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FRACTURE OF RADIUS","code_information":[{"code":"25526","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX ULNA SHFT WO MAN CLS ER","code_information":[{"code":"25530","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":417.56,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"}]}]},{"description":"TX FX ULNA SHFT WO MAN CLS ER","code_information":[{"code":"25530","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":268.84,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":268.84,"methodology":"fee schedule"}]}]},{"description":"TX FX ULNA W MAN CLOSED ER","code_information":[{"code":"25535","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":417.56,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"}]}]},{"description":"TX FX ULNA W MAN CLOSED ER","code_information":[{"code":"25535","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":268.84,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":268.84,"methodology":"fee schedule"}]}]},{"description":"TREAT FRACTURE OF ULNA","code_information":[{"code":"25545","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX RADIUS/ULNA WO ER","code_information":[{"code":"25560","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX RADIUS/ULNA WO ER","code_information":[{"code":"25560","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX RAD/ULNA SHFT W MAN CLS ER","code_information":[{"code":"25565","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":595.68,"maximum":783.36,"gross_charge":816,"discounted_cash":452.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"}]}]},{"description":"TX RAD/ULNA SHFT W MAN CLS ER","code_information":[{"code":"25565","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":383.52,"maximum":2290.45,"gross_charge":816,"discounted_cash":452.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":563.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":383.52,"methodology":"fee schedule"}]}]},{"description":"TREAT FRACTURE RADIUS  ULNA","code_information":[{"code":"25574","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FRACTURE RADIUS/ULNA","code_information":[{"code":"25575","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX RADL DIST WO MANIP ER","code_information":[{"code":"25600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX RADL DIST WO MANIP ER","code_information":[{"code":"25600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX FX RADIUS/ULNA W MAN CLS ER","code_information":[{"code":"25605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":595.68,"maximum":783.36,"gross_charge":816,"discounted_cash":452.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"}]}]},{"description":"TX FX RADIUS/ULNA W MAN CLS ER","code_information":[{"code":"25605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":383.52,"maximum":2290.45,"gross_charge":816,"discounted_cash":452.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":563.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":383.52,"methodology":"fee schedule"}]}]},{"description":"TREAT FX DISTAL RADIAL","code_information":[{"code":"25606","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FX RAD EXTRA-ARTICUL","code_information":[{"code":"25607","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FX RAD INTRA-ARTICUL","code_information":[{"code":"25608","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FX RADIAL 3+ FRAG","code_information":[{"code":"25609","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST BONE FRACTURE","code_information":[{"code":"25622","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST BONE FRACTURE","code_information":[{"code":"25624","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST BONE FRACTURE","code_information":[{"code":"25628","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX CARPAL CLSD WO MAN ER","code_information":[{"code":"25630","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX CARPAL CLSD WO MAN ER","code_information":[{"code":"25630","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TREAT WRIST BONE FRACTURE","code_information":[{"code":"25635","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST BONE FRACTURE","code_information":[{"code":"25645","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST BONE FRACTURE","code_information":[{"code":"25650","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PIN ULNAR STYLOID FRACTURE","code_information":[{"code":"25651","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FRACTURE ULNAR STYLOID","code_information":[{"code":"25652","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST DISLOCATION","code_information":[{"code":"25660","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST DISLOCATION","code_information":[{"code":"25670","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PIN RADIOULNAR DISLOCATION","code_information":[{"code":"25671","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST DISLOCATION","code_information":[{"code":"25675","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST DISLOCATION","code_information":[{"code":"25676","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST FRACTURE","code_information":[{"code":"25680","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST FRACTURE","code_information":[{"code":"25685","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST DISLOCATION","code_information":[{"code":"25690","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT WRIST DISLOCATION","code_information":[{"code":"25695","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF WRIST JOINT","code_information":[{"code":"25800","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION/GRAFT OF WRIST JOINT","code_information":[{"code":"25805","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION/GRAFT OF WRIST JOINT","code_information":[{"code":"25810","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF HAND BONES","code_information":[{"code":"25820","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSE HAND BONES WITH GRAFT","code_information":[{"code":"25825","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CAUTERY ACCU HI TEMP 2 FN TIP","code_information":[{"code":"258295","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":58.2759,"maximum":76.6368,"gross_charge":79.83,"discounted_cash":44.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":75.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.26,"methodology":"fee schedule"}]}]},{"description":"CAUTERY ACCU HI TEMP 2 FN TIP","code_information":[{"code":"258295","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":37.5201,"maximum":76.6368,"gross_charge":79.83,"discounted_cash":44.24,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":75.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.53,"methodology":"fee schedule"}]}]},{"description":"FUSION RADIOULNAR JNT/ULNA","code_information":[{"code":"25830","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STYLET RFS 6FR 12CM","code_information":[{"code":"258864","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1375.32,"maximum":1808.64,"gross_charge":1884,"discounted_cash":1043.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1789.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1808.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1544.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1733.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1620.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1375.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1563.72,"methodology":"fee schedule"}]}]},{"description":"STYLET RFS 6FR 12CM","code_information":[{"code":"258864","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":885.48,"maximum":1808.64,"gross_charge":1884,"discounted_cash":1043.93,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1789.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1808.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1544.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1733.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1620.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1375.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1563.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1299.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":885.48,"methodology":"fee schedule"}]}]},{"description":"INTRO SHEATH MICRO 7FR 7CM","code_information":[{"code":"258870","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":91.25,"maximum":120,"gross_charge":125,"discounted_cash":69.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":103.75,"methodology":"fee schedule"}]}]},{"description":"INTRO SHEATH MICRO 7FR 7CM","code_information":[{"code":"258870","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":58.75,"maximum":120,"gross_charge":125,"discounted_cash":69.27,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":103.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":58.75,"methodology":"fee schedule"}]}]},{"description":"AMPUTATION OF FOREARM","code_information":[{"code":"25900","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF FOREARM","code_information":[{"code":"25905","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"25907","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"25909","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF FOREARM","code_information":[{"code":"25915","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATE HAND AT WRIST","code_information":[{"code":"25920","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATE HAND AT WRIST","code_information":[{"code":"25922","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"25924","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF HAND","code_information":[{"code":"25927","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"25929","type":"CPT"}],"standard_charges":[{"minimum":2821.81,"maximum":2821.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2821.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"25931","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FOREARM OR WRIST SURGERY","code_information":[{"code":"25999","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES","code_information":[{"code":"2601","type":"APR-DRG"}],"standard_charges":[{"minimum":36557,"maximum":36557,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36557,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAIN ABSC FINGER SIMPLE ER","code_information":[{"code":"26010","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":310.25,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"}]}]},{"description":"DRAIN ABSC FINGER SIMPLE ER","code_information":[{"code":"26010","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":199.75,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":295.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":293.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":199.75,"methodology":"fee schedule"}]}]},{"description":"DRAINAGE OF FINGER ABSCESS","code_information":[{"code":"26011","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES","code_information":[{"code":"2602","type":"APR-DRG"}],"standard_charges":[{"minimum":37752,"maximum":37752,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37752,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAIN HAND TENDON SHEATH","code_information":[{"code":"26020","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF PALM BURSA","code_information":[{"code":"26025","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES","code_information":[{"code":"2603","type":"APR-DRG"}],"standard_charges":[{"minimum":71000,"maximum":71000,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71000,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAINAGE OF PALM BURSAS","code_information":[{"code":"26030","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HAND BONE LESION","code_information":[{"code":"26034","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESS FINGERS/HAND","code_information":[{"code":"26035","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESS FINGERS/HAND","code_information":[{"code":"26037","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES","code_information":[{"code":"2604","type":"APR-DRG"}],"standard_charges":[{"minimum":194880,"maximum":194880,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":194880,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RELEASE PALM CONTRACTURE","code_information":[{"code":"26040","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE PALM CONTRACTURE","code_information":[{"code":"26045","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE FINGER TENDON SHEATH","code_information":[{"code":"26055","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF FINGER TENDON","code_information":[{"code":"26060","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT HAND JOINT","code_information":[{"code":"26070","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT FINGER JOINT","code_information":[{"code":"26075","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT FINGER JOINT","code_information":[{"code":"26080","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BAG DRNGE URIN LEG VLV 19OZ X3","code_information":[{"code":"260871","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3.4748,"maximum":4.5696,"gross_charge":4.76,"discounted_cash":2.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.96,"methodology":"fee schedule"}]}]},{"description":"BAG DRNGE URIN LEG VLV 19OZ X3","code_information":[{"code":"260871","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2.2372,"maximum":4.5696,"gross_charge":4.76,"discounted_cash":2.64,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.24,"methodology":"fee schedule"}]}]},{"description":"BIOPSY HAND JOINT LINING","code_information":[{"code":"26100","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY FINGER JOINT LINING","code_information":[{"code":"26105","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH FOL TY CTR ENTRY LTX 16FR","code_information":[{"code":"261087","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":32.12,"maximum":42.24,"gross_charge":44,"discounted_cash":24.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"}]}]},{"description":"CATH FOL TY CTR ENTRY LTX 16FR","code_information":[{"code":"261087","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":20.68,"maximum":42.24,"gross_charge":44,"discounted_cash":24.39,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.68,"methodology":"fee schedule"}]}]},{"description":"MAJOR BILIARY TRACT PROCEDURES","code_information":[{"code":"2611","type":"APR-DRG"}],"standard_charges":[{"minimum":29014,"maximum":29014,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29014,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY FINGER JOINT LINING","code_information":[{"code":"26110","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC HAND LES SC 1.5 CM/>","code_information":[{"code":"26111","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC HAND TUM DEEP 1.5 CM/>","code_information":[{"code":"26113","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC HAND LES SC < 1.5 CM","code_information":[{"code":"26115","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC HAND TUM DEEP < 1.5 CM","code_information":[{"code":"26116","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RAD RESECT HAND TUMOR < 3 CM","code_information":[{"code":"26117","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RAD RESECT HAND TUMOR 3 CM/>","code_information":[{"code":"26118","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR BILIARY TRACT PROCEDURES","code_information":[{"code":"2612","type":"APR-DRG"}],"standard_charges":[{"minimum":39226,"maximum":39226,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39226,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RELEASE PALM CONTRACTURE","code_information":[{"code":"26121","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE PALM CONTRACTURE","code_information":[{"code":"26123","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR BILIARY TRACT PROCEDURES","code_information":[{"code":"2613","type":"APR-DRG"}],"standard_charges":[{"minimum":54266,"maximum":54266,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54266,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE WRIST JOINT LINING","code_information":[{"code":"26130","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE FINGER JOINT EACH","code_information":[{"code":"26135","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR BILIARY TRACT PROCEDURES","code_information":[{"code":"2614","type":"APR-DRG"}],"standard_charges":[{"minimum":108739,"maximum":108739,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":108739,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISE FINGER JOINT EACH","code_information":[{"code":"26140","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TENDON EXCISION PALM/FINGER","code_information":[{"code":"26145","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE TENDON SHEATH LESION","code_information":[{"code":"26160","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF PALM TENDON EACH","code_information":[{"code":"26170","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FINGER TENDON","code_information":[{"code":"26180","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE FINGER BONE","code_information":[{"code":"26185","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HAND BONE LESION","code_information":[{"code":"26200","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SCALPEL HARM HAND CNTL CRV","code_information":[{"code":"262005","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":750.44,"maximum":986.88,"gross_charge":1028,"discounted_cash":569.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":976.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":986.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":842.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":945.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":884.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":750.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":853.24,"methodology":"fee schedule"}]}]},{"description":"SCALPEL HARM HAND CNTL CRV","code_information":[{"code":"262005","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":483.16,"maximum":986.88,"gross_charge":1028,"discounted_cash":569.62,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":976.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":986.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":842.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":945.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":884.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":750.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":853.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":709.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":483.16,"methodology":"fee schedule"}]}]},{"description":"REMOVE/GRAFT BONE LESION","code_information":[{"code":"26205","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FINGER LESION","code_information":[{"code":"26210","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT FINGER LESION","code_information":[{"code":"26215","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF HAND BONE","code_information":[{"code":"26230","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL FINGER BONE","code_information":[{"code":"26235","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL FINGER BONE","code_information":[{"code":"26236","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXTENSIVE HAND SURGERY","code_information":[{"code":"26250","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT PROX FINGER TUMOR","code_information":[{"code":"26260","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT DISTAL FINGER TUMOR","code_information":[{"code":"26262","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PUSHER KNOT MENIS","code_information":[{"code":"262621","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":243.09,"maximum":319.68,"gross_charge":333,"discounted_cash":184.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":319.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":273.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":306.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":286.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":243.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":276.39,"methodology":"fee schedule"}]}]},{"description":"PUSHER KNOT MENIS","code_information":[{"code":"262621","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":156.51,"maximum":319.68,"gross_charge":333,"discounted_cash":184.52,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":316.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":319.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":273.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":306.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":286.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":243.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":276.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":229.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":156.51,"methodology":"fee schedule"}]}]},{"description":"CHOLECYSTECTOMY","code_information":[{"code":"2631","type":"APR-DRG"}],"standard_charges":[{"minimum":20483,"maximum":20483,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20483,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHOLECYSTECTOMY","code_information":[{"code":"2632","type":"APR-DRG"}],"standard_charges":[{"minimum":23734,"maximum":23734,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23734,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF IMPLANT FROM HAND","code_information":[{"code":"26320","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHOLECYSTECTOMY","code_information":[{"code":"2633","type":"APR-DRG"}],"standard_charges":[{"minimum":28116,"maximum":28116,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28116,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHOLECYSTECTOMY","code_information":[{"code":"2634","type":"APR-DRG"}],"standard_charges":[{"minimum":86364,"maximum":86364,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":86364,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MANIPULATE FINGER W/ANESTH","code_information":[{"code":"26340","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MANIPULAT PALM CORD POST INJ","code_information":[{"code":"26341","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FINGER/HAND TENDON","code_information":[{"code":"26350","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT HAND TENDON","code_information":[{"code":"26352","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FINGER/HAND TENDON","code_information":[{"code":"26356","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FINGER/HAND TENDON","code_information":[{"code":"26357","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT HAND TENDON","code_information":[{"code":"26358","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FINGER/HAND TENDON","code_information":[{"code":"26370","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT HAND TENDON","code_information":[{"code":"26372","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FINGER/HAND TENDON","code_information":[{"code":"26373","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NUT RETNR PRODISC-C NS","code_information":[{"code":"263822","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":178.12,"maximum":234.24,"gross_charge":244,"discounted_cash":135.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":231.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":234.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":224.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":209.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":202.52,"methodology":"fee schedule"}]}]},{"description":"NUT RETNR PRODISC-C NS","code_information":[{"code":"263822","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":114.68,"maximum":234.24,"gross_charge":244,"discounted_cash":135.21,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":231.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":234.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":224.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":209.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":202.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.68,"methodology":"fee schedule"}]}]},{"description":"REVISE HAND/FINGER TENDON","code_information":[{"code":"26390","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT HAND TENDON","code_information":[{"code":"26392","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES","code_information":[{"code":"2641","type":"APR-DRG"}],"standard_charges":[{"minimum":25889,"maximum":25889,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25889,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR HAND TENDON","code_information":[{"code":"26410","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT HAND TENDON","code_information":[{"code":"26412","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION HAND/FINGER TENDON","code_information":[{"code":"26415","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GRAFT HAND OR FINGER TENDON","code_information":[{"code":"26416","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR TENDON FNGR EXTEN WO ER","code_information":[{"code":"26418","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":3093.74,"maximum":4068.48,"gross_charge":4238,"discounted_cash":2348.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4026.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4068.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3475.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3898.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3644.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3093.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3517.54,"methodology":"fee schedule"}]}]},{"description":"RPR TENDON FNGR EXTEN WO ER","code_information":[{"code":"26418","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1991.86,"maximum":4068.48,"gross_charge":4238,"discounted_cash":2348.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4026.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4068.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3475.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3898.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3644.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3093.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3517.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2924.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1991.86,"methodology":"fee schedule"}]}]},{"description":"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES","code_information":[{"code":"2642","type":"APR-DRG"}],"standard_charges":[{"minimum":26198,"maximum":26198,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26198,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR/GRAFT FINGER TENDON","code_information":[{"code":"26420","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FINGER/HAND TENDON","code_information":[{"code":"26426","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT FINGER TENDON","code_information":[{"code":"26428","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES","code_information":[{"code":"2643","type":"APR-DRG"}],"standard_charges":[{"minimum":33338,"maximum":33338,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33338,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR FINGER TENDON","code_information":[{"code":"26432","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FINGER TENDON","code_information":[{"code":"26433","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT FINGER TENDON","code_information":[{"code":"26434","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REALIGNMENT OF TENDONS","code_information":[{"code":"26437","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES","code_information":[{"code":"2644","type":"APR-DRG"}],"standard_charges":[{"minimum":79304,"maximum":79304,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":79304,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RELEASE PALM/FINGER TENDON","code_information":[{"code":"26440","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE PALM  FINGER TENDON","code_information":[{"code":"26442","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE HAND/FINGER TENDON","code_information":[{"code":"26445","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE FOREARM/HAND TENDON","code_information":[{"code":"26449","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF PALM TENDON","code_information":[{"code":"26450","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF FINGER TENDON","code_information":[{"code":"26455","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE HAND/FINGER TENDON","code_information":[{"code":"26460","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH KT FOL14FRX5ML SIL","code_information":[{"code":"264622","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":64.24,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"}]}]},{"description":"CATH KT FOL14FRX5ML SIL","code_information":[{"code":"264622","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":41.36,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":41.36,"methodology":"fee schedule"}]}]},{"description":"FUSION OF FINGER TENDONS","code_information":[{"code":"26471","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF FINGER TENDONS","code_information":[{"code":"26474","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TENDON LENGTHENING","code_information":[{"code":"26476","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TENDON SHORTENING","code_information":[{"code":"26477","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LENGTHENING OF HAND TENDON","code_information":[{"code":"26478","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHORTENING OF HAND TENDON","code_information":[{"code":"26479","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPLANT HAND TENDON","code_information":[{"code":"26480","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPLANT/GRAFT HAND TENDON","code_information":[{"code":"26483","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPLANT PALM TENDON","code_information":[{"code":"26485","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPLANT/GRAFT PALM TENDON","code_information":[{"code":"26489","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE THUMB TENDON","code_information":[{"code":"26490","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TENDON TRANSFER WITH GRAFT","code_information":[{"code":"26492","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HAND TENDON/MUSCLE TRANSFER","code_information":[{"code":"26494","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE THUMB TENDON","code_information":[{"code":"26496","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FINGER TENDON TRANSFER","code_information":[{"code":"26497","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FINGER TENDON TRANSFER","code_information":[{"code":"26498","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF FINGER","code_information":[{"code":"26499","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HAND TENDON RECONSTRUCTION","code_information":[{"code":"26500","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HAND TENDON RECONSTRUCTION","code_information":[{"code":"26502","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE THUMB CONTRACTURE","code_information":[{"code":"26508","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THUMB TENDON TRANSFER","code_information":[{"code":"26510","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF KNUCKLE JOINT","code_information":[{"code":"26516","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF KNUCKLE JOINTS","code_information":[{"code":"26517","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF KNUCKLE JOINTS","code_information":[{"code":"26518","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE KNUCKLE CONTRACTURE","code_information":[{"code":"26520","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE FINGER CONTRACTURE","code_information":[{"code":"26525","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE KNUCKLE JOINT","code_information":[{"code":"26530","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE KNUCKLE WITH IMPLANT","code_information":[{"code":"26531","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE FINGER JOINT","code_information":[{"code":"26535","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/IMPLANT FINGER JOINT","code_information":[{"code":"26536","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STAPLER ENDOSCP LIN CUT 45MMX3","code_information":[{"code":"265386","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":431.43,"maximum":567.36,"gross_charge":591,"discounted_cash":327.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":561.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":567.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":484.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":543.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":508.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":431.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":490.53,"methodology":"fee schedule"}]}]},{"description":"STAPLER ENDOSCP LIN CUT 45MMX3","code_information":[{"code":"265386","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":277.77,"maximum":567.36,"gross_charge":591,"discounted_cash":327.48,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":561.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":567.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":484.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":543.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":508.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":431.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":490.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":407.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":277.77,"methodology":"fee schedule"}]}]},{"description":"REPAIR HAND JOINT","code_information":[{"code":"26540","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR HAND JOINT WITH GRAFT","code_information":[{"code":"26541","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR HAND JOINT WITH GRAFT","code_information":[{"code":"26542","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT FINGER JOINT","code_information":[{"code":"26545","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR NONUNION HAND","code_information":[{"code":"26546","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT FINGER JOINT","code_information":[{"code":"26548","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONSTRUCT THUMB REPLACEMENT","code_information":[{"code":"26550","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GREAT TOE-HAND TRANSFER","code_information":[{"code":"26551","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SINGLE TRANSFER TOE-HAND","code_information":[{"code":"26553","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DOUBLE TRANSFER TOE-HAND","code_information":[{"code":"26554","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"POSITIONAL CHANGE OF FINGER","code_information":[{"code":"26555","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TOE JOINT TRANSFER","code_information":[{"code":"26556","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF WEB FINGER","code_information":[{"code":"26560","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF WEB FINGER","code_information":[{"code":"26561","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF WEB FINGER","code_information":[{"code":"26562","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECT METACARPAL FLAW","code_information":[{"code":"26565","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECT FINGER DEFORMITY","code_information":[{"code":"26567","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LENGTHEN METACARPAL/FINGER","code_information":[{"code":"26568","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR HAND DEFORMITY","code_information":[{"code":"26580","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT EXTRA FINGER","code_information":[{"code":"26587","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FINGER DEFORMITY","code_information":[{"code":"26590","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR MUSCLES OF HAND","code_information":[{"code":"26591","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE MUSCLES OF HAND","code_information":[{"code":"26593","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION CONSTRICTING TISSUE","code_information":[{"code":"26596","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX METACARPAL WO MAN ER","code_information":[{"code":"26600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX FX METACARPAL WO MAN ER","code_information":[{"code":"26600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"TX FX METACARPAL W MAN CLSD ER","code_information":[{"code":"26605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX FX METACARPAL W MAN CLSD ER","code_information":[{"code":"26605","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"TREAT METACARPAL FRACTURE","code_information":[{"code":"26607","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT METACARPAL FRACTURE","code_information":[{"code":"26608","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT METACARPAL FRACTURE","code_information":[{"code":"26615","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THUMB DISLOCATION","code_information":[{"code":"26641","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THUMB FRACTURE","code_information":[{"code":"26645","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THUMB FRACTURE","code_information":[{"code":"26650","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THUMB FRACTURE","code_information":[{"code":"26665","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HAND DISLOCATION","code_information":[{"code":"26670","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HAND DISLOCATION","code_information":[{"code":"26675","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PIN HAND DISLOCATION","code_information":[{"code":"26676","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HAND DISLOCATION","code_information":[{"code":"26685","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HAND DISLOCATION","code_information":[{"code":"26686","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX DISL (M-P) WO ANES CLSD ER","code_information":[{"code":"26700","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":362.81,"maximum":477.12,"gross_charge":497,"discounted_cash":275.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":477.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":457.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":427.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":412.51,"methodology":"fee schedule"}]}]},{"description":"TX DISL (M-P) WO ANES CLSD ER","code_information":[{"code":"26700","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":233.59,"maximum":477.12,"gross_charge":497,"discounted_cash":275.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":477.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":457.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":427.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":412.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":342.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":233.59,"methodology":"fee schedule"}]}]},{"description":"TREAT KNUCKLE DISLOCATION","code_information":[{"code":"26705","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PIN KNUCKLE DISLOCATION","code_information":[{"code":"26706","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNUCKLE DISLOCATION","code_information":[{"code":"26715","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX PHALANX PROX WO MAN ER","code_information":[{"code":"26720","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX PROX WO MAN ER","code_information":[{"code":"26720","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX PROX W MAN CL ER","code_information":[{"code":"26725","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX PROX W MAN CL ER","code_information":[{"code":"26725","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"TREAT FINGER FRACTURE EACH","code_information":[{"code":"26727","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX PHALANX PROX W MAN ER","code_information":[{"code":"26735","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2779.84,"maximum":3655.68,"gross_charge":3808,"discounted_cash":2110.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3617.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3655.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3122.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3503.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3274.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2779.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3160.64,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX PROX W MAN ER","code_information":[{"code":"26735","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1789.76,"maximum":4656.07,"gross_charge":3808,"discounted_cash":2110.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3617.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3655.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3122.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3503.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3274.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2779.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3160.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2627.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1789.76,"methodology":"fee schedule"}]}]},{"description":"TREAT FINGER FRACTURE EACH","code_information":[{"code":"26740","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FINGER FRACTURE EACH","code_information":[{"code":"26742","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FINGER FRACTURE EACH","code_information":[{"code":"26746","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX PHALANX DIST CLSD ER","code_information":[{"code":"26750","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX DIST CLSD ER","code_information":[{"code":"26750","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX DIST W MAN CL ER","code_information":[{"code":"26755","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX DIST W MAN CL ER","code_information":[{"code":"26755","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"PIN FINGER FRACTURE EACH","code_information":[{"code":"26756","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRACH TY CRICOTHROTMY QUIK 4MM","code_information":[{"code":"267576","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":305.14,"maximum":401.28,"gross_charge":418,"discounted_cash":231.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":397.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":401.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":342.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":384.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":359.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":305.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":346.94,"methodology":"fee schedule"}]}]},{"description":"TRACH TY CRICOTHROTMY QUIK 4MM","code_information":[{"code":"267576","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":196.46,"maximum":401.28,"gross_charge":418,"discounted_cash":231.62,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":397.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":401.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":342.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":384.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":359.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":305.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":346.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":288.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":196.46,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX DIST OPEN ER","code_information":[{"code":"26765","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":3848.56,"maximum":5061.12,"gross_charge":5272,"discounted_cash":2921.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5008.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5061.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4323.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4850.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4533.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3848.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4375.76,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX DIST OPEN ER","code_information":[{"code":"26765","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2477.84,"maximum":5061.12,"gross_charge":5272,"discounted_cash":2921.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5008.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5061.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4323.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4850.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4533.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3848.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4375.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3637.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2477.84,"methodology":"fee schedule"}]}]},{"description":"TX DISL (I-P) HAND WO ANES ER","code_information":[{"code":"26770","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX DISL (I-P) HAND WO ANES ER","code_information":[{"code":"26770","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"TX DISL (I-P) HND W ANES/MN ER","code_information":[{"code":"26775","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2488.57,"maximum":3272.64,"gross_charge":3409,"discounted_cash":1888.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3238.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3272.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2795.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3136.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2931.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2488.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2829.47,"methodology":"fee schedule"}]}]},{"description":"TX DISL (I-P) HND W ANES/MN ER","code_information":[{"code":"26775","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":396.72,"maximum":3272.64,"gross_charge":3409,"discounted_cash":1888.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3238.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3272.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2795.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3136.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2931.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2488.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2829.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2352.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1602.23,"methodology":"fee schedule"}]}]},{"description":"PIN FINGER DISLOCATION","code_information":[{"code":"26776","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FINGER DISLOCATION","code_information":[{"code":"26785","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRSNG KT SENSA TRAC PAD MED","code_information":[{"code":"267928","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":108.77,"maximum":143.04,"gross_charge":149,"discounted_cash":82.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":143.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":137.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":128.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":123.67,"methodology":"fee schedule"}]}]},{"description":"DRSNG KT SENSA TRAC PAD MED","code_information":[{"code":"267928","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":70.03,"maximum":143.04,"gross_charge":149,"discounted_cash":82.57,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":143.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":137.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":128.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":123.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":102.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":70.03,"methodology":"fee schedule"}]}]},{"description":"THUMB FUSION WITH GRAFT","code_information":[{"code":"26820","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIT MILL ELEC PEN DRV","code_information":[{"code":"268315","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":812.49,"maximum":1068.48,"gross_charge":1113,"discounted_cash":616.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1057.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":912.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1023.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":957.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":812.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":923.79,"methodology":"fee schedule"}]}]},{"description":"BIT MILL ELEC PEN DRV","code_information":[{"code":"268315","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":523.11,"maximum":1068.48,"gross_charge":1113,"discounted_cash":616.72,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1057.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":912.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1023.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":957.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":812.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":923.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":767.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":523.11,"methodology":"fee schedule"}]}]},{"description":"FUSION OF THUMB","code_information":[{"code":"26841","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THUMB FUSION WITH GRAFT","code_information":[{"code":"26842","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF HAND JOINT","code_information":[{"code":"26843","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION/GRAFT OF HAND JOINT","code_information":[{"code":"26844","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF KNUCKLE","code_information":[{"code":"26850","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF KNUCKLE WITH GRAFT","code_information":[{"code":"26852","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SOL IRR NACL 0.9PCT 500ML POX1","code_information":[{"code":"268537","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":10.7018,"maximum":14.0736,"gross_charge":14.66,"discounted_cash":8.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.49,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.17,"methodology":"fee schedule"}]}]},{"description":"SOL IRR NACL 0.9PCT 500ML POX1","code_information":[{"code":"268537","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.8902,"maximum":14.0736,"gross_charge":14.66,"discounted_cash":8.13,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.49,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"}]}]},{"description":"FUSION OF FINGER JOINT","code_information":[{"code":"26860","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION/GRAFT OF FINGER JOINT","code_information":[{"code":"26862","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATE METACARPAL BONE","code_information":[{"code":"26910","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF FINGER/THUMB","code_information":[{"code":"26951","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUT FINGER/THUMB W FLAP ER","code_information":[{"code":"26952","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":4394.6,"maximum":5779.2,"gross_charge":6020,"discounted_cash":3335.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5719,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5779.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4936.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5538.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5177.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4394.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4996.6,"methodology":"fee schedule"}]}]},{"description":"AMPUT FINGER/THUMB W FLAP ER","code_information":[{"code":"26952","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2829.4,"maximum":5779.2,"gross_charge":6020,"discounted_cash":3335.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5719,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5779.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4936.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5538.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5177.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4394.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4996.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4153.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2829.4,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL RAPIDE 3-0 27IN SH","code_information":[{"code":"269682","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":9.344,"maximum":12.288,"gross_charge":12.8,"discounted_cash":7.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.63,"methodology":"fee schedule"}]}]},{"description":"SUT VCRL RAPIDE 3-0 27IN SH","code_information":[{"code":"269682","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.016,"maximum":12.288,"gross_charge":12.8,"discounted_cash":7.1,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.02,"methodology":"fee schedule"}]}]},{"description":"HAND/FINGER SURGERY","code_information":[{"code":"26989","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF PELVIS LESION","code_information":[{"code":"26990","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF PELVIS BURSA","code_information":[{"code":"26991","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BAR TRNVRS USS 6.0X15 TI NS","code_information":[{"code":"269914","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":402.23,"maximum":528.96,"gross_charge":551,"discounted_cash":305.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":523.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":528.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":451.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":506.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":473.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":402.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":457.33,"methodology":"fee schedule"}]}]},{"description":"BAR TRNVRS USS 6.0X15 TI NS","code_information":[{"code":"269914","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":258.97,"maximum":528.96,"gross_charge":551,"discounted_cash":305.31,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":523.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":528.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":451.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":506.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":473.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":402.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":457.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":380.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":258.97,"methodology":"fee schedule"}]}]},{"description":"DRAINAGE OF BONE LESION","code_information":[{"code":"26992","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF HIP TENDON","code_information":[{"code":"27000","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF HIP TENDON","code_information":[{"code":"27001","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF HIP TENDON","code_information":[{"code":"27003","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF HIP TENDON","code_information":[{"code":"27005","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF HIP TENDONS","code_information":[{"code":"27006","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF HIP/THIGH FASCIA","code_information":[{"code":"27025","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BUTTOCK FASCIOTOMY","code_information":[{"code":"27027","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF HIP JOINT","code_information":[{"code":"27030","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION OF HIP JOINT","code_information":[{"code":"27033","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DENERVATION OF HIP JOINT","code_information":[{"code":"27035","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF HIP JOINT/MUSCLE","code_information":[{"code":"27036","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WAFER 2PC TAPE OPN TO 2.75","code_information":[{"code":"270399","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2.1681,"maximum":2.8512,"gross_charge":2.97,"discounted_cash":1.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.74,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.47,"methodology":"fee schedule"}]}]},{"description":"WAFER 2PC TAPE OPN TO 2.75","code_information":[{"code":"270399","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1.3959,"maximum":2.8512,"gross_charge":2.97,"discounted_cash":1.65,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.74,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.4,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF SOFT TISSUES","code_information":[{"code":"27040","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF SOFT TISSUES","code_information":[{"code":"27041","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC HIP PELVIS LES SC 3 CM/>","code_information":[{"code":"27043","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH KT MULTLUMN STRL 7FR 20CM","code_information":[{"code":"270436","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":152.643,"maximum":200.736,"gross_charge":209.1,"discounted_cash":115.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":198.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":200.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":192.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":179.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":173.56,"methodology":"fee schedule"}]}]},{"description":"CATH KT MULTLUMN STRL 7FR 20CM","code_information":[{"code":"270436","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":98.277,"maximum":200.736,"gross_charge":209.1,"discounted_cash":115.87,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":198.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":200.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":192.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":179.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":173.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":144.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":98.28,"methodology":"fee schedule"}]}]},{"description":"EXC HIP/PELV TUM DEEP 5 CM/>","code_information":[{"code":"27045","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC HIP/PELVIS LES SC < 3 CM","code_information":[{"code":"27047","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC HIP/PELV TUM DEEP < 5 CM","code_information":[{"code":"27048","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT HIP/PELV TUM < 5 CM","code_information":[{"code":"27049","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF SACROILIAC JOINT","code_information":[{"code":"27050","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF HIP JOINT","code_information":[{"code":"27052","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HIP JOINT LINING","code_information":[{"code":"27054","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BUTTOCK FASCIOTOMY W/DBRDMT","code_information":[{"code":"27057","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT HIP/PELV TUM 5 CM/>","code_information":[{"code":"27059","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ISCHIAL BURSA","code_information":[{"code":"27060","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE FEMUR LESION/BURSA","code_information":[{"code":"27062","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HIP BONE LES SUPER","code_information":[{"code":"27065","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HIP BONE LES DEEP","code_information":[{"code":"27066","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT HIP BONE LESION","code_information":[{"code":"27067","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PART REMOVE HIP BONE SUPER","code_information":[{"code":"27070","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PART REMOVAL HIP BONE DEEP","code_information":[{"code":"27071","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT HIP TUMOR","code_information":[{"code":"27075","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT HIP TUM INCL ACETABUL","code_information":[{"code":"27076","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT HIP TUM W/INNOM BONE","code_information":[{"code":"27077","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RSECT HIP TUM INCL FEMUR","code_information":[{"code":"27078","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TAIL BONE","code_information":[{"code":"27080","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HIP FOREIGN BODY","code_information":[{"code":"27086","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HIP FOREIGN BODY","code_information":[{"code":"27087","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HIP PROSTHESIS","code_information":[{"code":"27090","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HIP PROSTHESIS","code_information":[{"code":"27091","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECT SACROILIAC JOINT","code_information":[{"code":"27096","type":"CPT"}],"standard_charges":[{"minimum":218.69,"maximum":218.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":218.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF HIP TENDON","code_information":[{"code":"27097","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSFER TENDON TO PELVIS","code_information":[{"code":"27098","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSFER OF ABDOMINAL MUSCLE","code_information":[{"code":"27100","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSFER OF SPINAL MUSCLE","code_information":[{"code":"27105","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSFER OF ILIOPSOAS MUSCLE","code_information":[{"code":"27110","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSFER OF ILIOPSOAS MUSCLE","code_information":[{"code":"27111","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF HIP SOCKET","code_information":[{"code":"27120","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF HIP SOCKET","code_information":[{"code":"27122","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL HIP REPLACEMENT","code_information":[{"code":"27125","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TOTAL HIP ARTHROPLASTY","code_information":[{"code":"27130","type":"CPT"}],"standard_charges":[{"minimum":21660.61,"maximum":21660.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21660.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TOTAL HIP ARTHROPLASTY","code_information":[{"code":"27132","type":"CPT"}],"standard_charges":[{"minimum":21660.61,"maximum":21660.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21660.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE HIP JOINT REPLACEMENT","code_information":[{"code":"27134","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE HIP JOINT REPLACEMENT","code_information":[{"code":"27137","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE HIP JOINT REPLACEMENT","code_information":[{"code":"27138","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPLANT FEMUR RIDGE","code_information":[{"code":"27140","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF HIP BONE","code_information":[{"code":"27146","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF HIP BONE","code_information":[{"code":"27147","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF HIP BONES","code_information":[{"code":"27151","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF HIP BONES","code_information":[{"code":"27156","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF PELVIS","code_information":[{"code":"27158","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF NECK OF FEMUR","code_information":[{"code":"27161","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION/FIXATION OF FEMUR","code_information":[{"code":"27165","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT FEMUR HEAD/NECK","code_information":[{"code":"27170","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SLIPPED EPIPHYSIS","code_information":[{"code":"27175","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SLIPPED EPIPHYSIS","code_information":[{"code":"27176","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SLIPPED EPIPHYSIS","code_information":[{"code":"27177","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SLIPPED EPIPHYSIS","code_information":[{"code":"27178","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE HEAD/NECK OF FEMUR","code_information":[{"code":"27179","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SLIPPED EPIPHYSIS","code_information":[{"code":"27181","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF FEMUR EPIPHYSIS","code_information":[{"code":"27185","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINFORCE HIP BONES","code_information":[{"code":"27187","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLSD TX PELVIC RING FX","code_information":[{"code":"27197","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLSD TX PELVIC RING FX","code_information":[{"code":"27198","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT TAIL BONE FRACTURE","code_information":[{"code":"27200","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT TAIL BONE FRACTURE","code_information":[{"code":"27202","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT PELVIC FRACTURE(S)","code_information":[{"code":"27215","type":"CPT"}],"standard_charges":[{"minimum":5913.87,"maximum":5913.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5913.87,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT PELVIC RING FRACTURE","code_information":[{"code":"27216","type":"CPT"}],"standard_charges":[{"minimum":4089.17,"maximum":4089.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4089.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT PELVIC RING FRACTURE","code_information":[{"code":"27217","type":"CPT"}],"standard_charges":[{"minimum":5913.87,"maximum":5913.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5913.87,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT PELVIC RING FRACTURE","code_information":[{"code":"27218","type":"CPT"}],"standard_charges":[{"minimum":5913.87,"maximum":5913.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5913.87,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP SOCKET FRACTURE","code_information":[{"code":"27220","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP SOCKET FRACTURE","code_information":[{"code":"27222","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP WALL FRACTURE","code_information":[{"code":"27226","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP FRACTURE(S)","code_information":[{"code":"27227","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP FRACTURE(S)","code_information":[{"code":"27228","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FRACTURE","code_information":[{"code":"27230","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FRACTURE","code_information":[{"code":"27232","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FRACTURE","code_information":[{"code":"27235","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FRACTURE","code_information":[{"code":"27236","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FRACTURE","code_information":[{"code":"27238","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FRACTURE","code_information":[{"code":"27240","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FRACTURE","code_information":[{"code":"27244","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FRACTURE","code_information":[{"code":"27245","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FRACTURE","code_information":[{"code":"27246","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FRACTURE","code_information":[{"code":"27248","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP DISLOCATION","code_information":[{"code":"27250","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP DISLOCATION","code_information":[{"code":"27252","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP DISLOCATION","code_information":[{"code":"27253","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP DISLOCATION","code_information":[{"code":"27254","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP DISLOCATION","code_information":[{"code":"27256","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP DISLOCATION","code_information":[{"code":"27257","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP DISLOCATION","code_information":[{"code":"27258","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT HIP DISLOCATION","code_information":[{"code":"27259","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX DISL HIP POST WO ANES ER","code_information":[{"code":"27265","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":417.56,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"}]}]},{"description":"TX DISL HIP POST WO ANES ER","code_information":[{"code":"27265","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":268.84,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":268.84,"methodology":"fee schedule"}]}]},{"description":"TREAT HIP DISLOCATION","code_information":[{"code":"27266","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLTX THIGH FX","code_information":[{"code":"27267","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLTX THIGH FX W/MNPJ","code_information":[{"code":"27268","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPTX THIGH FX","code_information":[{"code":"27269","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MANIPULATION OF HIP JOINT","code_information":[{"code":"27275","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ARTHRODESIS SACROILIAC JOINT","code_information":[{"code":"27279","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF SACROILIAC JOINT","code_information":[{"code":"27280","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF PUBIC BONES","code_information":[{"code":"27282","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF HIP JOINT","code_information":[{"code":"27284","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF HIP JOINT","code_information":[{"code":"27286","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF LEG AT HIP","code_information":[{"code":"27290","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF LEG AT HIP","code_information":[{"code":"27295","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PELVIS/HIP JOINT SURGERY","code_information":[{"code":"27299","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN THIGH/KNEE LESION","code_information":[{"code":"27301","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF BONE LESION","code_information":[{"code":"27303","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE THIGH TENDON  FASCIA","code_information":[{"code":"27305","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF THIGH TENDON","code_information":[{"code":"27306","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF THIGH TENDONS","code_information":[{"code":"27307","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION OF KNEE JOINT","code_information":[{"code":"27310","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY THIGH SOFT TISSUES","code_information":[{"code":"27323","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY THIGH SOFT TISSUES","code_information":[{"code":"27324","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEURECTOMY HAMSTRING","code_information":[{"code":"27325","type":"CPT"}],"standard_charges":[{"minimum":2886,"maximum":2886,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2886,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEURECTOMY POPLITEAL","code_information":[{"code":"27326","type":"CPT"}],"standard_charges":[{"minimum":2886,"maximum":2886,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2886,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC THIGH/KNEE LES SC < 3 CM","code_information":[{"code":"27327","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC THIGH/KNEE TUM DEEP <5CM","code_information":[{"code":"27328","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT THIGH/KNEE TUM < 5 CM","code_information":[{"code":"27329","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY KNEE JOINT LINING","code_information":[{"code":"27330","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT KNEE JOINT","code_information":[{"code":"27331","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF KNEE CARTILAGE","code_information":[{"code":"27332","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF KNEE CARTILAGE","code_information":[{"code":"27333","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE KNEE JOINT LINING","code_information":[{"code":"27334","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE KNEE JOINT LINING","code_information":[{"code":"27335","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC THIGH/KNEE LES SC 3 CM/>","code_information":[{"code":"27337","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC THIGH/KNEE TUM DEP 5CM/>","code_information":[{"code":"27339","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF KNEECAP BURSA","code_information":[{"code":"27340","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF KNEE CYST","code_information":[{"code":"27345","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE KNEE CYST","code_information":[{"code":"27347","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF KNEECAP","code_information":[{"code":"27350","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE FEMUR LESION","code_information":[{"code":"27355","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE FEMUR LESION/GRAFT","code_information":[{"code":"27356","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE FEMUR LESION/GRAFT","code_information":[{"code":"27357","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL LEG BONE(S)","code_information":[{"code":"27360","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT THIGH/KNEE TUM 5 CM/>","code_information":[{"code":"27364","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT FEMUR/KNEE TUMOR","code_information":[{"code":"27365","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FOREIGN BODY","code_information":[{"code":"27372","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF KNEECAP TENDON","code_information":[{"code":"27380","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT KNEECAP TENDON","code_information":[{"code":"27381","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF THIGH MUSCLE","code_information":[{"code":"27385","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT OF THIGH MUSCLE","code_information":[{"code":"27386","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF THIGH TENDON","code_information":[{"code":"27390","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF THIGH TENDONS","code_information":[{"code":"27391","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF THIGH TENDONS","code_information":[{"code":"27392","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LENGTHENING OF THIGH TENDON","code_information":[{"code":"27393","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LENGTHENING OF THIGH TENDONS","code_information":[{"code":"27394","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LENGTHENING OF THIGH TENDONS","code_information":[{"code":"27395","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPLANT OF THIGH TENDON","code_information":[{"code":"27396","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPLANTS OF THIGH TENDONS","code_information":[{"code":"27397","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE THIGH MUSCLES/TENDONS","code_information":[{"code":"27400","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF KNEE CARTILAGE","code_information":[{"code":"27403","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF KNEE LIGAMENT","code_information":[{"code":"27405","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF KNEE LIGAMENT","code_information":[{"code":"27407","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF KNEE LIGAMENTS","code_information":[{"code":"27409","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AUTOCHONDROCYTE IMPLANT KNEE","code_information":[{"code":"27412","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OSTEOCHONDRAL KNEE ALLOGRAFT","code_information":[{"code":"27415","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OSTEOCHONDRAL KNEE AUTOGRAFT","code_information":[{"code":"27416","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR DEGENERATED KNEECAP","code_information":[{"code":"27418","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF UNSTABLE KNEECAP","code_information":[{"code":"27420","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF UNSTABLE KNEECAP","code_information":[{"code":"27422","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION/REMOVAL OF KNEECAP","code_information":[{"code":"27424","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAT RETINACULAR RELEASE OPEN","code_information":[{"code":"27425","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION KNEE","code_information":[{"code":"27427","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION KNEE","code_information":[{"code":"27428","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION KNEE","code_information":[{"code":"27429","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF THIGH MUSCLES","code_information":[{"code":"27430","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF KNEE JOINT","code_information":[{"code":"27435","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE KNEECAP","code_information":[{"code":"27437","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE KNEECAP WITH IMPLANT","code_information":[{"code":"27438","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF KNEE JOINT","code_information":[{"code":"27440","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF KNEE JOINT","code_information":[{"code":"27441","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF KNEE JOINT","code_information":[{"code":"27442","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF KNEE JOINT","code_information":[{"code":"27443","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF KNEE JOINT","code_information":[{"code":"27445","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF KNEE JOINT","code_information":[{"code":"27446","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TOTAL KNEE ARTHROPLASTY","code_information":[{"code":"27447","type":"CPT"}],"standard_charges":[{"minimum":20958.21,"maximum":20958.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20958.21,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF THIGH","code_information":[{"code":"27448","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF THIGH","code_information":[{"code":"27450","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REALIGNMENT OF THIGH BONE","code_information":[{"code":"27454","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REALIGNMENT OF KNEE","code_information":[{"code":"27455","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REALIGNMENT OF KNEE","code_information":[{"code":"27457","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHORTENING OF THIGH BONE","code_information":[{"code":"27465","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LENGTHENING OF THIGH BONE","code_information":[{"code":"27466","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHORTEN/LENGTHEN THIGHS","code_information":[{"code":"27468","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF THIGH","code_information":[{"code":"27470","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT OF THIGH","code_information":[{"code":"27472","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SURGERY TO STOP LEG GROWTH","code_information":[{"code":"27475","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SURGERY TO STOP LEG GROWTH","code_information":[{"code":"27477","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SURGERY TO STOP LEG GROWTH","code_information":[{"code":"27479","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SURGERY TO STOP LEG GROWTH","code_information":[{"code":"27485","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/REPLACE KNEE JOINT","code_information":[{"code":"27486","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/REPLACE KNEE JOINT","code_information":[{"code":"27487","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF KNEE PROSTHESIS","code_information":[{"code":"27488","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINFORCE THIGH","code_information":[{"code":"27495","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESSION OF THIGH/KNEE","code_information":[{"code":"27496","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESSION OF THIGH/KNEE","code_information":[{"code":"27497","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESSION OF THIGH/KNEE","code_information":[{"code":"27498","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESSION OF THIGH/KNEE","code_information":[{"code":"27499","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF THIGH FRACTURE","code_information":[{"code":"27500","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF THIGH FRACTURE","code_information":[{"code":"27501","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX FEM SHAFT W MAN CLSD ER","code_information":[{"code":"27502","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1891.43,"maximum":2487.36,"gross_charge":2591,"discounted_cash":1435.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2461.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2487.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2124.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2383.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2228.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1891.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2150.53,"methodology":"fee schedule"}]}]},{"description":"TX FX FEM SHAFT W MAN CLSD ER","code_information":[{"code":"27502","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1217.77,"maximum":2487.36,"gross_charge":2591,"discounted_cash":1435.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2461.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2487.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2124.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2383.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2228.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1891.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2150.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1787.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1217.77,"methodology":"fee schedule"}]}]},{"description":"TREATMENT OF THIGH FRACTURE","code_information":[{"code":"27503","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF THIGH FRACTURE","code_information":[{"code":"27506","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF THIGH FRACTURE","code_information":[{"code":"27507","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF THIGH FRACTURE","code_information":[{"code":"27508","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF THIGH FRACTURE","code_information":[{"code":"27509","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF THIGH FRACTURE","code_information":[{"code":"27510","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF THIGH FRACTURE","code_information":[{"code":"27511","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF THIGH FRACTURE","code_information":[{"code":"27513","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF THIGH FRACTURE","code_information":[{"code":"27514","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FX GROWTH PLATE","code_information":[{"code":"27516","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FX GROWTH PLATE","code_information":[{"code":"27517","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT THIGH FX GROWTH PLATE","code_information":[{"code":"27519","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEECAP FRACTURE","code_information":[{"code":"27520","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEECAP FRACTURE","code_information":[{"code":"27524","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEE FRACTURE","code_information":[{"code":"27530","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEE FRACTURE","code_information":[{"code":"27532","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEE FRACTURE","code_information":[{"code":"27535","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEE FRACTURE","code_information":[{"code":"27536","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEE FRACTURE(S)","code_information":[{"code":"27538","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEE FRACTURE","code_information":[{"code":"27540","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEE DISLOCATION","code_information":[{"code":"27550","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEE DISLOCATION","code_information":[{"code":"27552","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEE DISLOCATION","code_information":[{"code":"27556","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEE DISLOCATION","code_information":[{"code":"27557","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT KNEE DISLOCATION","code_information":[{"code":"27558","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX DISL PATELLR WO ANES CL ER","code_information":[{"code":"27560","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX DISL PATELLR WO ANES CL ER","code_information":[{"code":"27560","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX DISL PATELLAR W ANES CLS ER","code_information":[{"code":"27562","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":3349.24,"maximum":4404.48,"gross_charge":4588,"discounted_cash":2542.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4358.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4404.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3762.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4220.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3945.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3349.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3808.04,"methodology":"fee schedule"}]}]},{"description":"TX DISL PATELLAR W ANES CLS ER","code_information":[{"code":"27562","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":339.19,"maximum":4404.48,"gross_charge":4588,"discounted_cash":2542.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4358.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4404.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3762.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4220.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3945.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3349.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3808.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3165.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2156.36,"methodology":"fee schedule"}]}]},{"description":"TREAT KNEECAP DISLOCATION","code_information":[{"code":"27566","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FIXATION OF KNEE JOINT","code_information":[{"code":"27570","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF KNEE","code_information":[{"code":"27580","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATE LEG AT THIGH","code_information":[{"code":"27590","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATE LEG AT THIGH","code_information":[{"code":"27591","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATE LEG AT THIGH","code_information":[{"code":"27592","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"27594","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"27596","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATE LOWER LEG AT KNEE","code_information":[{"code":"27598","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEG SURGERY PROCEDURE","code_information":[{"code":"27599","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESSION OF LOWER LEG","code_information":[{"code":"27600","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESSION OF LOWER LEG","code_information":[{"code":"27601","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESSION OF LOWER LEG","code_information":[{"code":"27602","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN LOWER LEG LESION","code_information":[{"code":"27603","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN LOWER LEG BURSA","code_information":[{"code":"27604","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF ACHILLES TENDON","code_information":[{"code":"27605","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF ACHILLES TENDON","code_information":[{"code":"27606","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER LEG BONE LESION","code_information":[{"code":"27607","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT ANKLE JOINT","code_information":[{"code":"27610","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION OF ANKLE JOINT","code_information":[{"code":"27612","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY LOWER LEG SOFT TISSUE","code_information":[{"code":"27613","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY LOWER LEG SOFT TISSUE","code_information":[{"code":"27614","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT LEG/ANKLE TUM < 5 CM","code_information":[{"code":"27615","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT LEG/ANKLE TUM 5 CM/>","code_information":[{"code":"27616","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC LEG/ANKLE TUM < 3 CM","code_information":[{"code":"27618","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC LEG/ANKLE TUM DEEP <5 CM","code_information":[{"code":"27619","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT ANKLE JOINT","code_information":[{"code":"27620","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ANKLE JOINT LINING","code_information":[{"code":"27625","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ANKLE JOINT LINING","code_information":[{"code":"27626","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TENDON LESION","code_information":[{"code":"27630","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC LEG/ANKLE LES SC 3 CM/>","code_information":[{"code":"27632","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC LEG/ANKLE TUM DEP 5 CM/>","code_information":[{"code":"27634","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE LOWER LEG BONE LESION","code_information":[{"code":"27635","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT LEG BONE LESION","code_information":[{"code":"27637","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT LEG BONE LESION","code_information":[{"code":"27638","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF TIBIA","code_information":[{"code":"27640","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF FIBULA","code_information":[{"code":"27641","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT TIBIA TUMOR","code_information":[{"code":"27645","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIT DRL QC 16-STP 2.0X-- NS","code_information":[{"code":"276450","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":427.78,"maximum":562.56,"gross_charge":586,"discounted_cash":324.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":562.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":480.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":539.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":503.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":427.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":486.38,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC 16-STP 2.0X-- NS","code_information":[{"code":"276450","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":275.42,"maximum":562.56,"gross_charge":586,"discounted_cash":324.71,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":556.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":562.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":480.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":539.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":503.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":427.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":486.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":404.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":275.42,"methodology":"fee schedule"}]}]},{"description":"RESECT FIBULA TUMOR","code_information":[{"code":"27646","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT TALUS/CALCANEUS TUM","code_information":[{"code":"27647","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR ACHILLES TENDON","code_information":[{"code":"27650","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT ACHILLES TENDON","code_information":[{"code":"27652","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF ACHILLES TENDON","code_information":[{"code":"27654","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR LEG FASCIA DEFECT","code_information":[{"code":"27656","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF LEG TENDON EACH","code_information":[{"code":"27658","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF LEG TENDON EACH","code_information":[{"code":"27659","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF LEG TENDON EACH","code_information":[{"code":"27664","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF LEG TENDON EACH","code_information":[{"code":"27665","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR LOWER LEG TENDONS","code_information":[{"code":"27675","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR LOWER LEG TENDONS","code_information":[{"code":"27676","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE OF LOWER LEG TENDON","code_information":[{"code":"27680","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE OF LOWER LEG TENDONS","code_information":[{"code":"27681","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF LOWER LEG TENDON","code_information":[{"code":"27685","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE LOWER LEG TENDONS","code_information":[{"code":"27686","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF CALF TENDON","code_information":[{"code":"27687","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE LOWER LEG TENDON","code_information":[{"code":"27690","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE LOWER LEG TENDON","code_information":[{"code":"27691","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF ANKLE LIGAMENT","code_information":[{"code":"27695","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF ANKLE LIGAMENTS","code_information":[{"code":"27696","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF ANKLE LIGAMENT","code_information":[{"code":"27698","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF ANKLE JOINT","code_information":[{"code":"27700","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT ANKLE JOINT","code_information":[{"code":"27702","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION ANKLE JOINT","code_information":[{"code":"27703","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ANKLE IMPLANT","code_information":[{"code":"27704","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF TIBIA","code_information":[{"code":"27705","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF FIBULA","code_information":[{"code":"27707","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF TIBIA  FIBULA","code_information":[{"code":"27709","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REALIGNMENT OF LOWER LEG","code_information":[{"code":"27712","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF LOWER LEG","code_information":[{"code":"27715","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF TIBIA","code_information":[{"code":"27720","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT OF TIBIA","code_information":[{"code":"27722","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT OF TIBIA","code_information":[{"code":"27724","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF LOWER LEG","code_information":[{"code":"27725","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FIBULA NONUNION","code_information":[{"code":"27726","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF LOWER LEG","code_information":[{"code":"27727","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF TIBIA EPIPHYSIS","code_information":[{"code":"27730","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF FIBULA EPIPHYSIS","code_information":[{"code":"27732","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR LOWER LEG EPIPHYSES","code_information":[{"code":"27734","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF LEG EPIPHYSES","code_information":[{"code":"27740","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF LEG EPIPHYSES","code_information":[{"code":"27742","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINFORCE TIBIA","code_information":[{"code":"27745","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX TIB SHAFT WO MAN CLS ER","code_information":[{"code":"27750","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX TIB SHAFT WO MAN CLS ER","code_information":[{"code":"27750","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX FX TIB SHAFT W MAN CLSD ER","code_information":[{"code":"27752","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2567.41,"maximum":3376.32,"gross_charge":3517,"discounted_cash":1948.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3341.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3376.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2883.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3235.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3024.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2567.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2919.11,"methodology":"fee schedule"}]}]},{"description":"TX FX TIB SHAFT W MAN CLSD ER","code_information":[{"code":"27752","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1652.99,"maximum":3376.32,"gross_charge":3517,"discounted_cash":1948.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3341.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3376.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2883.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3235.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3024.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2567.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2919.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2426.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1652.99,"methodology":"fee schedule"}]}]},{"description":"TREATMENT OF TIBIA FRACTURE","code_information":[{"code":"27756","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF TIBIA FRACTURE","code_information":[{"code":"27758","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF TIBIA FRACTURE","code_information":[{"code":"27759","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLTX MEDIAL ANKLE FX","code_information":[{"code":"27760","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLTX MED ANKLE FX W/MNPJ","code_information":[{"code":"27762","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPTX MEDIAL ANKLE FX","code_information":[{"code":"27766","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLTX POST ANKLE FX","code_information":[{"code":"27767","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLTX POST ANKLE FX W/MNPJ","code_information":[{"code":"27768","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPTX POST ANKLE FX","code_information":[{"code":"27769","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX FIB SHFT PROX WO MAN ER","code_information":[{"code":"27780","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX FIB SHFT PROX WO MAN ER","code_information":[{"code":"27780","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TREATMENT OF FIBULA FRACTURE","code_information":[{"code":"27781","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF FIBULA FRACTURE","code_information":[{"code":"27784","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX FIB DIST WO MAN CLSD ER","code_information":[{"code":"27786","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX FIB DIST WO MAN CLSD ER","code_information":[{"code":"27786","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX FX ANKLE FIB W MAN ER","code_information":[{"code":"27788","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":361.35,"maximum":475.2,"gross_charge":495,"discounted_cash":274.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":470.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":475.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":455.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":425.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":410.85,"methodology":"fee schedule"}]}]},{"description":"TX FX ANKLE FIB W MAN ER","code_information":[{"code":"27788","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":232.65,"maximum":475.2,"gross_charge":495,"discounted_cash":274.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":470.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":475.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":455.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":425.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":410.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":341.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":232.65,"methodology":"fee schedule"}]}]},{"description":"TREATMENT OF ANKLE FRACTURE","code_information":[{"code":"27792","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX BIMALLEOLAR WO MAN ER","code_information":[{"code":"27808","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX BIMALLEOLAR WO MAN ER","code_information":[{"code":"27808","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX FX BIMALLEOLAR W MAN CLS ER","code_information":[{"code":"27810","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":595.68,"maximum":783.36,"gross_charge":816,"discounted_cash":452.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"}]}]},{"description":"TX FX BIMALLEOLAR W MAN CLS ER","code_information":[{"code":"27810","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":383.52,"maximum":2290.45,"gross_charge":816,"discounted_cash":452.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":563.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":383.52,"methodology":"fee schedule"}]}]},{"description":"TREATMENT OF ANKLE FRACTURE","code_information":[{"code":"27814","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF ANKLE FRACTURE","code_information":[{"code":"27816","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX TRIMAL W MAN ER","code_information":[{"code":"27818","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":595.68,"maximum":783.36,"gross_charge":816,"discounted_cash":452.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"}]}]},{"description":"TX FX TRIMAL W MAN ER","code_information":[{"code":"27818","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":383.52,"maximum":2290.45,"gross_charge":816,"discounted_cash":452.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":563.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":383.52,"methodology":"fee schedule"}]}]},{"description":"TREATMENT OF ANKLE FRACTURE","code_information":[{"code":"27822","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF ANKLE FRACTURE","code_information":[{"code":"27823","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX TIB DIST WGT BEAR CLS ER","code_information":[{"code":"27824","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":354.05,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"}]}]},{"description":"TX FX TIB DIST WGT BEAR CLS ER","code_information":[{"code":"27824","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":227.95,"maximum":465.6,"gross_charge":485,"discounted_cash":268.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":460.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":465.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":397.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":446.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":417.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":402.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":334.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.95,"methodology":"fee schedule"}]}]},{"description":"TX FX TIB DIST TRACT W MAN ER","code_information":[{"code":"27825","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2195.84,"maximum":2887.68,"gross_charge":3008,"discounted_cash":1666.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2857.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2887.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2466.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2767.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2586.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2195.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2496.64,"methodology":"fee schedule"}]}]},{"description":"TX FX TIB DIST TRACT W MAN ER","code_information":[{"code":"27825","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1413.76,"maximum":2887.68,"gross_charge":3008,"discounted_cash":1666.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2857.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2887.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2466.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2767.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2586.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2195.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2496.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2075.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1413.76,"methodology":"fee schedule"}]}]},{"description":"TREAT LOWER LEG FRACTURE","code_information":[{"code":"27826","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER LEG FRACTURE","code_information":[{"code":"27827","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER LEG FRACTURE","code_information":[{"code":"27828","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER LEG JOINT","code_information":[{"code":"27829","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER LEG DISLOCATION","code_information":[{"code":"27830","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER LEG DISLOCATION","code_information":[{"code":"27831","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT LOWER LEG DISLOCATION","code_information":[{"code":"27832","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX DISL ANKLE WO ANES CLSD ER","code_information":[{"code":"27840","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":307.33,"maximum":404.16,"gross_charge":421,"discounted_cash":233.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":399.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":404.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":345.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":387.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":362.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":349.43,"methodology":"fee schedule"}]}]},{"description":"TX DISL ANKLE WO ANES CLSD ER","code_information":[{"code":"27840","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":197.87,"maximum":404.16,"gross_charge":421,"discounted_cash":233.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":399.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":404.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":345.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":387.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":362.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":349.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":290.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":197.87,"methodology":"fee schedule"}]}]},{"description":"TREAT ANKLE DISLOCATION","code_information":[{"code":"27842","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT ANKLE DISLOCATION","code_information":[{"code":"27846","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT ANKLE DISLOCATION","code_information":[{"code":"27848","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FIXATION OF ANKLE JOINT","code_information":[{"code":"27860","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF ANKLE JOINT OPEN","code_information":[{"code":"27870","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF TIBIOFIBULAR JOINT","code_information":[{"code":"27871","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF LOWER LEG","code_information":[{"code":"27880","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF LOWER LEG","code_information":[{"code":"27881","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLLAR CLMP BDY EXT-FX 6.0MMX1","code_information":[{"code":"278815","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":394.2,"maximum":518.4,"gross_charge":540,"discounted_cash":299.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":518.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":442.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":496.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":464.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":394.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":448.2,"methodology":"fee schedule"}]}]},{"description":"COLLAR CLMP BDY EXT-FX 6.0MMX1","code_information":[{"code":"278815","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":518.4,"gross_charge":540,"discounted_cash":299.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":513,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":518.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":442.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":496.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":464.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":394.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":448.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":372.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":253.8,"methodology":"fee schedule"}]}]},{"description":"AMPUTATION OF LOWER LEG","code_information":[{"code":"27882","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"27884","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION FOLLOW-UP SURGERY","code_information":[{"code":"27886","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF FOOT AT ANKLE","code_information":[{"code":"27888","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF FOOT AT ANKLE","code_information":[{"code":"27889","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESSION OF LEG","code_information":[{"code":"27892","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESSION OF LEG","code_information":[{"code":"27893","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESSION OF LEG","code_information":[{"code":"27894","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEG/ANKLE SURGERY PROCEDURE","code_information":[{"code":"27899","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS","code_information":[{"code":"2791","type":"APR-DRG"}],"standard_charges":[{"minimum":10288,"maximum":10288,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10288,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS","code_information":[{"code":"2792","type":"APR-DRG"}],"standard_charges":[{"minimum":10893,"maximum":10893,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10893,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS","code_information":[{"code":"2793","type":"APR-DRG"}],"standard_charges":[{"minimum":23149,"maximum":23149,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23149,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS","code_information":[{"code":"2794","type":"APR-DRG"}],"standard_charges":[{"minimum":68846,"maximum":68846,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68846,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAINAGE OF BURSA OF FOOT","code_information":[{"code":"28001","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF FOOT INFECTION","code_information":[{"code":"28002","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF FOOT INFECTION","code_information":[{"code":"28003","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FOOT BONE LESION","code_information":[{"code":"28005","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF FOOT FASCIA","code_information":[{"code":"28008","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ALCOHOLIC LIVER DISEASE","code_information":[{"code":"2801","type":"APR-DRG"}],"standard_charges":[{"minimum":11924,"maximum":11924,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11924,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCISION OF TOE TENDON","code_information":[{"code":"28010","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF TOE TENDONS","code_information":[{"code":"28011","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ALCOHOLIC LIVER DISEASE","code_information":[{"code":"2802","type":"APR-DRG"}],"standard_charges":[{"minimum":16496,"maximum":16496,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16496,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXPLORATION OF FOOT JOINT","code_information":[{"code":"28020","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION OF FOOT JOINT","code_information":[{"code":"28022","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION OF TOE JOINT","code_information":[{"code":"28024","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ALCOHOLIC LIVER DISEASE","code_information":[{"code":"2803","type":"APR-DRG"}],"standard_charges":[{"minimum":20669,"maximum":20669,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20669,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DECOMPRESSION OF TIBIA NERVE","code_information":[{"code":"28035","type":"CPT"}],"standard_charges":[{"minimum":2886,"maximum":2886,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2886,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FOOT/TOE TUM SC 1.5 CM/>","code_information":[{"code":"28039","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ALCOHOLIC LIVER DISEASE","code_information":[{"code":"2804","type":"APR-DRG"}],"standard_charges":[{"minimum":53417,"maximum":53417,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53417,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXC FOOT/TOE TUM DEP 1.5CM/>","code_information":[{"code":"28041","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FOOT/TOE TUM SC < 1.5 CM","code_information":[{"code":"28043","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC FOOT/TOE TUM DEEP <1.5CM","code_information":[{"code":"28045","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT FOOT/TOE TUMOR < 3 CM","code_information":[{"code":"28046","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT FOOT/TOE TUMOR 3 CM/>","code_information":[{"code":"28047","type":"CPT"}],"standard_charges":[{"minimum":3898.7,"maximum":3898.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3898.7,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF FOOT JOINT LINING","code_information":[{"code":"28050","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF FOOT JOINT LINING","code_information":[{"code":"28052","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF TOE JOINT LINING","code_information":[{"code":"28054","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEURECTOMY FOOT","code_information":[{"code":"28055","type":"CPT"}],"standard_charges":[{"minimum":2886,"maximum":2886,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2886,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL FOOT FASCIA","code_information":[{"code":"28060","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FOOT FASCIA","code_information":[{"code":"28062","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FOOT JOINT LINING","code_information":[{"code":"28070","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FOOT JOINT LINING","code_information":[{"code":"28072","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONN TRNS LP USS 38.5-48 TI NS","code_information":[{"code":"280720","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2097.29,"maximum":2758.08,"gross_charge":2873,"discounted_cash":1591.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2729.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2758.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2355.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2643.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2470.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2097.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2384.59,"methodology":"fee schedule"}]}]},{"description":"CONN TRNS LP USS 38.5-48 TI NS","code_information":[{"code":"280720","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1350.31,"maximum":2758.08,"gross_charge":2873,"discounted_cash":1591.93,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2729.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2758.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2355.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2643.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2470.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2097.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2384.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1982.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1350.31,"methodology":"fee schedule"}]}]},{"description":"REMOVAL OF FOOT LESION","code_information":[{"code":"28080","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE FOOT TENDON SHEATH","code_information":[{"code":"28086","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE FOOT TENDON SHEATH","code_information":[{"code":"28088","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FOOT LESION","code_information":[{"code":"28090","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TOE LESIONS","code_information":[{"code":"28092","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ANKLE/HEEL LESION","code_information":[{"code":"28100","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT FOOT LESION","code_information":[{"code":"28102","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT FOOT LESION","code_information":[{"code":"28103","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FOOT LESION","code_information":[{"code":"28104","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT FOOT LESION","code_information":[{"code":"28106","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/GRAFT FOOT LESION","code_information":[{"code":"28107","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TOE LESIONS","code_information":[{"code":"28108","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS","code_information":[{"code":"2811","type":"APR-DRG"}],"standard_charges":[{"minimum":13287,"maximum":13287,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13287,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PART REMOVAL OF METATARSAL","code_information":[{"code":"28110","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PART REMOVAL OF METATARSAL","code_information":[{"code":"28111","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PART REMOVAL OF METATARSAL","code_information":[{"code":"28112","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PART REMOVAL OF METATARSAL","code_information":[{"code":"28113","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF METATARSAL HEADS","code_information":[{"code":"28114","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF FOOT","code_information":[{"code":"28116","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HEEL BONE","code_information":[{"code":"28118","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HEEL SPUR","code_information":[{"code":"28119","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS","code_information":[{"code":"2812","type":"APR-DRG"}],"standard_charges":[{"minimum":17521,"maximum":17521,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17521,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PART REMOVAL OF ANKLE/HEEL","code_information":[{"code":"28120","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF FOOT BONE","code_information":[{"code":"28122","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF TOE","code_information":[{"code":"28124","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF TOE","code_information":[{"code":"28126","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS","code_information":[{"code":"2813","type":"APR-DRG"}],"standard_charges":[{"minimum":23039,"maximum":23039,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23039,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF ANKLE BONE","code_information":[{"code":"28130","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS","code_information":[{"code":"2814","type":"APR-DRG"}],"standard_charges":[{"minimum":32606,"maximum":32606,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32606,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF METATARSAL","code_information":[{"code":"28140","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TOE","code_information":[{"code":"28150","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF TOE","code_information":[{"code":"28153","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF TOE","code_information":[{"code":"28160","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT TARSAL TUMOR","code_information":[{"code":"28171","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT METATARSAL TUMOR","code_information":[{"code":"28173","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT PHALANX OF TOE TUMOR","code_information":[{"code":"28175","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE FB FOOT SUBQ ER","code_information":[{"code":"28190","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":805.92,"maximum":1059.84,"gross_charge":1104,"discounted_cash":611.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":905.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1015.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":949.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":805.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":916.32,"methodology":"fee schedule"}]}]},{"description":"REMOVE FB FOOT SUBQ ER","code_information":[{"code":"28190","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":518.88,"maximum":1059.84,"gross_charge":1104,"discounted_cash":611.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":905.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1015.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":949.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":805.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":916.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":761.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":518.88,"methodology":"fee schedule"}]}]},{"description":"REMOVAL OF FOOT FOREIGN BODY","code_information":[{"code":"28192","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FOOT FOREIGN BODY","code_information":[{"code":"28193","type":"CPT"}],"standard_charges":[{"minimum":2314.56,"maximum":2314.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF FOOT TENDON","code_information":[{"code":"28200","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/GRAFT OF FOOT TENDON","code_information":[{"code":"28202","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF FOOT TENDON","code_information":[{"code":"28208","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY","code_information":[{"code":"2821","type":"APR-DRG"}],"standard_charges":[{"minimum":9597,"maximum":9597,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9597,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR/GRAFT OF FOOT TENDON","code_information":[{"code":"28210","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY","code_information":[{"code":"2822","type":"APR-DRG"}],"standard_charges":[{"minimum":12435,"maximum":12435,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12435,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RELEASE OF FOOT TENDON","code_information":[{"code":"28220","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE OF FOOT TENDONS","code_information":[{"code":"28222","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE OF FOOT TENDON","code_information":[{"code":"28225","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE OF FOOT TENDONS","code_information":[{"code":"28226","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY","code_information":[{"code":"2823","type":"APR-DRG"}],"standard_charges":[{"minimum":24691,"maximum":24691,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24691,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCISION OF FOOT TENDON(S)","code_information":[{"code":"28230","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF TOE TENDON","code_information":[{"code":"28232","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF FOOT TENDON","code_information":[{"code":"28234","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF FOOT TENDON","code_information":[{"code":"28238","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY","code_information":[{"code":"2824","type":"APR-DRG"}],"standard_charges":[{"minimum":49289,"maximum":49289,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49289,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RELEASE OF BIG TOE","code_information":[{"code":"28240","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF FOOT FASCIA","code_information":[{"code":"28250","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EPIDURAL TY TUOHY 5ML SNGL 18G","code_information":[{"code":"282520","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":36.1277,"maximum":47.5104,"gross_charge":49.49,"discounted_cash":27.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.08,"methodology":"fee schedule"}]}]},{"description":"EPIDURAL TY TUOHY 5ML SNGL 18G","code_information":[{"code":"282520","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":23.2603,"maximum":47.5104,"gross_charge":49.49,"discounted_cash":27.43,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.27,"methodology":"fee schedule"}]}]},{"description":"RELEASE OF MIDFOOT JOINT","code_information":[{"code":"28260","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF FOOT TENDON","code_information":[{"code":"28261","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF FOOT AND ANKLE","code_information":[{"code":"28262","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE OF MIDFOOT JOINT","code_information":[{"code":"28264","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE OF FOOT CONTRACTURE","code_information":[{"code":"28270","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE OF TOE JOINT EACH","code_information":[{"code":"28272","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF TOES","code_information":[{"code":"28280","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF HAMMERTOE","code_information":[{"code":"28285","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF HAMMERTOE","code_information":[{"code":"28286","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF FOOT BONE","code_information":[{"code":"28288","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRJ HALUX RIGDUS W/O IMPLT","code_information":[{"code":"28289","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRJ HALUX RIGDUS W/IMPLT","code_information":[{"code":"28291","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECTION HALLUX VALGUS","code_information":[{"code":"28292","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECTION HALLUX VALGUS","code_information":[{"code":"28295","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECTION HALLUX VALGUS","code_information":[{"code":"28296","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECTION HALLUX VALGUS","code_information":[{"code":"28297","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECTION HALLUX VALGUS","code_information":[{"code":"28298","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECTION HALLUX VALGUS","code_information":[{"code":"28299","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF HEEL BONE","code_information":[{"code":"28300","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF ANKLE BONE","code_information":[{"code":"28302","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF MIDFOOT BONES","code_information":[{"code":"28304","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE/GRAFT MIDFOOT BONES","code_information":[{"code":"28305","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF METATARSAL","code_information":[{"code":"28306","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF METATARSAL","code_information":[{"code":"28307","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF METATARSAL","code_information":[{"code":"28308","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF METATARSALS","code_information":[{"code":"28309","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER DISORDERS OF THE LIVER","code_information":[{"code":"2831","type":"APR-DRG"}],"standard_charges":[{"minimum":7734,"maximum":7734,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7734,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF BIG TOE","code_information":[{"code":"28310","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF TOE","code_information":[{"code":"28312","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR DEFORMITY OF TOE","code_information":[{"code":"28313","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SESAMOID BONE","code_information":[{"code":"28315","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER DISORDERS OF THE LIVER","code_information":[{"code":"2832","type":"APR-DRG"}],"standard_charges":[{"minimum":13778,"maximum":13778,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13778,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR OF FOOT BONES","code_information":[{"code":"28320","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF METATARSALS","code_information":[{"code":"28322","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER DISORDERS OF THE LIVER","code_information":[{"code":"2833","type":"APR-DRG"}],"standard_charges":[{"minimum":21989,"maximum":21989,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21989,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DISORDERS OF THE LIVER","code_information":[{"code":"2834","type":"APR-DRG"}],"standard_charges":[{"minimum":35230,"maximum":35230,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35230,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RESECT ENLARGED TOE TISSUE","code_information":[{"code":"28340","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT ENLARGED TOE","code_information":[{"code":"28341","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EXTRA TOE(S)","code_information":[{"code":"28344","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR WEBBED TOE(S)","code_information":[{"code":"28345","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"POUCH TAPE 2.25IN FLNG 12IN","code_information":[{"code":"283536","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":5.84,"maximum":7.68,"gross_charge":8,"discounted_cash":4.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.64,"methodology":"fee schedule"}]}]},{"description":"POUCH TAPE 2.25IN FLNG 12IN","code_information":[{"code":"283536","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":3.76,"maximum":8,"gross_charge":8,"discounted_cash":4.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.76,"methodology":"fee schedule"}]}]},{"description":"RECONSTRUCT CLEFT FOOT","code_information":[{"code":"28360","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX CALCANEAL CLOSED ER","code_information":[{"code":"28400","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX FX CALCANEAL CLOSED ER","code_information":[{"code":"28400","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"TREATMENT OF HEEL FRACTURE","code_information":[{"code":"28405","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF HEEL FRACTURE","code_information":[{"code":"28406","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DISORDERS OF GALLBLADDER AND BILIARY TRACT","code_information":[{"code":"2841","type":"APR-DRG"}],"standard_charges":[{"minimum":14909,"maximum":14909,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14909,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREAT HEEL FRACTURE","code_information":[{"code":"28415","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DISORDERS OF GALLBLADDER AND BILIARY TRACT","code_information":[{"code":"2842","type":"APR-DRG"}],"standard_charges":[{"minimum":18660,"maximum":18660,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18660,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREAT/GRAFT HEEL FRACTURE","code_information":[{"code":"28420","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DISORDERS OF GALLBLADDER AND BILIARY TRACT","code_information":[{"code":"2843","type":"APR-DRG"}],"standard_charges":[{"minimum":26243,"maximum":26243,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26243,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TX FX TALUS WO MAN CLOSED ER","code_information":[{"code":"28430","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":417.56,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"}]}]},{"description":"TX FX TALUS WO MAN CLOSED ER","code_information":[{"code":"28430","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":268.84,"maximum":549.12,"gross_charge":572,"discounted_cash":316.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":543.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":549.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":526.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":491.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":474.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":394.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":268.84,"methodology":"fee schedule"}]}]},{"description":"TREATMENT OF ANKLE FRACTURE","code_information":[{"code":"28435","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF ANKLE FRACTURE","code_information":[{"code":"28436","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DISORDERS OF GALLBLADDER AND BILIARY TRACT","code_information":[{"code":"2844","type":"APR-DRG"}],"standard_charges":[{"minimum":50930,"maximum":50930,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50930,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREAT ANKLE FRACTURE","code_information":[{"code":"28445","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OSTEOCHONDRAL TALUS AUTOGRFT","code_information":[{"code":"28446","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT MIDFOOT FRACTURE EACH","code_information":[{"code":"28450","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT MIDFOOT FRACTURE EACH","code_information":[{"code":"28455","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT MIDFOOT FRACTURE","code_information":[{"code":"28456","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT MIDFOOT FRACTURE EACH","code_information":[{"code":"28465","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX METATARS WO MAN CLSD ER","code_information":[{"code":"28470","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX FX METATARS WO MAN CLSD ER","code_information":[{"code":"28470","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"TREAT METATARSAL FRACTURE","code_information":[{"code":"28475","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT METATARSAL FRACTURE","code_information":[{"code":"28476","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT METATARSAL FRACTURE","code_information":[{"code":"28485","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX GR TOE WO MAN CLSD ER","code_information":[{"code":"28490","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX FX GR TOE WO MAN CLSD ER","code_information":[{"code":"28490","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"TX FX GR TOE W MAN CLSD ER","code_information":[{"code":"28495","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX FX GR TOE W MAN CLSD ER","code_information":[{"code":"28495","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"TREAT BIG TOE FRACTURE","code_information":[{"code":"28496","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT BIG TOE FRACTURE","code_information":[{"code":"28505","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX FX PHALANX WO MAN CLSD ER","code_information":[{"code":"28510","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":404.42,"maximum":531.84,"gross_charge":554,"discounted_cash":306.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":526.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":531.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":454.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":509.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":476.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":404.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":459.82,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX WO MAN CLSD ER","code_information":[{"code":"28510","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":260.38,"maximum":531.84,"gross_charge":554,"discounted_cash":306.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":526.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":531.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":454.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":509.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":476.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":404.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":459.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":382.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":260.38,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX W MAN CLSD ER","code_information":[{"code":"28515","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":308.79,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"TX FX PHALANX W MAN CLSD ER","code_information":[{"code":"28515","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":198.81,"maximum":406.08,"gross_charge":423,"discounted_cash":234.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":401.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":406.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":389.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":308.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":291.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":198.81,"methodology":"fee schedule"}]}]},{"description":"TREAT TOE FRACTURE","code_information":[{"code":"28525","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SESAMOID BONE FRACTURE","code_information":[{"code":"28530","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SESAMOID BONE FRACTURE","code_information":[{"code":"28531","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FOOT DISLOCATION","code_information":[{"code":"28540","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FOOT DISLOCATION","code_information":[{"code":"28545","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FOOT DISLOCATION","code_information":[{"code":"28546","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FOOT DISLOCATION","code_information":[{"code":"28555","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FOOT DISLOCATION","code_information":[{"code":"28570","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STRAP CATHETER ADULT","code_information":[{"code":"285717","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":8.76,"maximum":11.52,"gross_charge":12,"discounted_cash":6.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.96,"methodology":"fee schedule"}]}]},{"description":"STRAP CATHETER ADULT","code_information":[{"code":"285717","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":5.64,"maximum":12,"gross_charge":12,"discounted_cash":6.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.64,"methodology":"fee schedule"}]}]},{"description":"TREAT FOOT DISLOCATION","code_information":[{"code":"28575","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FOOT DISLOCATION","code_information":[{"code":"28576","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FOOT DISLOCATION","code_information":[{"code":"28585","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FOOT DISLOCATION","code_information":[{"code":"28600","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FOOT DISLOCATION","code_information":[{"code":"28605","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT FOOT DISLOCATION","code_information":[{"code":"28606","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FOOT DISLOCATION","code_information":[{"code":"28615","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT TOE DISLOCATION","code_information":[{"code":"28630","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT TOE DISLOCATION","code_information":[{"code":"28635","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT TOE DISLOCATION","code_information":[{"code":"28636","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR TOE DISLOCATION","code_information":[{"code":"28645","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TX DISLOC TOE WO ANES ER","code_information":[{"code":"28660","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":187.61,"maximum":246.72,"gross_charge":257,"discounted_cash":142.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":246.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":210.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":236.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":221.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":213.31,"methodology":"fee schedule"}]}]},{"description":"TX DISLOC TOE WO ANES ER","code_information":[{"code":"28660","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":120.79,"maximum":339.19,"gross_charge":257,"discounted_cash":142.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":244.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":246.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":210.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":236.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":221.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":213.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":177.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":120.79,"methodology":"fee schedule"}]}]},{"description":"TREAT TOE DISLOCATION","code_information":[{"code":"28665","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT TOE DISLOCATION","code_information":[{"code":"28666","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF TOE DISLOCATION","code_information":[{"code":"28675","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF FOOT BONES","code_information":[{"code":"28705","type":"CPT"}],"standard_charges":[{"minimum":26103.42,"maximum":26103.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26103.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF FOOT BONES","code_information":[{"code":"28715","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF FOOT BONES","code_information":[{"code":"28725","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF FOOT BONES","code_information":[{"code":"28730","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF FOOT BONES","code_information":[{"code":"28735","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF FOOT BONES","code_information":[{"code":"28737","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF FOOT BONES","code_information":[{"code":"28740","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF BIG TOE JOINT","code_information":[{"code":"28750","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF BIG TOE JOINT","code_information":[{"code":"28755","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF BIG TOE JOINT","code_information":[{"code":"28760","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF MIDFOOT","code_information":[{"code":"28800","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION THRU METATARSAL","code_information":[{"code":"28805","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION TOE  METATARSAL","code_information":[{"code":"28810","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF TOE","code_information":[{"code":"28820","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL AMPUTATION OF TOE","code_information":[{"code":"28825","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HI ENRGY ESWT PLANTAR FASCIA","code_information":[{"code":"28890","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FOOT/TOES SURGERY PROCEDURE","code_information":[{"code":"28899","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TB GASTSTMY MIC 16FR","code_information":[{"code":"289970","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":149.65,"maximum":196.8,"gross_charge":205,"discounted_cash":113.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":176.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":170.15,"methodology":"fee schedule"}]}]},{"description":"TB GASTSTMY MIC 16FR","code_information":[{"code":"289970","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":96.35,"maximum":196.8,"gross_charge":205,"discounted_cash":113.6,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":176.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":170.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":141.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":96.35,"methodology":"fee schedule"}]}]},{"description":"APPLICATION OF BODY CAST","code_information":[{"code":"29000","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF BODY CAST","code_information":[{"code":"29010","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF BODY CAST","code_information":[{"code":"29015","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF BODY CAST","code_information":[{"code":"29035","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF BODY CAST","code_information":[{"code":"29040","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF BODY CAST","code_information":[{"code":"29044","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF BODY CAST","code_information":[{"code":"29046","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPL CAST FIGURE 8 PLASTER ER","code_information":[{"code":"29049","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":219.73,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"}]}]},{"description":"APPL CAST FIGURE 8 PLASTER ER","code_information":[{"code":"29049","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":141.47,"maximum":396.72,"gross_charge":301,"discounted_cash":166.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141.47,"methodology":"fee schedule"}]}]},{"description":"APPLICATION OF SHOULDER CAST","code_information":[{"code":"29055","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF SHOULDER CAST","code_information":[{"code":"29058","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION CAST ARM LONG ER","code_information":[{"code":"29065","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":370.11,"maximum":486.72,"gross_charge":507,"discounted_cash":280.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":486.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":466.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":436.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":420.81,"methodology":"fee schedule"}]}]},{"description":"APPLICATION CAST ARM LONG ER","code_information":[{"code":"29065","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":238.29,"maximum":486.72,"gross_charge":507,"discounted_cash":280.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":486.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":466.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":436.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":420.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":349.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":238.29,"methodology":"fee schedule"}]}]},{"description":"APPLICATION CAST ARM SHORT ER","code_information":[{"code":"29075","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":370.11,"maximum":486.72,"gross_charge":507,"discounted_cash":280.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":486.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":466.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":436.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":420.81,"methodology":"fee schedule"}]}]},{"description":"APPLICATION CAST ARM SHORT ER","code_information":[{"code":"29075","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":238.29,"maximum":486.72,"gross_charge":507,"discounted_cash":280.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":486.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":466.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":436.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":420.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":349.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":238.29,"methodology":"fee schedule"}]}]},{"description":"APPLY HAND/WRIST CAST","code_information":[{"code":"29085","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLY FINGER CAST","code_information":[{"code":"29086","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION SPLINT ARM LONG ER","code_information":[{"code":"29105","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":219.73,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"}]}]},{"description":"APPLICATION SPLINT ARM LONG ER","code_information":[{"code":"29105","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":141.47,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141.47,"methodology":"fee schedule"}]}]},{"description":"APPL SPLINT ARM SHORT STAT ER","code_information":[{"code":"29125","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":219.73,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"}]}]},{"description":"APPL SPLINT ARM SHORT STAT ER","code_information":[{"code":"29125","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":141.47,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":184.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141.47,"methodology":"fee schedule"}]}]},{"description":"APPLY FOREARM SPLINT","code_information":[{"code":"29126","type":"CPT"}],"standard_charges":[{"minimum":184.15,"maximum":184.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":184.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPL SPLINT FINGER STATIC ER","code_information":[{"code":"29130","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":219.73,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"}]}]},{"description":"APPL SPLINT FINGER STATIC ER","code_information":[{"code":"29130","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":141.47,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":184.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141.47,"methodology":"fee schedule"}]}]},{"description":"APPLICATION OF FINGER SPLINT","code_information":[{"code":"29131","type":"CPT"}],"standard_charges":[{"minimum":91.55,"maximum":91.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91.55,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STRAPPING OF CHEST","code_information":[{"code":"29200","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STRAPPING SHOULDR (VELPEAU) ER","code_information":[{"code":"29240","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":40.15,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"}]}]},{"description":"STRAPPING SHOULDR (VELPEAU) ER","code_information":[{"code":"29240","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":25.85,"maximum":184.15,"gross_charge":55,"discounted_cash":30.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":184.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.85,"methodology":"fee schedule"}]}]},{"description":"STRAPPING OF ELBOW OR WRIST","code_information":[{"code":"29260","type":"CPT"}],"standard_charges":[{"minimum":91.55,"maximum":91.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91.55,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STRAPPING OF HAND OR FINGER","code_information":[{"code":"29280","type":"CPT"}],"standard_charges":[{"minimum":91.55,"maximum":91.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91.55,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF HIP CAST","code_information":[{"code":"29305","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF HIP CASTS","code_information":[{"code":"29325","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPL CAST LEG LONG ER","code_information":[{"code":"29345","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":370.11,"maximum":486.72,"gross_charge":507,"discounted_cash":280.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":486.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":466.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":436.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":420.81,"methodology":"fee schedule"}]}]},{"description":"APPL CAST LEG LONG ER","code_information":[{"code":"29345","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":238.29,"maximum":486.72,"gross_charge":507,"discounted_cash":280.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":486.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":466.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":436.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":420.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":349.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":238.29,"methodology":"fee schedule"}]}]},{"description":"APPLICATION OF LONG LEG CAST","code_information":[{"code":"29355","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLY LONG LEG CAST BRACE","code_information":[{"code":"29358","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF LONG LEG CAST","code_information":[{"code":"29365","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPL CAST LEG SHORT ER","code_information":[{"code":"29405","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":370.11,"maximum":486.72,"gross_charge":507,"discounted_cash":280.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":486.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":466.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":436.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":420.81,"methodology":"fee schedule"}]}]},{"description":"APPL CAST LEG SHORT ER","code_information":[{"code":"29405","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":238.29,"maximum":486.72,"gross_charge":507,"discounted_cash":280.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":481.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":486.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":415.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":466.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":436.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":370.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":420.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":349.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":238.29,"methodology":"fee schedule"}]}]},{"description":"APPLY SHORT LEG CAST","code_information":[{"code":"29425","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLY SHORT LEG CAST","code_information":[{"code":"29435","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ADDITION OF WALKER TO CAST","code_information":[{"code":"29440","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLY RIGID LEG CAST","code_information":[{"code":"29445","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF LEG CAST","code_information":[{"code":"29450","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION SPLINT LEG LONG ER","code_information":[{"code":"29505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":248.93,"maximum":327.36,"gross_charge":341,"discounted_cash":188.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":327.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":279.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":313.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":293.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":248.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":283.03,"methodology":"fee schedule"}]}]},{"description":"APPLICATION SPLINT LEG LONG ER","code_information":[{"code":"29505","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":160.27,"maximum":327.36,"gross_charge":341,"discounted_cash":188.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":323.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":327.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":279.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":313.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":293.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":248.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":283.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":235.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":160.27,"methodology":"fee schedule"}]}]},{"description":"APPL SPLINT LEG SHORT ER","code_information":[{"code":"29515","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":219.73,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"}]}]},{"description":"APPL SPLINT LEG SHORT ER","code_information":[{"code":"29515","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":141.47,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141.47,"methodology":"fee schedule"}]}]},{"description":"STRAPPING OF HIP","code_information":[{"code":"29520","type":"CPT"}],"standard_charges":[{"minimum":184.15,"maximum":184.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":184.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STRAPPING OF KNEE","code_information":[{"code":"29530","type":"CPT"}],"standard_charges":[{"minimum":184.15,"maximum":184.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":184.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STRAPPING OF ANKLE AND/OR FT","code_information":[{"code":"29540","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STRAPPING OF TOES","code_information":[{"code":"29550","type":"CPT"}],"standard_charges":[{"minimum":91.55,"maximum":91.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91.55,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLICATION OF PASTE BOOT","code_information":[{"code":"29580","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPLY MULTLAY COMPRS LWR LEG","code_information":[{"code":"29581","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPL MULTLAY COMPRS ARM/HAND","code_information":[{"code":"29584","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL/REVISION OF CAST","code_information":[{"code":"29700","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL/REVISION OF CAST","code_information":[{"code":"29705","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL/REVISION OF CAST","code_information":[{"code":"29710","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF BODY CAST","code_information":[{"code":"29720","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WINDOWING OF CAST","code_information":[{"code":"29730","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WEDGING OF CAST","code_information":[{"code":"29740","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WEDGING OF CLUBFOOT CAST","code_information":[{"code":"29750","type":"CPT"}],"standard_charges":[{"minimum":396.72,"maximum":396.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CASTING/STRAPPING PROCEDURE","code_information":[{"code":"29799","type":"CPT"}],"standard_charges":[{"minimum":232.24,"maximum":232.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":232.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"JAW ARTHROSCOPY/SURGERY","code_information":[{"code":"29800","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"JAW ARTHROSCOPY/SURGERY","code_information":[{"code":"29804","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHO ARTHRS DX +- SYNOVIAL BX","code_information":[{"code":"29805","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHO ARTHRS SRG CAPSULORPAPHY","code_information":[{"code":"29806","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHO ARTHRS SRG RPR SLAP LES","code_information":[{"code":"29807","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHO ARTHRS SRG RMVL LOOSE/FB","code_information":[{"code":"29819","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHO ARTHRS SRG PRTL SYNVCT","code_information":[{"code":"29820","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHO ARTHRS SRG COMPL SYNVCT","code_information":[{"code":"29821","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHO ARTHRS SRG LMTD DBRDMT","code_information":[{"code":"29822","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHO ARTHRS SRG XTNSV DBRDMT","code_information":[{"code":"29823","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHO ARTHRS SRG DSTL CLAVICLC","code_information":[{"code":"29824","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHO ARTHRS SRG LSSRESCJ ADS","code_information":[{"code":"29825","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ARTHROSCOP ROTATOR CUFF REPR","code_information":[{"code":"29827","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ARTHROSCOPY BICEPS TENODESIS","code_information":[{"code":"29828","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELBOW ARTHROSCOPY","code_information":[{"code":"29830","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELBOW ARTHROSCOPY/SURGERY","code_information":[{"code":"29834","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELBOW ARTHROSCOPY/SURGERY","code_information":[{"code":"29835","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELBOW ARTHROSCOPY/SURGERY","code_information":[{"code":"29836","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELBOW ARTHROSCOPY/SURGERY","code_information":[{"code":"29837","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELBOW ARTHROSCOPY/SURGERY","code_information":[{"code":"29838","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WRIST ARTHROSCOPY","code_information":[{"code":"29840","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WRIST ARTHROSCOPY/SURGERY","code_information":[{"code":"29843","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WRIST ARTHROSCOPY/SURGERY","code_information":[{"code":"29844","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WRIST ARTHROSCOPY/SURGERY","code_information":[{"code":"29845","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WRIST ARTHROSCOPY/SURGERY","code_information":[{"code":"29846","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WRIST ARTHROSCOPY/SURGERY","code_information":[{"code":"29847","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WRIST ENDOSCOPY/SURGERY","code_information":[{"code":"29848","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29850","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29851","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TIBIAL ARTHROSCOPY/SURGERY","code_information":[{"code":"29855","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TIBIAL ARTHROSCOPY/SURGERY","code_information":[{"code":"29856","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HIP ARTHROSCOPY DX","code_information":[{"code":"29860","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HIP ARTHRO W/FB REMOVAL","code_information":[{"code":"29861","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HIP ARTHR0 W/DEBRIDEMENT","code_information":[{"code":"29862","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HIP ARTHR0 W/SYNOVECTOMY","code_information":[{"code":"29863","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AUTGRFT IMPLNT KNEE W/SCOPE","code_information":[{"code":"29866","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ALLGRFT IMPLNT KNEE W/SCOPE","code_information":[{"code":"29867","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MENISCAL TRNSPL KNEE W/SCPE","code_information":[{"code":"29868","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY DX","code_information":[{"code":"29870","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/DRAINAGE","code_information":[{"code":"29871","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29873","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29874","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29875","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29876","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29877","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29879","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29880","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29881","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29882","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29883","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29884","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29885","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29886","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29887","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29888","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE ARTHROSCOPY/SURGERY","code_information":[{"code":"29889","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANKLE ARTHROSCOPY/SURGERY","code_information":[{"code":"29891","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANKLE ARTHROSCOPY/SURGERY","code_information":[{"code":"29892","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SCOPE PLANTAR FASCIOTOMY","code_information":[{"code":"29893","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANKLE ARTHROSCOPY/SURGERY","code_information":[{"code":"29894","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANKLE ARTHROSCOPY/SURGERY","code_information":[{"code":"29895","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANKLE ARTHROSCOPY/SURGERY","code_information":[{"code":"29897","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANKLE ARTHROSCOPY/SURGERY","code_information":[{"code":"29898","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANKLE ARTHROSCOPY/SURGERY","code_information":[{"code":"29899","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MCP JOINT ARTHROSCOPY DX","code_information":[{"code":"29900","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MCP JOINT ARTHROSCOPY SURG","code_information":[{"code":"29901","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MCP JOINT ARTHROSCOPY SURG","code_information":[{"code":"29902","type":"CPT"}],"standard_charges":[{"minimum":2290.45,"maximum":2290.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2290.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUBTALAR ARTHRO W/FB RMVL","code_information":[{"code":"29904","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUBTALAR ARTHRO W/EXC","code_information":[{"code":"29905","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUBTALAR ARTHRO W/DEB","code_information":[{"code":"29906","type":"CPT"}],"standard_charges":[{"minimum":4656.07,"maximum":4656.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4656.07,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUBTALAR ARTHRO W/FUSION","code_information":[{"code":"29907","type":"CPT"}],"standard_charges":[{"minimum":20258.05,"maximum":20258.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20258.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HIP ARTHRO W/FEMOROPLASTY","code_information":[{"code":"29914","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HIP ARTHRO ACETABULOPLASTY","code_information":[{"code":"29915","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HIP ARTHRO W/LABRAL REPAIR","code_information":[{"code":"29916","type":"CPT"}],"standard_charges":[{"minimum":10305.98,"maximum":10305.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10305.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ARTHROSCOPY OF JOINT","code_information":[{"code":"29999","type":"CPT"}],"standard_charges":[{"minimum":339.19,"maximum":339.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF NOSE LESION","code_information":[{"code":"30000","type":"CPT"}],"standard_charges":[{"minimum":332.08,"maximum":332.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":332.08,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF NOSE LESION","code_information":[{"code":"30020","type":"CPT"}],"standard_charges":[{"minimum":709.94,"maximum":709.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":709.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTRANASAL BIOPSY","code_information":[{"code":"30100","type":"CPT"}],"standard_charges":[{"minimum":2123.05,"maximum":2123.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2123.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF NOSE POLYP(S)","code_information":[{"code":"30110","type":"CPT"}],"standard_charges":[{"minimum":2123.05,"maximum":2123.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2123.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF NOSE POLYP(S)","code_information":[{"code":"30115","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF INTRANASAL LESION","code_information":[{"code":"30117","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF INTRANASAL LESION","code_information":[{"code":"30118","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF NOSE","code_information":[{"code":"30120","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF NOSE LESION","code_information":[{"code":"30124","type":"CPT"}],"standard_charges":[{"minimum":2123.05,"maximum":2123.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2123.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF NOSE LESION","code_information":[{"code":"30125","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE INFERIOR TURBINATE","code_information":[{"code":"30130","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RESECT INFERIOR TURBINATE","code_information":[{"code":"30140","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF NOSE","code_information":[{"code":"30150","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF NOSE","code_information":[{"code":"30160","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FLOW LAMINAR PHACO TIP 30D 30G","code_information":[{"code":"301669","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1309.62,"maximum":1722.24,"gross_charge":1794,"discounted_cash":994.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1704.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1471.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1650.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1542.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1309.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1489.02,"methodology":"fee schedule"}]}]},{"description":"FLOW LAMINAR PHACO TIP 30D 30G","code_information":[{"code":"301669","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":843.18,"maximum":1722.24,"gross_charge":1794,"discounted_cash":994.06,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1704.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1471.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1650.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1542.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1309.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1489.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1237.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":843.18,"methodology":"fee schedule"}]}]},{"description":"INJECTION TREATMENT OF NOSE","code_information":[{"code":"30200","type":"CPT"}],"standard_charges":[{"minimum":709.94,"maximum":709.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":709.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NASAL SINUS THERAPY","code_information":[{"code":"30210","type":"CPT"}],"standard_charges":[{"minimum":2123.05,"maximum":2123.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2123.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT NASAL SEPTAL BUTTON","code_information":[{"code":"30220","type":"CPT"}],"standard_charges":[{"minimum":2123.05,"maximum":2123.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2123.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELECTRD DEFIB PED GRDNT EDGE","code_information":[{"code":"302682","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":59.86,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"}]}]},{"description":"ELECTRD DEFIB PED GRDNT EDGE","code_information":[{"code":"302682","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":38.54,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"}]}]},{"description":"REMOVE FB INTRANASAL ER","code_information":[{"code":"30300","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":131.4,"maximum":172.8,"gross_charge":180,"discounted_cash":99.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.4,"methodology":"fee schedule"}]}]},{"description":"REMOVE FB INTRANASAL ER","code_information":[{"code":"30300","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":84.6,"maximum":175.69,"gross_charge":180,"discounted_cash":99.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":175.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"}]}]},{"description":"DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK","code_information":[{"code":"3031","type":"APR-DRG"}],"standard_charges":[{"minimum":73696,"maximum":73696,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":73696,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE NASAL FOREIGN BODY","code_information":[{"code":"30310","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK","code_information":[{"code":"3032","type":"APR-DRG"}],"standard_charges":[{"minimum":109986,"maximum":109986,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":109986,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE NASAL FOREIGN BODY","code_information":[{"code":"30320","type":"CPT"}],"standard_charges":[{"minimum":2123.05,"maximum":2123.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2123.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK","code_information":[{"code":"3033","type":"APR-DRG"}],"standard_charges":[{"minimum":141564,"maximum":141564,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":141564,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEVICE HEMSTAT CLIP 235CM EAX1","code_information":[{"code":"303305","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":350.4,"maximum":460.8,"gross_charge":480,"discounted_cash":265.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":456,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":460.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":441.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":398.4,"methodology":"fee schedule"}]}]},{"description":"DEVICE HEMSTAT CLIP 235CM EAX1","code_information":[{"code":"303305","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":225.6,"maximum":460.8,"gross_charge":480,"discounted_cash":265.97,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":456,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":460.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":441.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":398.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":331.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":225.6,"methodology":"fee schedule"}]}]},{"description":"DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK","code_information":[{"code":"3034","type":"APR-DRG"}],"standard_charges":[{"minimum":201395,"maximum":201395,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":201395,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RECONSTRUCTION OF NOSE","code_information":[{"code":"30400","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK","code_information":[{"code":"3041","type":"APR-DRG"}],"standard_charges":[{"minimum":46049,"maximum":46049,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46049,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RECONSTRUCTION OF NOSE","code_information":[{"code":"30410","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK","code_information":[{"code":"3042","type":"APR-DRG"}],"standard_charges":[{"minimum":64146,"maximum":64146,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64146,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RECONSTRUCTION OF NOSE","code_information":[{"code":"30420","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK","code_information":[{"code":"3043","type":"APR-DRG"}],"standard_charges":[{"minimum":72570,"maximum":72570,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72570,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF NOSE","code_information":[{"code":"30430","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF NOSE","code_information":[{"code":"30435","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK","code_information":[{"code":"3044","type":"APR-DRG"}],"standard_charges":[{"minimum":182096,"maximum":182096,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":182096,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF NOSE","code_information":[{"code":"30450","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF NOSE","code_information":[{"code":"30460","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF NOSE","code_information":[{"code":"30462","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR NASAL STENOSIS","code_information":[{"code":"30465","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR NSL VLV COLLAPSE W/IMPLT","code_information":[{"code":"30468","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMPUTATION OF LOWER LIMB EXCEPT TOES","code_information":[{"code":"3051","type":"APR-DRG"}],"standard_charges":[{"minimum":16028,"maximum":16028,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16028,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"AMPUTATION OF LOWER LIMB EXCEPT TOES","code_information":[{"code":"3052","type":"APR-DRG"}],"standard_charges":[{"minimum":21263,"maximum":21263,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21263,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR OF NASAL SEPTUM","code_information":[{"code":"30520","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUPP KNEE HINGED XL NEOPRN","code_information":[{"code":"305245","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":64.97,"maximum":85.44,"gross_charge":89,"discounted_cash":49.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":81.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":76.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.87,"methodology":"fee schedule"}]}]},{"description":"SUPP KNEE HINGED XL NEOPRN","code_information":[{"code":"305245","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":41.83,"maximum":85.44,"gross_charge":89,"discounted_cash":49.32,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":81.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":76.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":41.83,"methodology":"fee schedule"}]}]},{"description":"AMPUTATION OF LOWER LIMB EXCEPT TOES","code_information":[{"code":"3053","type":"APR-DRG"}],"standard_charges":[{"minimum":44071,"maximum":44071,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44071,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"AMPUTATION OF LOWER LIMB EXCEPT TOES","code_information":[{"code":"3054","type":"APR-DRG"}],"standard_charges":[{"minimum":109179,"maximum":109179,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":109179,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR NASAL DEFECT","code_information":[{"code":"30540","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR NASAL DEFECT","code_information":[{"code":"30545","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE OF NASAL ADHESIONS","code_information":[{"code":"30560","type":"CPT"}],"standard_charges":[{"minimum":709.94,"maximum":709.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":709.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR UPPER JAW FISTULA","code_information":[{"code":"30580","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR MOUTH/NOSE FISTULA","code_information":[{"code":"30600","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTRANASAL RECONSTRUCTION","code_information":[{"code":"30620","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR NASAL SEPTUM DEFECT","code_information":[{"code":"30630","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELECTRD LAPSCP L-HK ASP-H","code_information":[{"code":"306452","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":86.14,"maximum":113.28,"gross_charge":118,"discounted_cash":65.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":113.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":108.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":101.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.94,"methodology":"fee schedule"}]}]},{"description":"ELECTRD LAPSCP L-HK ASP-H","code_information":[{"code":"306452","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":55.46,"maximum":113.28,"gross_charge":118,"discounted_cash":65.39,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":113.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":108.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":101.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":55.46,"methodology":"fee schedule"}]}]},{"description":"DRL BIT 1.5X12MM","code_information":[{"code":"307814","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":191.99,"maximum":252.48,"gross_charge":263,"discounted_cash":145.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":252.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":241.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":226.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":218.29,"methodology":"fee schedule"}]}]},{"description":"DRL BIT 1.5X12MM","code_information":[{"code":"307814","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":123.61,"maximum":252.48,"gross_charge":263,"discounted_cash":145.73,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":252.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":241.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":226.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":218.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":123.61,"methodology":"fee schedule"}]}]},{"description":"ABLATE INF TURBINATE SUPERF","code_information":[{"code":"30801","type":"CPT"}],"standard_charges":[{"minimum":2123.05,"maximum":2123.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2123.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABLATE INF TURBINATE SUBMUC","code_information":[{"code":"30802","type":"CPT"}],"standard_charges":[{"minimum":2123.05,"maximum":2123.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2123.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HIP AND FEMUR FRACTURE REPAIR","code_information":[{"code":"3081","type":"APR-DRG"}],"standard_charges":[{"minimum":20360,"maximum":20360,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20360,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIP AND FEMUR FRACTURE REPAIR","code_information":[{"code":"3082","type":"APR-DRG"}],"standard_charges":[{"minimum":29728,"maximum":29728,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29728,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIP AND FEMUR FRACTURE REPAIR","code_information":[{"code":"3083","type":"APR-DRG"}],"standard_charges":[{"minimum":48271,"maximum":48271,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":48271,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIP AND FEMUR FRACTURE REPAIR","code_information":[{"code":"3084","type":"APR-DRG"}],"standard_charges":[{"minimum":88813,"maximum":88813,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":88813,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRL TAP 6.0MM","code_information":[{"code":"308447","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":627.8,"maximum":825.6,"gross_charge":860,"discounted_cash":476.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":825.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":705.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":791.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":739.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":627.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":713.8,"methodology":"fee schedule"}]}]},{"description":"DRL TAP 6.0MM","code_information":[{"code":"308447","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":404.2,"maximum":825.6,"gross_charge":860,"discounted_cash":476.53,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":817,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":825.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":705.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":791.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":739.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":627.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":713.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":593.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":404.2,"methodology":"fee schedule"}]}]},{"description":"CONTROL NOSEBLEED ANT SMPLE ER","code_information":[{"code":"30901","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":299.3,"maximum":393.6,"gross_charge":410,"discounted_cash":227.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":336.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":377.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":352.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":299.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":340.3,"methodology":"fee schedule"}]}]},{"description":"CONTROL NOSEBLEED ANT SMPLE ER","code_information":[{"code":"30901","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":175.69,"maximum":393.6,"gross_charge":410,"discounted_cash":227.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":175.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":336.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":377.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":352.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":299.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":340.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":282.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":192.7,"methodology":"fee schedule"}]}]},{"description":"CNTRL NOSEBLEED ANT CPLX ER","code_information":[{"code":"30903","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":173.74,"maximum":228.48,"gross_charge":238,"discounted_cash":131.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":228.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":195.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":218.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":204.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":197.54,"methodology":"fee schedule"}]}]},{"description":"CNTRL NOSEBLEED ANT CPLX ER","code_information":[{"code":"30903","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":111.86,"maximum":228.48,"gross_charge":238,"discounted_cash":131.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":175.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":226.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":228.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":195.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":218.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":204.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":197.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":164.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":111.86,"methodology":"fee schedule"}]}]},{"description":"CNTRL NOSEBLEED POST INIT ER","code_information":[{"code":"30905","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":158.41,"maximum":208.32,"gross_charge":217,"discounted_cash":120.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":208.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":199.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":186.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.11,"methodology":"fee schedule"}]}]},{"description":"CNTRL NOSEBLEED POST INIT ER","code_information":[{"code":"30905","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":101.99,"maximum":208.32,"gross_charge":217,"discounted_cash":120.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":175.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":208.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":199.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":186.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":101.99,"methodology":"fee schedule"}]}]},{"description":"CNTRL NOSEBLEED POST SUBSEQ ER","code_information":[{"code":"30906","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":268.64,"maximum":353.28,"gross_charge":368,"discounted_cash":203.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":349.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":353.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":301.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":338.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":316.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":305.44,"methodology":"fee schedule"}]}]},{"description":"CNTRL NOSEBLEED POST SUBSEQ ER","code_information":[{"code":"30906","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":172.96,"maximum":353.28,"gross_charge":368,"discounted_cash":203.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":332.08,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":349.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":353.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":301.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":338.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":316.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":305.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":253.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":172.96,"methodology":"fee schedule"}]}]},{"description":"OTHER SIGNIFICANT HIP AND FEMUR SURGERY","code_information":[{"code":"3091","type":"APR-DRG"}],"standard_charges":[{"minimum":26440,"maximum":26440,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26440,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LIGATION NASAL SINUS ARTERY","code_information":[{"code":"30915","type":"CPT"}],"standard_charges":[{"minimum":4491.06,"maximum":4491.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4491.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER SIGNIFICANT HIP AND FEMUR SURGERY","code_information":[{"code":"3092","type":"APR-DRG"}],"standard_charges":[{"minimum":30142,"maximum":30142,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30142,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LIGATION UPPER JAW ARTERY","code_information":[{"code":"30920","type":"CPT"}],"standard_charges":[{"minimum":4491.06,"maximum":4491.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4491.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER SIGNIFICANT HIP AND FEMUR SURGERY","code_information":[{"code":"3093","type":"APR-DRG"}],"standard_charges":[{"minimum":62529,"maximum":62529,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":62529,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"THER FX NASAL INF TURBINATE","code_information":[{"code":"30930","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER SIGNIFICANT HIP AND FEMUR SURGERY","code_information":[{"code":"3094","type":"APR-DRG"}],"standard_charges":[{"minimum":92687,"maximum":92687,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":92687,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NASAL SURGERY PROCEDURE","code_information":[{"code":"30999","type":"CPT"}],"standard_charges":[{"minimum":332.08,"maximum":332.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":332.08,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IRRIGATION MAXILLARY SINUS","code_information":[{"code":"31000","type":"CPT"}],"standard_charges":[{"minimum":332.08,"maximum":332.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":332.08,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IRRIGATION SPHENOID SINUS","code_information":[{"code":"31002","type":"CPT"}],"standard_charges":[{"minimum":2123.05,"maximum":2123.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2123.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION","code_information":[{"code":"3101","type":"APR-DRG"}],"standard_charges":[{"minimum":20174,"maximum":20174,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20174,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION","code_information":[{"code":"3102","type":"APR-DRG"}],"standard_charges":[{"minimum":25023,"maximum":25023,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25023,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXPLORATION MAXILLARY SINUS","code_information":[{"code":"31020","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION","code_information":[{"code":"3103","type":"APR-DRG"}],"standard_charges":[{"minimum":40492,"maximum":40492,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40492,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXPLORATION MAXILLARY SINUS","code_information":[{"code":"31030","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE SINUS REMOVE POLYPS","code_information":[{"code":"31032","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION","code_information":[{"code":"3104","type":"APR-DRG"}],"standard_charges":[{"minimum":75263,"maximum":75263,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":75263,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXPLORATION BEHIND UPPER JAW","code_information":[{"code":"31040","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION SPHENOID SINUS","code_information":[{"code":"31050","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SPHENOID SINUS SURGERY","code_information":[{"code":"31051","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION OF FRONTAL SINUS","code_information":[{"code":"31070","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION OF FRONTAL SINUS","code_information":[{"code":"31075","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FRONTAL SINUS","code_information":[{"code":"31080","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FRONTAL SINUS","code_information":[{"code":"31081","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FRONTAL SINUS","code_information":[{"code":"31084","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FRONTAL SINUS","code_information":[{"code":"31085","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FRONTAL SINUS","code_information":[{"code":"31086","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FRONTAL SINUS","code_information":[{"code":"31087","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION OF SINUSES","code_information":[{"code":"31090","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ETHMOID SINUS","code_information":[{"code":"31200","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ETHMOID SINUS","code_information":[{"code":"31201","type":"CPT"}],"standard_charges":[{"minimum":2123.05,"maximum":2123.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2123.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ETHMOID SINUS","code_information":[{"code":"31205","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES","code_information":[{"code":"3121","type":"APR-DRG"}],"standard_charges":[{"minimum":23741,"maximum":23741,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23741,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES","code_information":[{"code":"3122","type":"APR-DRG"}],"standard_charges":[{"minimum":52081,"maximum":52081,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52081,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF UPPER JAW","code_information":[{"code":"31225","type":"CPT"}],"standard_charges":[{"minimum":2849.78,"maximum":2849.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2849.78,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES","code_information":[{"code":"3123","type":"APR-DRG"}],"standard_charges":[{"minimum":108204,"maximum":108204,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":108204,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NASAL ENDOSCOPY DX","code_information":[{"code":"31231","type":"CPT"}],"standard_charges":[{"minimum":258.01,"maximum":258.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":258.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC DX MAX SINUSC","code_information":[{"code":"31233","type":"CPT"}],"standard_charges":[{"minimum":590.89,"maximum":590.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":590.89,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC DX SPHN SINUSC","code_information":[{"code":"31235","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NASAL/SINUS ENDOSCOPY SURG","code_information":[{"code":"31237","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NASAL/SINUS ENDOSCOPY SURG","code_information":[{"code":"31238","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NASAL/SINUS ENDOSCOPY SURG","code_information":[{"code":"31239","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES","code_information":[{"code":"3124","type":"APR-DRG"}],"standard_charges":[{"minimum":134740,"maximum":134740,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":134740,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NASAL/SINUS ENDOSCOPY SURG","code_information":[{"code":"31240","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC W/ARTERY LIG","code_information":[{"code":"31241","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC TOTAL","code_information":[{"code":"31253","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC W/PRTL ETHMDCT","code_information":[{"code":"31254","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC W/TOT ETHMDCT","code_information":[{"code":"31255","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION MAXILLARY SINUS","code_information":[{"code":"31256","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC TOT W/SPHENDT","code_information":[{"code":"31257","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC SPHN TISS RMVL","code_information":[{"code":"31259","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOSCOPY MAXILLARY SINUS","code_information":[{"code":"31267","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC FRNT TISS RMVL","code_information":[{"code":"31276","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NASAL/SINUS ENDOSCOPY SURG","code_information":[{"code":"31287","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NASAL/SINUS ENDOSCOPY SURG","code_information":[{"code":"31288","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NASAL/SINUS ENDOSCOPY SURG","code_information":[{"code":"31290","type":"CPT"}],"standard_charges":[{"minimum":5404.69,"maximum":5404.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5404.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC MED/INF DCMPRN","code_information":[{"code":"31292","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC MEDINF DCMPRN","code_information":[{"code":"31293","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC SURG ON DCMPRN","code_information":[{"code":"31294","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC SURG MAX SINS","code_information":[{"code":"31295","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC SURG FRNT SINS","code_information":[{"code":"31296","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC SURG SPHN SINS","code_information":[{"code":"31297","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NSL/SINS NDSC SURG FRNTSPHN","code_information":[{"code":"31298","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SINUS SURGERY PROCEDURE","code_information":[{"code":"31299","type":"CPT"}],"standard_charges":[{"minimum":332.08,"maximum":332.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":332.08,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF LARYNX LESION","code_information":[{"code":"31300","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT","code_information":[{"code":"3131","type":"APR-DRG"}],"standard_charges":[{"minimum":20532,"maximum":20532,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20532,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT","code_information":[{"code":"3132","type":"APR-DRG"}],"standard_charges":[{"minimum":34470,"maximum":34470,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34470,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT","code_information":[{"code":"3133","type":"APR-DRG"}],"standard_charges":[{"minimum":51719,"maximum":51719,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":51719,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT","code_information":[{"code":"3134","type":"APR-DRG"}],"standard_charges":[{"minimum":128693,"maximum":128693,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":128693,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EZ IO NEEDLE, 15G X 45 MM","code_information":[{"code":"313965","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":192.72,"maximum":253.44,"gross_charge":264,"discounted_cash":146.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":242.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":219.12,"methodology":"fee schedule"}]}]},{"description":"EZ IO NEEDLE, 15G X 45 MM","code_information":[{"code":"313965","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":124.08,"maximum":253.44,"gross_charge":264,"discounted_cash":146.29,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":242.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":219.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":182.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":124.08,"methodology":"fee schedule"}]}]},{"description":"REVISION OF LARYNX","code_information":[{"code":"31400","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FOOT AND TOE PROCEDURES","code_information":[{"code":"3141","type":"APR-DRG"}],"standard_charges":[{"minimum":22214,"maximum":22214,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22214,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FOOT AND TOE PROCEDURES","code_information":[{"code":"3142","type":"APR-DRG"}],"standard_charges":[{"minimum":24342,"maximum":24342,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24342,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF EPIGLOTTIS","code_information":[{"code":"31420","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FOOT AND TOE PROCEDURES","code_information":[{"code":"3143","type":"APR-DRG"}],"standard_charges":[{"minimum":28631,"maximum":28631,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28631,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HOOK LAM 2 OPN SID MED TI","code_information":[{"code":"314370","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1560.74,"maximum":2052.48,"gross_charge":2138,"discounted_cash":1184.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2031.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2052.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1753.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1966.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1838.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1560.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1774.54,"methodology":"fee schedule"}]}]},{"description":"HOOK LAM 2 OPN SID MED TI","code_information":[{"code":"314370","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1004.86,"maximum":2052.48,"gross_charge":2138,"discounted_cash":1184.67,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2031.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2052.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1753.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1966.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1838.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1560.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1774.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1475.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1004.86,"methodology":"fee schedule"}]}]},{"description":"FOOT AND TOE PROCEDURES","code_information":[{"code":"3144","type":"APR-DRG"}],"standard_charges":[{"minimum":56390,"maximum":56390,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56390,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTUBATION ENDOTRACHEAL ER","code_information":[{"code":"31500","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":764.31,"maximum":1005.12,"gross_charge":1047,"discounted_cash":580.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1005.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":858.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":963.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":900.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":764.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":869.01,"methodology":"fee schedule"}]}]},{"description":"INTUBATION ENDOTRACHEAL ER","code_information":[{"code":"31500","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":332.08,"maximum":1005.12,"gross_charge":1047,"discounted_cash":580.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":332.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":994.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1005.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":858.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":963.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":900.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":764.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":869.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":722.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":492.09,"methodology":"fee schedule"}]}]},{"description":"CHG TUBE TRACHEOTOMY ER","code_information":[{"code":"31502","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":255.5,"maximum":336,"gross_charge":350,"discounted_cash":193.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":336,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":287,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":322,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":301,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":290.5,"methodology":"fee schedule"}]}]},{"description":"CHG TUBE TRACHEOTOMY ER","code_information":[{"code":"31502","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":164.5,"maximum":336,"gross_charge":350,"discounted_cash":193.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":332.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":332.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":336,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":287,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":322,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":301,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":290.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":241.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":164.5,"methodology":"fee schedule"}]}]},{"description":"DIAGNOSTIC LARYNGOSCOPY","code_information":[{"code":"31505","type":"CPT"}],"standard_charges":[{"minimum":258.01,"maximum":258.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":258.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT","code_information":[{"code":"3151","type":"APR-DRG"}],"standard_charges":[{"minimum":16371,"maximum":16371,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16371,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LARYNGOSCOPY WITH BIOPSY","code_information":[{"code":"31510","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE FOREIGN BODY LARYNX","code_information":[{"code":"31511","type":"CPT"}],"standard_charges":[{"minimum":258.01,"maximum":258.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":258.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF LARYNX LESION","code_information":[{"code":"31512","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION INTO VOCAL CORD","code_information":[{"code":"31513","type":"CPT"}],"standard_charges":[{"minimum":590.89,"maximum":590.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":590.89,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOPY FOR ASPIRATION","code_information":[{"code":"31515","type":"CPT"}],"standard_charges":[{"minimum":590.89,"maximum":590.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":590.89,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT","code_information":[{"code":"3152","type":"APR-DRG"}],"standard_charges":[{"minimum":26703,"maximum":26703,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26703,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DX LARYNGOSCOPY NEWBORN","code_information":[{"code":"31520","type":"CPT"}],"standard_charges":[{"minimum":590.89,"maximum":590.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":590.89,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DX LARYNGOSCOPY EXCL NB","code_information":[{"code":"31525","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DX LARYNGOSCOPY W/OPER SCOPE","code_information":[{"code":"31526","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOPY FOR TREATMENT","code_information":[{"code":"31527","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOPY AND DILATION","code_information":[{"code":"31528","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOPY AND DILATION","code_information":[{"code":"31529","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT","code_information":[{"code":"3153","type":"APR-DRG"}],"standard_charges":[{"minimum":43121,"maximum":43121,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43121,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LARYNGOSCOPY W/FB REMOVAL","code_information":[{"code":"31530","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOPY W/FB  OP SCOPE","code_information":[{"code":"31531","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOPY W/BIOPSY","code_information":[{"code":"31535","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOPY W/BX  OP SCOPE","code_information":[{"code":"31536","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT","code_information":[{"code":"3154","type":"APR-DRG"}],"standard_charges":[{"minimum":82382,"maximum":82382,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":82382,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LARYNGOSCOPY W/EXC OF TUMOR","code_information":[{"code":"31540","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNSCOP W/TUMR EXC + SCOPE","code_information":[{"code":"31541","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE VC LESION W/SCOPE","code_information":[{"code":"31545","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE VC LESION SCOPE/GRAFT","code_information":[{"code":"31546","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH FOL COUDE SIL 16X5 LF","code_information":[{"code":"315474","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":48.472,"maximum":63.744,"gross_charge":66.4,"discounted_cash":36.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.12,"methodology":"fee schedule"}]}]},{"description":"CATH FOL COUDE SIL 16X5 LF","code_information":[{"code":"315474","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":31.208,"maximum":63.744,"gross_charge":66.4,"discounted_cash":36.8,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":31.21,"methodology":"fee schedule"}]}]},{"description":"LARYNGOPLASTY LARYNGEAL STEN","code_information":[{"code":"31551","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOPLASTY LARYNGEAL STEN","code_information":[{"code":"31552","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOPLASTY LARYNGEAL STEN","code_information":[{"code":"31553","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOPLASTY LARYNGEAL STEN","code_information":[{"code":"31554","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOP W/ARYTENOIDECTOM","code_information":[{"code":"31560","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNSCOP REMVE CART + SCOP","code_information":[{"code":"31561","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOPE W/VC INJ","code_information":[{"code":"31570","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOP W/VC INJ + SCOPE","code_information":[{"code":"31571","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARGSC W/LASER DSTRJ LES","code_information":[{"code":"31572","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARGSC W/THER INJECTION","code_information":[{"code":"31573","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARGSC W/NJX AUGMENTATION","code_information":[{"code":"31574","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIAGNOSTIC LARYNGOSCOPY","code_information":[{"code":"31575","type":"CPT"}],"standard_charges":[{"minimum":258.01,"maximum":258.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":258.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOPY WITH BIOPSY","code_information":[{"code":"31576","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARGSC W/RMVL FOREIGN BDY(S)","code_information":[{"code":"31577","type":"CPT"}],"standard_charges":[{"minimum":590.89,"maximum":590.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":590.89,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARGSC W/REMOVAL LESION","code_information":[{"code":"31578","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOSCOPY TELESCOPIC","code_information":[{"code":"31579","type":"CPT"}],"standard_charges":[{"minimum":590.89,"maximum":590.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":590.89,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOPLASTY LARYNGEAL WEB","code_information":[{"code":"31580","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOPLASTY FX RDCTJ FIXJ","code_information":[{"code":"31584","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOPLASTY CRICOID SPLIT","code_information":[{"code":"31587","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINNERVATE LARYNX","code_information":[{"code":"31590","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNGOPLASTY MEDIALIZATION","code_information":[{"code":"31591","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CRICOTRACHEAL RESECTION","code_information":[{"code":"31592","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LARYNX SURGERY PROCEDURE","code_information":[{"code":"31599","type":"CPT"}],"standard_charges":[{"minimum":332.08,"maximum":332.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":332.08,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF WINDPIPE","code_information":[{"code":"31600","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF WINDPIPE","code_information":[{"code":"31601","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF WINDPIPE","code_information":[{"code":"31603","type":"CPT"}],"standard_charges":[{"minimum":2123.05,"maximum":2123.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2123.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF WINDPIPE","code_information":[{"code":"31605","type":"CPT"}],"standard_charges":[{"minimum":332.08,"maximum":332.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":332.08,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HAND AND WRIST PROCEDURES","code_information":[{"code":"3161","type":"APR-DRG"}],"standard_charges":[{"minimum":13056,"maximum":13056,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13056,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCISION OF WINDPIPE","code_information":[{"code":"31610","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SURGERY/SPEECH PROSTHESIS","code_information":[{"code":"31611","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PUNCTURE/CLEAR WINDPIPE","code_information":[{"code":"31612","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR WINDPIPE OPENING","code_information":[{"code":"31613","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR WINDPIPE OPENING","code_information":[{"code":"31614","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VISUALIZATION OF WINDPIPE","code_information":[{"code":"31615","type":"CPT"}],"standard_charges":[{"minimum":709.94,"maximum":709.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":709.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HAND AND WRIST PROCEDURES","code_information":[{"code":"3162","type":"APR-DRG"}],"standard_charges":[{"minimum":16534,"maximum":16534,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16534,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DX BRONCHOSCOPE/WASH","code_information":[{"code":"31622","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DX BRONCHOSCOPE/BRUSH","code_information":[{"code":"31623","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DX BRONCHOSCOPE/LAVAGE","code_information":[{"code":"31624","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHOSCOPY W/BIOPSY(S)","code_information":[{"code":"31625","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHOSCOPY W/MARKERS","code_information":[{"code":"31626","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHOSCOPY/LUNG BX EACH","code_information":[{"code":"31628","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHOSCOPY/NEEDLE BX EACH","code_information":[{"code":"31629","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HAND AND WRIST PROCEDURES","code_information":[{"code":"3163","type":"APR-DRG"}],"standard_charges":[{"minimum":36365,"maximum":36365,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36365,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BRONCHOSCOPY DILATE/FX REPR","code_information":[{"code":"31630","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHOSCOPY DILATE W/STENT","code_information":[{"code":"31631","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCH W/BALLOON OCCLUSION","code_information":[{"code":"31634","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHOSCOPY W/FB REMOVAL","code_information":[{"code":"31635","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHOSCOPY BRONCH STENTS","code_information":[{"code":"31636","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHOSCOPY REVISE STENT","code_information":[{"code":"31638","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HAND AND WRIST PROCEDURES","code_information":[{"code":"3164","type":"APR-DRG"}],"standard_charges":[{"minimum":64128,"maximum":64128,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64128,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BRONCHOSCOPY W/TUMOR EXCISE","code_information":[{"code":"31640","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHOSCOPY TREAT BLOCKAGE","code_information":[{"code":"31641","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIAG BRONCHOSCOPE/CATHETER","code_information":[{"code":"31643","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRNCHSC W/THER ASPIR 1ST","code_information":[{"code":"31645","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRNCHSC W/THER ASPIR SBSQ","code_information":[{"code":"31646","type":"CPT"}],"standard_charges":[{"minimum":590.89,"maximum":590.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":590.89,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHIAL VALVE INIT INSERT","code_information":[{"code":"31647","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHIAL VALVE REMOV INIT","code_information":[{"code":"31648","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCHIAL VALVE REMOV ADDL","code_information":[{"code":"31649","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCH EBUS SAMPLNG 1/2 NODE","code_information":[{"code":"31652","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCH EBUS SAMPLNG 3/> NODE","code_information":[{"code":"31653","type":"CPT"}],"standard_charges":[{"minimum":4861.98,"maximum":4861.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4861.98,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCH THERMOPLSTY 1 LOBE","code_information":[{"code":"31660","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRONCH THERMOPLSTY 2/> LOBES","code_information":[{"code":"31661","type":"CPT"}],"standard_charges":[{"minimum":9138.16,"maximum":9138.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9138.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES","code_information":[{"code":"3171","type":"APR-DRG"}],"standard_charges":[{"minimum":16478,"maximum":16478,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16478,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BRONCHIAL BRUSH BIOPSY","code_information":[{"code":"31717","type":"CPT"}],"standard_charges":[{"minimum":590.89,"maximum":590.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":590.89,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES","code_information":[{"code":"3172","type":"APR-DRG"}],"standard_charges":[{"minimum":23665,"maximum":23665,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23665,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CLEARANCE OF AIRWAYS","code_information":[{"code":"31720","type":"CPT"}],"standard_charges":[{"minimum":294.86,"maximum":294.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":294.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES","code_information":[{"code":"3173","type":"APR-DRG"}],"standard_charges":[{"minimum":50114,"maximum":50114,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50114,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTRO WINDPIPE WIRE/TUBE","code_information":[{"code":"31730","type":"CPT"}],"standard_charges":[{"minimum":2348.42,"maximum":2348.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES","code_information":[{"code":"3174","type":"APR-DRG"}],"standard_charges":[{"minimum":71998,"maximum":71998,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71998,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR OF WINDPIPE","code_information":[{"code":"31750","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF WINDPIPE","code_information":[{"code":"31755","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE WINDPIPE LESION","code_information":[{"code":"31785","type":"CPT"}],"standard_charges":[{"minimum":7982,"maximum":7982,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7982,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLOSURE OF WINDPIPE LESION","code_information":[{"code":"31820","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF WINDPIPE DEFECT","code_information":[{"code":"31825","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE WINDPIPE SCAR","code_information":[{"code":"31830","type":"CPT"}],"standard_charges":[{"minimum":4294.46,"maximum":4294.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4294.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AIRWAYS SURGICAL PROCEDURE","code_information":[{"code":"31899","type":"CPT"}],"standard_charges":[{"minimum":258.01,"maximum":258.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":258.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROC TY THORCENT 8FRX18 SAF T","code_information":[{"code":"319070","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":142.35,"maximum":187.2,"gross_charge":195,"discounted_cash":108.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":187.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":179.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":167.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.85,"methodology":"fee schedule"}]}]},{"description":"PROC TY THORCENT 8FRX18 SAF T","code_information":[{"code":"319070","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":91.65,"maximum":187.2,"gross_charge":195,"discounted_cash":108.05,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":187.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":179.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":167.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":91.65,"methodology":"fee schedule"}]}]},{"description":"OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES","code_information":[{"code":"3201","type":"APR-DRG"}],"standard_charges":[{"minimum":18373,"maximum":18373,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18373,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES","code_information":[{"code":"3202","type":"APR-DRG"}],"standard_charges":[{"minimum":29598,"maximum":29598,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29598,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES","code_information":[{"code":"3203","type":"APR-DRG"}],"standard_charges":[{"minimum":36340,"maximum":36340,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36340,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES","code_information":[{"code":"3204","type":"APR-DRG"}],"standard_charges":[{"minimum":80095,"maximum":80095,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":80095,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION","code_information":[{"code":"3211","type":"APR-DRG"}],"standard_charges":[{"minimum":27914,"maximum":27914,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27914,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION","code_information":[{"code":"3212","type":"APR-DRG"}],"standard_charges":[{"minimum":36261,"maximum":36261,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36261,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION","code_information":[{"code":"3213","type":"APR-DRG"}],"standard_charges":[{"minimum":51719,"maximum":51719,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":51719,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION","code_information":[{"code":"3214","type":"APR-DRG"}],"standard_charges":[{"minimum":95448,"maximum":95448,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95448,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SHOULDER AND ELBOW JOINT REPLACEMENT","code_information":[{"code":"3221","type":"APR-DRG"}],"standard_charges":[{"minimum":20389,"maximum":20389,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20389,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SHOULDER AND ELBOW JOINT REPLACEMENT","code_information":[{"code":"3222","type":"APR-DRG"}],"standard_charges":[{"minimum":21620,"maximum":21620,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21620,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SHOULDER AND ELBOW JOINT REPLACEMENT","code_information":[{"code":"3223","type":"APR-DRG"}],"standard_charges":[{"minimum":52937,"maximum":52937,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52937,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SHOULDER AND ELBOW JOINT REPLACEMENT","code_information":[{"code":"3224","type":"APR-DRG"}],"standard_charges":[{"minimum":78018,"maximum":78018,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78018,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT","code_information":[{"code":"3231","type":"APR-DRG"}],"standard_charges":[{"minimum":30353,"maximum":30353,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30353,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT","code_information":[{"code":"3232","type":"APR-DRG"}],"standard_charges":[{"minimum":37780,"maximum":37780,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37780,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT","code_information":[{"code":"3233","type":"APR-DRG"}],"standard_charges":[{"minimum":42907,"maximum":42907,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42907,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT","code_information":[{"code":"3234","type":"APR-DRG"}],"standard_charges":[{"minimum":77083,"maximum":77083,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":77083,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEEDLE BIOPSY CHEST LINING","code_information":[{"code":"32400","type":"CPT"}],"standard_charges":[{"minimum":2208.13,"maximum":2208.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2208.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORE NDL BX LNG/MED PERQ","code_information":[{"code":"32408","type":"CPT"}],"standard_charges":[{"minimum":2208.13,"maximum":2208.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2208.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELECTIVE HIP JOINT REPLACEMENT","code_information":[{"code":"3241","type":"APR-DRG"}],"standard_charges":[{"minimum":18519,"maximum":18519,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18519,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTIVE HIP JOINT REPLACEMENT","code_information":[{"code":"3242","type":"APR-DRG"}],"standard_charges":[{"minimum":20061,"maximum":20061,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20061,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BAR TRNVRS 3.5MM TI","code_information":[{"code":"324264","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":556.26,"maximum":731.52,"gross_charge":762,"discounted_cash":422.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":723.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":731.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":624.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":701.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":655.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":632.46,"methodology":"fee schedule"}]}]},{"description":"BAR TRNVRS 3.5MM TI","code_information":[{"code":"324264","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":358.14,"maximum":731.52,"gross_charge":762,"discounted_cash":422.23,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":723.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":731.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":624.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":701.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":655.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":632.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":525.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":358.14,"methodology":"fee schedule"}]}]},{"description":"ELECTIVE HIP JOINT REPLACEMENT","code_information":[{"code":"3243","type":"APR-DRG"}],"standard_charges":[{"minimum":39064,"maximum":39064,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39064,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTIVE HIP JOINT REPLACEMENT","code_information":[{"code":"3244","type":"APR-DRG"}],"standard_charges":[{"minimum":72976,"maximum":72976,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72976,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT","code_information":[{"code":"3251","type":"APR-DRG"}],"standard_charges":[{"minimum":45185,"maximum":45185,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45185,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT","code_information":[{"code":"3252","type":"APR-DRG"}],"standard_charges":[{"minimum":51961,"maximum":51961,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":51961,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT","code_information":[{"code":"3253","type":"APR-DRG"}],"standard_charges":[{"minimum":77900,"maximum":77900,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":77900,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT","code_information":[{"code":"3254","type":"APR-DRG"}],"standard_charges":[{"minimum":88842,"maximum":88842,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":88842,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INSERT PLEURAL CATH","code_information":[{"code":"32550","type":"CPT"}],"standard_charges":[{"minimum":4996.02,"maximum":4996.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4996.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THORACOSTOMY W TUBE INSRT ER","code_information":[{"code":"32551","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1019.08,"maximum":1340.16,"gross_charge":1396,"discounted_cash":773.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1326.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1340.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1144.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1284.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1200.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1019.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1158.68,"methodology":"fee schedule"}]}]},{"description":"THORACOSTOMY W TUBE INSRT ER","code_information":[{"code":"32551","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":656.12,"maximum":2206.79,"gross_charge":1396,"discounted_cash":773.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2206.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1326.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1340.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1144.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1284.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1200.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1019.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1158.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":963.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":656.12,"methodology":"fee schedule"}]}]},{"description":"REMOVE LUNG CATHETER","code_information":[{"code":"32552","type":"CPT"}],"standard_charges":[{"minimum":850.01,"maximum":850.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":850.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INS MARK THOR FOR RT PERQ","code_information":[{"code":"32553","type":"CPT"}],"standard_charges":[{"minimum":1980.86,"maximum":1980.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1980.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ASPIRATE PLEURA W/O IMAGING","code_information":[{"code":"32554","type":"CPT"}],"standard_charges":[{"minimum":850.01,"maximum":850.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":850.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THORACENTESIS W IMAGING US","code_information":[{"code":"32555","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":945.35,"maximum":1243.2,"gross_charge":1295,"discounted_cash":717.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1243.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1061.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1191.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":945.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1074.85,"methodology":"fee schedule"}]}]},{"description":"THORACENTESIS W IMAGING US","code_information":[{"code":"32555","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":608.65,"maximum":1243.2,"gross_charge":1295,"discounted_cash":717.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":850.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1243.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1061.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1191.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":945.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1074.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":893.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":608.65,"methodology":"fee schedule"}]}]},{"description":"INSERT CATH PLEURA W/O IMAGE","code_information":[{"code":"32556","type":"CPT"}],"standard_charges":[{"minimum":2550.28,"maximum":2550.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2550.28,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT CATH PLEURA W/ IMAGE","code_information":[{"code":"32557","type":"CPT"}],"standard_charges":[{"minimum":2206.79,"maximum":2206.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2206.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT PLEURODESIS W/AGENT","code_information":[{"code":"32560","type":"CPT"}],"standard_charges":[{"minimum":850.01,"maximum":850.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":850.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LYSE CHEST FIBRIN INIT DAY","code_information":[{"code":"32561","type":"CPT"}],"standard_charges":[{"minimum":850.01,"maximum":850.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":850.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LYSE CHEST FIBRIN SUBQ DAY","code_information":[{"code":"32562","type":"CPT"}],"standard_charges":[{"minimum":850.01,"maximum":850.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":850.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THORACOSCOPY DIAGNOSTIC","code_information":[{"code":"32601","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THORACOSCOPY WBX SAC","code_information":[{"code":"32604","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THORACOSCOPY W/BX MED SPACE","code_information":[{"code":"32606","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THORACOSCOPY W/BX INFILTRATE","code_information":[{"code":"32607","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THORACOSCOPY W/BX NODULE","code_information":[{"code":"32608","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THORACOSCOPY W/BX PLEURA","code_information":[{"code":"32609","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELECTIVE KNEE JOINT REPLACEMENT","code_information":[{"code":"3261","type":"APR-DRG"}],"standard_charges":[{"minimum":17279,"maximum":17279,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17279,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTIVE KNEE JOINT REPLACEMENT","code_information":[{"code":"3262","type":"APR-DRG"}],"standard_charges":[{"minimum":26117,"maximum":26117,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26117,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTIVE KNEE JOINT REPLACEMENT","code_information":[{"code":"3263","type":"APR-DRG"}],"standard_charges":[{"minimum":39562,"maximum":39562,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39562,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTIVE KNEE JOINT REPLACEMENT","code_information":[{"code":"3264","type":"APR-DRG"}],"standard_charges":[{"minimum":64895,"maximum":64895,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64895,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"THORACOSCOPY W/ TH NRV EXC","code_information":[{"code":"32664","type":"CPT"}],"standard_charges":[{"minimum":13074.05,"maximum":13074.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13074.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THERAPEUTIC PNEUMOTHORAX","code_information":[{"code":"32960","type":"CPT"}],"standard_charges":[{"minimum":850.01,"maximum":850.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":850.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABLATE PULM TUMOR PERQ CRYBL","code_information":[{"code":"32994","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABLATE PULM TUMOR PERQ RF","code_information":[{"code":"32998","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEST SURGERY PROCEDURE","code_information":[{"code":"32999","type":"CPT"}],"standard_charges":[{"minimum":850.01,"maximum":850.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":850.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERICARDIOCENTESIS W/IMAGING","code_information":[{"code":"33016","type":"CPT"}],"standard_charges":[{"minimum":2632.19,"maximum":2632.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2632.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIT DRL QC W/STOP 3.2X65MM","code_information":[{"code":"331943","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":295.65,"maximum":388.8,"gross_charge":405,"discounted_cash":224.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":388.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":372.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":348.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":295.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":336.15,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC W/STOP 3.2X65MM","code_information":[{"code":"331943","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":190.35,"maximum":388.8,"gross_charge":405,"discounted_cash":224.42,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":384.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":388.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":372.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":348.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":295.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":336.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":279.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":190.35,"methodology":"fee schedule"}]}]},{"description":"BIT DRL F/SCR CANC BONE 4.5MM","code_information":[{"code":"331944","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":261.34,"maximum":343.68,"gross_charge":358,"discounted_cash":198.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":343.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":329.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":261.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":297.14,"methodology":"fee schedule"}]}]},{"description":"BIT DRL F/SCR CANC BONE 4.5MM","code_information":[{"code":"331944","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":168.26,"maximum":343.68,"gross_charge":358,"discounted_cash":198.37,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":343.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":329.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":261.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":297.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":168.26,"methodology":"fee schedule"}]}]},{"description":"INSERT HEART PM ATRIAL","code_information":[{"code":"33206","type":"CPT"}],"standard_charges":[{"minimum":19468.25,"maximum":19468.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19468.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT HEART PM VENTRICULAR","code_information":[{"code":"33207","type":"CPT"}],"standard_charges":[{"minimum":19468.25,"maximum":19468.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19468.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSRT HEART PM ATRIAL  VENT","code_information":[{"code":"33208","type":"CPT"}],"standard_charges":[{"minimum":19468.25,"maximum":19468.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19468.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT ELECTRD/PM CATH SNGL","code_information":[{"code":"33210","type":"CPT"}],"standard_charges":[{"minimum":15260.99,"maximum":15260.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15260.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT CARD ELECTRODES DUAL","code_information":[{"code":"33211","type":"CPT"}],"standard_charges":[{"minimum":15260.99,"maximum":15260.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15260.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT PULSE GEN SNGL LEAD","code_information":[{"code":"33212","type":"CPT"}],"standard_charges":[{"minimum":15260.99,"maximum":15260.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15260.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT PULSE GEN DUAL LEADS","code_information":[{"code":"33213","type":"CPT"}],"standard_charges":[{"minimum":19468.25,"maximum":19468.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19468.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"UPGRADE OF PACEMAKER SYSTEM","code_information":[{"code":"33214","type":"CPT"}],"standard_charges":[{"minimum":19468.25,"maximum":19468.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19468.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPOSITION PACING-DEFIB LEAD","code_information":[{"code":"33215","type":"CPT"}],"standard_charges":[{"minimum":5356.81,"maximum":5356.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5356.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT 1 ELECTRODE PM-DEFIB","code_information":[{"code":"33216","type":"CPT"}],"standard_charges":[{"minimum":15260.99,"maximum":15260.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15260.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT 2 ELECTRODE PM-DEFIB","code_information":[{"code":"33217","type":"CPT"}],"standard_charges":[{"minimum":15260.99,"maximum":15260.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15260.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR LEAD PACE-DEFIB ONE","code_information":[{"code":"33218","type":"CPT"}],"standard_charges":[{"minimum":6440.11,"maximum":6440.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6440.11,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR LEAD PACE-DEFIB DUAL","code_information":[{"code":"33220","type":"CPT"}],"standard_charges":[{"minimum":6440.11,"maximum":6440.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6440.11,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT PULSE GEN MULT LEADS","code_information":[{"code":"33221","type":"CPT"}],"standard_charges":[{"minimum":34838.81,"maximum":34838.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34838.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELOCATION POCKET PACEMAKER","code_information":[{"code":"33222","type":"CPT"}],"standard_charges":[{"minimum":3211.03,"maximum":3211.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3211.03,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELOCATE POCKET FOR DEFIB","code_information":[{"code":"33223","type":"CPT"}],"standard_charges":[{"minimum":3211.03,"maximum":3211.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3211.03,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT PACING LEAD  CONNECT","code_information":[{"code":"33224","type":"CPT"}],"standard_charges":[{"minimum":19468.25,"maximum":19468.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19468.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPOSITION L VENTRIC LEAD","code_information":[{"code":"33226","type":"CPT"}],"standard_charges":[{"minimum":5356.81,"maximum":5356.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5356.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVEREPLACE PM GEN SINGL","code_information":[{"code":"33227","type":"CPT"}],"standard_charges":[{"minimum":15260.99,"maximum":15260.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15260.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMVREPLC PM GEN DUAL LEAD","code_information":[{"code":"33228","type":"CPT"}],"standard_charges":[{"minimum":19468.25,"maximum":19468.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19468.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMVREPLC PM GEN MULT LEADS","code_information":[{"code":"33229","type":"CPT"}],"standard_charges":[{"minimum":34838.81,"maximum":34838.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34838.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSRT PULSE GEN W/DUAL LEADS","code_information":[{"code":"33230","type":"CPT"}],"standard_charges":[{"minimum":43129.37,"maximum":43129.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43129.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSRT PULSE GEN W/MULT LEADS","code_information":[{"code":"33231","type":"CPT"}],"standard_charges":[{"minimum":61471.8,"maximum":61471.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61471.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF PM GENERATOR","code_information":[{"code":"33233","type":"CPT"}],"standard_charges":[{"minimum":15260.99,"maximum":15260.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15260.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF PACEMAKER SYSTEM","code_information":[{"code":"33234","type":"CPT"}],"standard_charges":[{"minimum":6440.11,"maximum":6440.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6440.11,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL PACEMAKER ELECTRODE","code_information":[{"code":"33235","type":"CPT"}],"standard_charges":[{"minimum":6440.11,"maximum":6440.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6440.11,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSRT PULSE GEN W/SINGL LEAD","code_information":[{"code":"33240","type":"CPT"}],"standard_charges":[{"minimum":43129.37,"maximum":43129.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43129.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PULSE GENERATOR","code_information":[{"code":"33241","type":"CPT"}],"standard_charges":[{"minimum":6440.11,"maximum":6440.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6440.11,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ELCTRD TRANSVENOUSLY","code_information":[{"code":"33244","type":"CPT"}],"standard_charges":[{"minimum":6440.11,"maximum":6440.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6440.11,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLAMP TRANS CONN","code_information":[{"code":"332472","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":820.52,"maximum":1079.04,"gross_charge":1124,"discounted_cash":622.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1067.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1079.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":921.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1034.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":966.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":820.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":932.92,"methodology":"fee schedule"}]}]},{"description":"CLAMP TRANS CONN","code_information":[{"code":"332472","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":528.28,"maximum":1079.04,"gross_charge":1124,"discounted_cash":622.81,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1067.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1079.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":921.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1034.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":966.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":820.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":932.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":775.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":528.28,"methodology":"fee schedule"}]}]},{"description":"INSJ/RPLCMT DEFIB W/LEAD(S)","code_information":[{"code":"33249","type":"CPT"}],"standard_charges":[{"minimum":61471.8,"maximum":61471.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61471.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RMVL REPLC PULSE GEN 1 LEAD","code_information":[{"code":"33262","type":"CPT"}],"standard_charges":[{"minimum":43129.37,"maximum":43129.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43129.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RMVL  RPLCMT DFB GEN 2 LEAD","code_information":[{"code":"33263","type":"CPT"}],"standard_charges":[{"minimum":43129.37,"maximum":43129.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43129.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RMVL  RPLCMT DFB GEN MLT LD","code_information":[{"code":"33264","type":"CPT"}],"standard_charges":[{"minimum":61471.8,"maximum":61471.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61471.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INS/REP SUBQ DEFIBRILLATOR","code_information":[{"code":"33270","type":"CPT"}],"standard_charges":[{"minimum":61471.8,"maximum":61471.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61471.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSJ SUBQ IMPLTBL DFB ELCTRD","code_information":[{"code":"33271","type":"CPT"}],"standard_charges":[{"minimum":15260.99,"maximum":15260.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15260.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RMVL OF SUBQ DEFIBRILLATOR","code_information":[{"code":"33272","type":"CPT"}],"standard_charges":[{"minimum":6440.11,"maximum":6440.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6440.11,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPOS PREV IMPLTBL SUBQ DFB","code_information":[{"code":"33273","type":"CPT"}],"standard_charges":[{"minimum":6440.11,"maximum":6440.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6440.11,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TCAT INSJ/RPL PERM LDLS PM","code_information":[{"code":"33274","type":"CPT"}],"standard_charges":[{"minimum":30070.54,"maximum":30070.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30070.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TCAT RMVL PERM LDLS PM W/IMG","code_information":[{"code":"33275","type":"CPT"}],"standard_charges":[{"minimum":5356.81,"maximum":5356.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5356.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSJ SUBQ CAR RHYTHM MNTR","code_information":[{"code":"33285","type":"CPT"}],"standard_charges":[{"minimum":15260.99,"maximum":15260.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15260.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RMVL SUBQ CAR RHYTHM MNTR","code_information":[{"code":"33286","type":"CPT"}],"standard_charges":[{"minimum":1164.29,"maximum":1164.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1164.29,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TCAT IMPL WRLS P-ART PRS SNR","code_information":[{"code":"33289","type":"CPT"}],"standard_charges":[{"minimum":53940.16,"maximum":53940.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53940.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CABLE SPNE DBL-LD CRMP 1.0X470","code_information":[{"code":"334982","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":664.3,"maximum":873.6,"gross_charge":910,"discounted_cash":504.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":873.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":746.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":837.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":782.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":664.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":755.3,"methodology":"fee schedule"}]}]},{"description":"CABLE SPNE DBL-LD CRMP 1.0X470","code_information":[{"code":"334982","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":427.7,"maximum":873.6,"gross_charge":910,"discounted_cash":504.24,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":864.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":873.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":746.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":837.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":782.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":664.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":755.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":627.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":427.7,"methodology":"fee schedule"}]}]},{"description":"COLLET TI","code_information":[{"code":"336266","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":794.24,"maximum":1044.48,"gross_charge":1088,"discounted_cash":602.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1033.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":892.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1000.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":935.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":794.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":903.04,"methodology":"fee schedule"}]}]},{"description":"COLLET TI","code_information":[{"code":"336266","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":511.36,"maximum":1044.48,"gross_charge":1088,"discounted_cash":602.87,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1033.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":892.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1000.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":935.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":794.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":903.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":511.36,"methodology":"fee schedule"}]}]},{"description":"CLAMP ILIAC CONN FIXED LN","code_information":[{"code":"336269","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1853.47,"maximum":2437.44,"gross_charge":2539,"discounted_cash":1406.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2412.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2437.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2081.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2335.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2183.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1853.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2107.37,"methodology":"fee schedule"}]}]},{"description":"CLAMP ILIAC CONN FIXED LN","code_information":[{"code":"336269","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1193.33,"maximum":2437.44,"gross_charge":2539,"discounted_cash":1406.86,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2412.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2437.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2081.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2335.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2183.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1853.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2107.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1751.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1193.33,"methodology":"fee schedule"}]}]},{"description":"CARDIAC SURGERY PROCEDURE","code_information":[{"code":"33999","type":"CPT"}],"standard_charges":[{"minimum":1013.86,"maximum":1013.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1013.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FRACTURE OF FEMUR","code_information":[{"code":"3401","type":"APR-DRG"}],"standard_charges":[{"minimum":10041,"maximum":10041,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10041,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FRACTURE OF FEMUR","code_information":[{"code":"3402","type":"APR-DRG"}],"standard_charges":[{"minimum":10431,"maximum":10431,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10431,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FRACTURE OF FEMUR","code_information":[{"code":"3403","type":"APR-DRG"}],"standard_charges":[{"minimum":21005,"maximum":21005,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21005,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FRACTURE OF FEMUR","code_information":[{"code":"3404","type":"APR-DRG"}],"standard_charges":[{"minimum":27598,"maximum":27598,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27598,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIT DRL 20MM BIOCORT SCRS","code_information":[{"code":"340425","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":449.68,"maximum":591.36,"gross_charge":616,"discounted_cash":341.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":591.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":505.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":566.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":529.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":449.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":511.28,"methodology":"fee schedule"}]}]},{"description":"BIT DRL 20MM BIOCORT SCRS","code_information":[{"code":"340425","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":289.52,"maximum":591.36,"gross_charge":616,"discounted_cash":341.33,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":585.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":591.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":505.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":566.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":529.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":449.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":511.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":425.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":289.52,"methodology":"fee schedule"}]}]},{"description":"REMOVAL OF ARTERY CLOT","code_information":[{"code":"34101","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FRACTURE OF PELVIS OR DISLOCATION OF HIP","code_information":[{"code":"3411","type":"APR-DRG"}],"standard_charges":[{"minimum":10911,"maximum":10911,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10911,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF ARM ARTERY CLOT","code_information":[{"code":"34111","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FRACTURE OF PELVIS OR DISLOCATION OF HIP","code_information":[{"code":"3412","type":"APR-DRG"}],"standard_charges":[{"minimum":11875,"maximum":11875,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11875,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FRACTURE OF PELVIS OR DISLOCATION OF HIP","code_information":[{"code":"3413","type":"APR-DRG"}],"standard_charges":[{"minimum":16402,"maximum":16402,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16402,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FRACTURE OF PELVIS OR DISLOCATION OF HIP","code_information":[{"code":"3414","type":"APR-DRG"}],"standard_charges":[{"minimum":30949,"maximum":30949,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30949,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF ARTERY CLOT","code_information":[{"code":"34201","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF LEG ARTERY CLOT","code_information":[{"code":"34203","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK","code_information":[{"code":"3421","type":"APR-DRG"}],"standard_charges":[{"minimum":11047,"maximum":11047,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11047,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK","code_information":[{"code":"3422","type":"APR-DRG"}],"standard_charges":[{"minimum":11162,"maximum":11162,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11162,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK","code_information":[{"code":"3423","type":"APR-DRG"}],"standard_charges":[{"minimum":17225,"maximum":17225,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17225,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK","code_information":[{"code":"3424","type":"APR-DRG"}],"standard_charges":[{"minimum":35694,"maximum":35694,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35694,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIT DRL QC ADJ DPTH 2.5X12-26M","code_information":[{"code":"342804","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":869.43,"maximum":1143.36,"gross_charge":1191,"discounted_cash":659.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1131.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1143.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":976.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1095.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1024.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":869.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":988.53,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC ADJ DPTH 2.5X12-26M","code_information":[{"code":"342804","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":559.77,"maximum":1143.36,"gross_charge":1191,"discounted_cash":659.94,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1131.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1143.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":976.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1095.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1024.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":869.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":988.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":821.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":559.77,"methodology":"fee schedule"}]}]},{"description":"PIN TEMP DRVR","code_information":[{"code":"342826","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":237.98,"maximum":312.96,"gross_charge":326,"discounted_cash":180.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":309.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":312.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":267.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":299.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":280.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":270.58,"methodology":"fee schedule"}]}]},{"description":"PIN TEMP DRVR","code_information":[{"code":"342826","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":153.22,"maximum":312.96,"gross_charge":326,"discounted_cash":180.64,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":309.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":312.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":267.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":299.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":280.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":270.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":224.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":153.22,"methodology":"fee schedule"}]}]},{"description":"MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY","code_information":[{"code":"3431","type":"APR-DRG"}],"standard_charges":[{"minimum":16561,"maximum":16561,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16561,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY","code_information":[{"code":"3432","type":"APR-DRG"}],"standard_charges":[{"minimum":28006,"maximum":28006,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28006,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY","code_information":[{"code":"3433","type":"APR-DRG"}],"standard_charges":[{"minimum":38499,"maximum":38499,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38499,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY","code_information":[{"code":"3434","type":"APR-DRG"}],"standard_charges":[{"minimum":45851,"maximum":45851,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45851,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH PICC PWR SOLO DL 4FR","code_information":[{"code":"343819","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":268.64,"maximum":353.28,"gross_charge":368,"discounted_cash":203.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":349.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":353.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":301.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":338.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":316.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":305.44,"methodology":"fee schedule"}]}]},{"description":"CATH PICC PWR SOLO DL 4FR","code_information":[{"code":"343819","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":172.96,"maximum":353.28,"gross_charge":368,"discounted_cash":203.91,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":349.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":353.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":301.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":338.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":316.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":305.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":253.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":172.96,"methodology":"fee schedule"}]}]},{"description":"CATH PICC GROSHONG 5FR DL MAX","code_information":[{"code":"344052","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":447.49,"maximum":588.48,"gross_charge":613,"discounted_cash":339.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":588.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":502.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":563.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":527.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":447.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":508.79,"methodology":"fee schedule"}]}]},{"description":"CATH PICC GROSHONG 5FR DL MAX","code_information":[{"code":"344052","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":288.11,"maximum":588.48,"gross_charge":613,"discounted_cash":339.67,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":582.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":588.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":502.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":563.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":527.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":447.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":508.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":422.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":288.11,"methodology":"fee schedule"}]}]},{"description":"SPLNT ORTH GLS PRECUT 6X30IN","code_information":[{"code":"344062","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":45.99,"maximum":60.48,"gross_charge":63,"discounted_cash":34.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.29,"methodology":"fee schedule"}]}]},{"description":"SPLNT ORTH GLS PRECUT 6X30IN","code_information":[{"code":"344062","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":29.61,"maximum":63,"gross_charge":63,"discounted_cash":34.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.61,"methodology":"fee schedule"}]}]},{"description":"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS","code_information":[{"code":"3441","type":"APR-DRG"}],"standard_charges":[{"minimum":15407,"maximum":15407,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15407,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS","code_information":[{"code":"3442","type":"APR-DRG"}],"standard_charges":[{"minimum":19676,"maximum":19676,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19676,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF VEIN CLOT","code_information":[{"code":"34421","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS","code_information":[{"code":"3443","type":"APR-DRG"}],"standard_charges":[{"minimum":28490,"maximum":28490,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28490,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS","code_information":[{"code":"3444","type":"APR-DRG"}],"standard_charges":[{"minimum":43089,"maximum":43089,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43089,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF VEIN CLOT","code_information":[{"code":"34471","type":"CPT"}],"standard_charges":[{"minimum":993.38,"maximum":993.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":993.38,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF VEIN CLOT","code_information":[{"code":"34490","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR VALVE FEMORAL VEIN","code_information":[{"code":"34501","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPOSITION OF VEIN VALVE","code_information":[{"code":"34510","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CROSS-OVER VEIN GRAFT","code_information":[{"code":"34520","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LEG VEIN FUSION","code_information":[{"code":"34530","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PIN FIX 2.0 MM","code_information":[{"code":"345300","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1005.21,"maximum":1321.92,"gross_charge":1377,"discounted_cash":763,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1321.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1129.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1266.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1005.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1142.91,"methodology":"fee schedule"}]}]},{"description":"PIN FIX 2.0 MM","code_information":[{"code":"345300","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":647.19,"maximum":1321.92,"gross_charge":1377,"discounted_cash":763,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1308.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1321.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1129.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1266.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1184.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1005.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1142.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":950.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":647.19,"methodology":"fee schedule"}]}]},{"description":"CONNECTIVE TISSUE DISORDERS","code_information":[{"code":"3461","type":"APR-DRG"}],"standard_charges":[{"minimum":12371,"maximum":12371,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12371,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CONNECTIVE TISSUE DISORDERS","code_information":[{"code":"3462","type":"APR-DRG"}],"standard_charges":[{"minimum":20449,"maximum":20449,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20449,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CONNECTIVE TISSUE DISORDERS","code_information":[{"code":"3463","type":"APR-DRG"}],"standard_charges":[{"minimum":30160,"maximum":30160,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30160,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"STPLR ECHELON FLEX","code_information":[{"code":"346362","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":561.37,"maximum":738.24,"gross_charge":769,"discounted_cash":426.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":738.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":630.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":707.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":661.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":561.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":638.27,"methodology":"fee schedule"}]}]},{"description":"STPLR ECHELON FLEX","code_information":[{"code":"346362","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":361.43,"maximum":738.24,"gross_charge":769,"discounted_cash":426.11,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":730.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":738.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":630.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":707.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":661.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":561.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":638.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":530.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":361.43,"methodology":"fee schedule"}]}]},{"description":"CONNECTIVE TISSUE DISORDERS","code_information":[{"code":"3464","type":"APR-DRG"}],"standard_charges":[{"minimum":61096,"maximum":61096,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61096,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES","code_information":[{"code":"3471","type":"APR-DRG"}],"standard_charges":[{"minimum":15427,"maximum":15427,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15427,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES","code_information":[{"code":"3472","type":"APR-DRG"}],"standard_charges":[{"minimum":19525,"maximum":19525,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19525,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRAY SAFE-T PLUS THORACENTESIS","code_information":[{"code":"347203","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":84.68,"maximum":111.36,"gross_charge":116,"discounted_cash":64.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":111.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":106.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":99.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":96.28,"methodology":"fee schedule"}]}]},{"description":"TRAY SAFE-T PLUS THORACENTESIS","code_information":[{"code":"347203","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":54.52,"maximum":111.36,"gross_charge":116,"discounted_cash":64.28,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":111.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":106.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":99.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":96.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":54.52,"methodology":"fee schedule"}]}]},{"description":"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES","code_information":[{"code":"3473","type":"APR-DRG"}],"standard_charges":[{"minimum":23949,"maximum":23949,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23949,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES","code_information":[{"code":"3474","type":"APR-DRG"}],"standard_charges":[{"minimum":36631,"maximum":36631,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36631,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"GWIRE TREPHINE","code_information":[{"code":"349049","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":380.33,"maximum":500.16,"gross_charge":521,"discounted_cash":288.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":500.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":427.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":479.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":448.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":380.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":432.43,"methodology":"fee schedule"}]}]},{"description":"GWIRE TREPHINE","code_information":[{"code":"349049","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":244.87,"maximum":500.16,"gross_charge":521,"discounted_cash":288.69,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":494.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":500.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":427.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":479.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":448.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":380.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":432.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":359.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":244.87,"methodology":"fee schedule"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE","code_information":[{"code":"3491","type":"APR-DRG"}],"standard_charges":[{"minimum":11321,"maximum":11321,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11321,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE","code_information":[{"code":"3492","type":"APR-DRG"}],"standard_charges":[{"minimum":13099,"maximum":13099,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13099,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE","code_information":[{"code":"3493","type":"APR-DRG"}],"standard_charges":[{"minimum":22449,"maximum":22449,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22449,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE","code_information":[{"code":"3494","type":"APR-DRG"}],"standard_charges":[{"minimum":46843,"maximum":46843,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46843,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIT DRL QC 3.3X322MM","code_information":[{"code":"349878","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":392.74,"maximum":516.48,"gross_charge":538,"discounted_cash":298.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":516.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":441.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":494.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":462.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":392.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":446.54,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC 3.3X322MM","code_information":[{"code":"349878","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":252.86,"maximum":516.48,"gross_charge":538,"discounted_cash":298.11,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":511.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":516.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":441.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":494.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":462.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":392.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":446.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":371.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":252.86,"methodology":"fee schedule"}]}]},{"description":"PIN FIX TEMP","code_information":[{"code":"349880","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":810.3,"maximum":1065.6,"gross_charge":1110,"discounted_cash":615.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1054.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1065.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":910.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1021.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":954.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":810.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":921.3,"methodology":"fee schedule"}]}]},{"description":"PIN FIX TEMP","code_information":[{"code":"349880","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":521.7,"maximum":1065.6,"gross_charge":1110,"discounted_cash":615.06,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1054.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1065.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":910.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1021.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":954.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":810.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":921.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":765.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":521.7,"methodology":"fee schedule"}]}]},{"description":"REPAIR DEFECT OF ARTERY","code_information":[{"code":"35011","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR DEFECT OF ARM ARTERY","code_information":[{"code":"35045","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES","code_information":[{"code":"3511","type":"APR-DRG"}],"standard_charges":[{"minimum":10816,"maximum":10816,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10816,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES","code_information":[{"code":"3512","type":"APR-DRG"}],"standard_charges":[{"minimum":13622,"maximum":13622,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13622,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES","code_information":[{"code":"3513","type":"APR-DRG"}],"standard_charges":[{"minimum":18252,"maximum":18252,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18252,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES","code_information":[{"code":"3514","type":"APR-DRG"}],"standard_charges":[{"minimum":36022,"maximum":36022,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36022,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35180","type":"CPT"}],"standard_charges":[{"minimum":2579.01,"maximum":2579.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35184","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35188","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35190","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35201","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35206","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35207","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35226","type":"CPT"}],"standard_charges":[{"minimum":1140.75,"maximum":1140.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1140.75,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35231","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35236","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35256","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35261","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35266","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLOOD VESSEL LESION","code_information":[{"code":"35286","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECHANNELING OF ARTERY","code_information":[{"code":"35321","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECHANNELING OF ARTERY","code_information":[{"code":"35372","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELECTRD 1STP COMPLT RESUS AD","code_information":[{"code":"354402","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":96.798,"maximum":127.296,"gross_charge":132.6,"discounted_cash":73.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":125.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":122,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":114.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":110.06,"methodology":"fee schedule"}]}]},{"description":"ELECTRD 1STP COMPLT RESUS AD","code_information":[{"code":"354402","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":62.322,"maximum":127.296,"gross_charge":132.6,"discounted_cash":73.48,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":125.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":122,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":114.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":110.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":62.33,"methodology":"fee schedule"}]}]},{"description":"COLLAR USS F/6MM ROD","code_information":[{"code":"356830","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":459.9,"maximum":604.8,"gross_charge":630,"discounted_cash":349.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":604.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":516.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":579.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":541.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":459.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":522.9,"methodology":"fee schedule"}]}]},{"description":"COLLAR USS F/6MM ROD","code_information":[{"code":"356830","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":296.1,"maximum":604.8,"gross_charge":630,"discounted_cash":349.09,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":598.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":604.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":516.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":579.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":541.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":459.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":522.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":434.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":296.1,"methodology":"fee schedule"}]}]},{"description":"EXPLORE NECK VESSELS","code_information":[{"code":"35800","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE LIMB VESSELS","code_information":[{"code":"35860","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF CLOT IN GRAFT","code_information":[{"code":"35875","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF CLOT IN GRAFT","code_information":[{"code":"35876","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE GRAFT W/VEIN","code_information":[{"code":"35879","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE GRAFT W/VEIN","code_information":[{"code":"35881","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE GRAFT W/NONAUTO GRAFT","code_information":[{"code":"35883","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE GRAFT W/VEIN","code_information":[{"code":"35884","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION GRAFT EXTREMITY","code_information":[{"code":"35903","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TAP CANN 5MM DUAL CORE SCR","code_information":[{"code":"359159","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":862.86,"maximum":1134.72,"gross_charge":1182,"discounted_cash":654.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":969.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1087.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1016.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":862.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":981.06,"methodology":"fee schedule"}]}]},{"description":"TAP CANN 5MM DUAL CORE SCR","code_information":[{"code":"359159","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":555.54,"maximum":1134.72,"gross_charge":1182,"discounted_cash":654.95,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":969.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1087.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1016.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":862.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":981.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":815.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":555.54,"methodology":"fee schedule"}]}]},{"description":"INTRO NDL/INTRACATH VEIN ER","code_information":[{"code":"36000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":93.44,"maximum":122.88,"gross_charge":128,"discounted_cash":70.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":122.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.24,"methodology":"fee schedule"}]}]},{"description":"INTRO NDL/INTRACATH VEIN ER","code_information":[{"code":"36000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":60.16,"maximum":122.88,"gross_charge":128,"discounted_cash":70.93,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":122.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":60.16,"methodology":"fee schedule"}]}]},{"description":"PSEUDOANEURYSM INJECTION TRT","code_information":[{"code":"36002","type":"CPT"}],"standard_charges":[{"minimum":993.38,"maximum":993.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":993.38,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NDL SPINE CLR HUB 18GX3.5IN","code_information":[{"code":"360285","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3.5259,"maximum":4.6368,"gross_charge":4.83,"discounted_cash":2.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.01,"methodology":"fee schedule"}]}]},{"description":"NDL SPINE CLR HUB 18GX3.5IN","code_information":[{"code":"360285","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2.2701,"maximum":4.6368,"gross_charge":4.83,"discounted_cash":2.68,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.28,"methodology":"fee schedule"}]}]},{"description":"NDL EPIDRL WNG TUOHY 17GX4.5IN","code_information":[{"code":"360568","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":19.5056,"maximum":25.6512,"gross_charge":26.72,"discounted_cash":14.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.18,"methodology":"fee schedule"}]}]},{"description":"NDL EPIDRL WNG TUOHY 17GX4.5IN","code_information":[{"code":"360568","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":12.5584,"maximum":25.6512,"gross_charge":26.72,"discounted_cash":14.81,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.56,"methodology":"fee schedule"}]}]},{"description":"SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES","code_information":[{"code":"3611","type":"APR-DRG"}],"standard_charges":[{"minimum":29773,"maximum":29773,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29773,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES","code_information":[{"code":"3612","type":"APR-DRG"}],"standard_charges":[{"minimum":35764,"maximum":35764,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35764,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES","code_information":[{"code":"3613","type":"APR-DRG"}],"standard_charges":[{"minimum":54116,"maximum":54116,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54116,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES","code_information":[{"code":"3614","type":"APR-DRG"}],"standard_charges":[{"minimum":110109,"maximum":110109,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110109,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"IMP HOLLYWOOD VI 11X27X14MM","code_information":[{"code":"361688","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":5607.86,"maximum":7374.72,"gross_charge":7682,"discounted_cash":4256.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7297.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7374.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6299.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7067.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6606.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5607.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6376.06,"methodology":"fee schedule"}]}]},{"description":"IMP HOLLYWOOD VI 11X27X14MM","code_information":[{"code":"361688","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3610.54,"maximum":7374.72,"gross_charge":7682,"discounted_cash":4256.6,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7297.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7374.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6299.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7067.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6606.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5607.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6376.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5300.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3610.54,"methodology":"fee schedule"}]}]},{"description":"DRL ZUMA C 12MM","code_information":[{"code":"361978","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":265.72,"maximum":349.44,"gross_charge":364,"discounted_cash":201.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":349.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":334.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":313.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":302.12,"methodology":"fee schedule"}]}]},{"description":"DRL ZUMA C 12MM","code_information":[{"code":"361978","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":171.08,"maximum":349.44,"gross_charge":364,"discounted_cash":201.7,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":349.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":334.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":313.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":302.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":251.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":171.08,"methodology":"fee schedule"}]}]},{"description":"MASTECTOMY PROCEDURES","code_information":[{"code":"3621","type":"APR-DRG"}],"standard_charges":[{"minimum":26882,"maximum":26882,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26882,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MASTECTOMY PROCEDURES","code_information":[{"code":"3622","type":"APR-DRG"}],"standard_charges":[{"minimum":38241,"maximum":38241,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38241,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PLACE CATH THORACIC AORTA","code_information":[{"code":"36221","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE CATH CAROTID/INOM ART","code_information":[{"code":"36222","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE CATH CAROTID/INOM ART","code_information":[{"code":"36223","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE CATH CAROTD ART","code_information":[{"code":"36224","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE CATH SUBCLAVIAN ART","code_information":[{"code":"36225","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE CATH VERTEBRAL ART","code_information":[{"code":"36226","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MASTECTOMY PROCEDURES","code_information":[{"code":"3623","type":"APR-DRG"}],"standard_charges":[{"minimum":43934,"maximum":43934,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43934,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MASTECTOMY PROCEDURES","code_information":[{"code":"3624","type":"APR-DRG"}],"standard_charges":[{"minimum":76895,"maximum":76895,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76895,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INS CATH REN ART 1ST UNILAT","code_information":[{"code":"36251","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INS CATH REN ART 1ST BILAT","code_information":[{"code":"36252","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INS CATH REN ART 2ND+ UNILAT","code_information":[{"code":"36253","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INS CATH REN ART 2ND+ BILAT","code_information":[{"code":"36254","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERTION OF INFUSION PUMP","code_information":[{"code":"36260","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF INFUSION PUMP","code_information":[{"code":"36261","type":"CPT"}],"standard_charges":[{"minimum":6310,"maximum":6310,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6310,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF INFUSION PUMP","code_information":[{"code":"36262","type":"CPT"}],"standard_charges":[{"minimum":6310,"maximum":6310,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6310,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BAR TRNVRS TITANIUM 25MM","code_information":[{"code":"362765","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":389.82,"maximum":512.64,"gross_charge":534,"discounted_cash":295.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":512.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":491.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":459.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":389.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":443.22,"methodology":"fee schedule"}]}]},{"description":"BAR TRNVRS TITANIUM 25MM","code_information":[{"code":"362765","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":250.98,"maximum":512.64,"gross_charge":534,"discounted_cash":295.89,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":512.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":491.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":459.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":389.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":443.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":368.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":250.98,"methodology":"fee schedule"}]}]},{"description":"BREAST PROCEDURES EXCEPT MASTECTOMY","code_information":[{"code":"3631","type":"APR-DRG"}],"standard_charges":[{"minimum":27853,"maximum":27853,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27853,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BREAST PROCEDURES EXCEPT MASTECTOMY","code_information":[{"code":"3632","type":"APR-DRG"}],"standard_charges":[{"minimum":40766,"maximum":40766,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40766,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BREAST PROCEDURES EXCEPT MASTECTOMY","code_information":[{"code":"3633","type":"APR-DRG"}],"standard_charges":[{"minimum":54347,"maximum":54347,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54347,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BREAST PROCEDURES EXCEPT MASTECTOMY","code_information":[{"code":"3634","type":"APR-DRG"}],"standard_charges":[{"minimum":69435,"maximum":69435,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":69435,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BSKT ROT POLYP RETRV 13MM","code_information":[{"code":"363454","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":205.13,"maximum":269.76,"gross_charge":281,"discounted_cash":155.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":269.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":230.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":258.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":241.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":233.23,"methodology":"fee schedule"}]}]},{"description":"BSKT ROT POLYP RETRV 13MM","code_information":[{"code":"363454","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":132.07,"maximum":269.76,"gross_charge":281,"discounted_cash":155.71,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":266.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":269.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":230.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":258.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":241.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":233.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":132.07,"methodology":"fee schedule"}]}]},{"description":"BL DRAW < 3 YRS FEM/JUGULAR","code_information":[{"code":"36400","type":"CPT"}],"standard_charges":[{"minimum":81.05,"maximum":81.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":81.05,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BL DRAW <3 YRS SCALP VEIN","code_information":[{"code":"36405","type":"CPT"}],"standard_charges":[{"minimum":68.89,"maximum":68.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BL DRAW <3 YRS OTHER VEIN","code_information":[{"code":"36406","type":"CPT"}],"standard_charges":[{"minimum":50.65,"maximum":50.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES","code_information":[{"code":"3641","type":"APR-DRG"}],"standard_charges":[{"minimum":15565,"maximum":15565,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15565,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VENIPUNCTURE","code_information":[{"code":"36415","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.09,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"}]}]},{"description":"VENIPUNCTURE","code_information":[{"code":"36415","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3,"methodology":"fee schedule"}]}]},{"description":"CAPILLARY STICK","code_information":[{"code":"36416","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.77,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"}]}]},{"description":"CAPILLARY STICK","code_information":[{"code":"36416","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.03,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.03,"methodology":"fee schedule"}]}]},{"description":"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES","code_information":[{"code":"3642","type":"APR-DRG"}],"standard_charges":[{"minimum":24496,"maximum":24496,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24496,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VEIN ACCESS CUTDOWN < 1 YR","code_information":[{"code":"36420","type":"CPT"}],"standard_charges":[{"minimum":205.32,"maximum":205.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":205.32,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VEIN ACCESS CUTDOWN > 1 YR","code_information":[{"code":"36425","type":"CPT"}],"standard_charges":[{"minimum":495.62,"maximum":495.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":495.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES","code_information":[{"code":"3643","type":"APR-DRG"}],"standard_charges":[{"minimum":39244,"maximum":39244,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39244,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BLOOD ADMINISTRATION","code_information":[{"code":"36430","type":"CPT"},{"code":"0391","type":"RC"}],"standard_charges":[{"minimum":990.61,"maximum":1302.72,"gross_charge":1357,"discounted_cash":751.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1302.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1112.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1248.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":990.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1126.31,"methodology":"fee schedule"}]}]},{"description":"BLOOD ADMINISTRATION","code_information":[{"code":"36430","type":"CPT"},{"code":"0391","type":"RC"}],"standard_charges":[{"minimum":637.79,"maximum":1302.72,"gross_charge":1357,"discounted_cash":751.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":728.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1289.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1302.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1112.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1248.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1167.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":990.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1126.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":936.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":637.79,"methodology":"fee schedule"}]}]},{"description":"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES","code_information":[{"code":"3644","type":"APR-DRG"}],"standard_charges":[{"minimum":66244,"maximum":66244,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66244,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BL PUSH TRANSFUSE 2 YR/<","code_information":[{"code":"36440","type":"CPT"}],"standard_charges":[{"minimum":728.25,"maximum":728.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":728.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BL EXCHANGE/TRANSFUSE NB","code_information":[{"code":"36450","type":"CPT"}],"standard_charges":[{"minimum":728.25,"maximum":728.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":728.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BL EXCHANGE/TRANSFUSE NON-NB","code_information":[{"code":"36455","type":"CPT"}],"standard_charges":[{"minimum":728.25,"maximum":728.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":728.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PRTL EXCHANGE TRANSFUSE NB","code_information":[{"code":"36456","type":"CPT"}],"standard_charges":[{"minimum":728.25,"maximum":728.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":728.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSFUSION SERVICE FETAL","code_information":[{"code":"36460","type":"CPT"}],"standard_charges":[{"minimum":728.25,"maximum":728.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":728.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX NONCMPND SCLRSNT 1 VEIN","code_information":[{"code":"36465","type":"CPT"}],"standard_charges":[{"minimum":3146.17,"maximum":3146.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3146.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX NONCMPND SCLRSNT MLT VN","code_information":[{"code":"36466","type":"CPT"}],"standard_charges":[{"minimum":3146.17,"maximum":3146.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3146.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX SCLRSNT SPIDER VEINS","code_information":[{"code":"36468","type":"CPT"}],"standard_charges":[{"minimum":634.32,"maximum":634.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":634.32,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX SCLRSNT 1 INCMPTNT VEIN","code_information":[{"code":"36470","type":"CPT"}],"standard_charges":[{"minimum":634.32,"maximum":634.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":634.32,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX SCLRSNT MLT INCMPTNT VN","code_information":[{"code":"36471","type":"CPT"}],"standard_charges":[{"minimum":634.32,"maximum":634.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":634.32,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOVENOUS MCHNCHEM 1ST VEIN","code_information":[{"code":"36473","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOVENOUS RF 1ST VEIN","code_information":[{"code":"36475","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOVENOUS LASER 1ST VEIN","code_information":[{"code":"36478","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOVEN THER CHEM ADHES 1ST","code_information":[{"code":"36482","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APHERESIS WBC","code_information":[{"code":"36511","type":"CPT"}],"standard_charges":[{"minimum":2500.19,"maximum":2500.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2500.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APHERESIS RBC","code_information":[{"code":"36512","type":"CPT"}],"standard_charges":[{"minimum":2500.19,"maximum":2500.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2500.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APHERESIS PLATELETS","code_information":[{"code":"36513","type":"CPT"}],"standard_charges":[{"minimum":728.25,"maximum":728.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":728.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APHERESIS PLASMA","code_information":[{"code":"36514","type":"CPT"}],"standard_charges":[{"minimum":2500.19,"maximum":2500.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2500.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APHERESIS IMMUNOADS SLCTV","code_information":[{"code":"36516","type":"CPT"}],"standard_charges":[{"minimum":7405.59,"maximum":7405.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7405.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PHOTOPHERESIS","code_information":[{"code":"36522","type":"CPT"}],"standard_charges":[{"minimum":7405.59,"maximum":7405.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7405.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRSNG GAUZE PETROLATUM 3X9","code_information":[{"code":"365262","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":5.11,"maximum":6.72,"gross_charge":7,"discounted_cash":3.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.81,"methodology":"fee schedule"}]}]},{"description":"DRSNG GAUZE PETROLATUM 3X9","code_information":[{"code":"365262","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":3.29,"maximum":7,"gross_charge":7,"discounted_cash":3.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.29,"methodology":"fee schedule"}]}]},{"description":"FRCP BC RAD JAW HOT 4 BSCI","code_information":[{"code":"365477","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":51.1,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"}]}]},{"description":"FRCP BC RAD JAW HOT 4 BSCI","code_information":[{"code":"365477","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":32.9,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.9,"methodology":"fee schedule"}]}]},{"description":"INSERT NON-TUNNEL CV CATH","code_information":[{"code":"36555","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INS CATH CV NON-TUNL >5YRS ER","code_information":[{"code":"36556","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1845.44,"maximum":2426.88,"gross_charge":2528,"discounted_cash":1400.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2401.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2426.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2072.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2325.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1845.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2098.24,"methodology":"fee schedule"}]}]},{"description":"INS CATH CV NON-TUNL >5YRS ER","code_information":[{"code":"36556","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1188.16,"maximum":5248.58,"gross_charge":2528,"discounted_cash":1400.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2401.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2426.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2072.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2325.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2174.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1845.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2098.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1744.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1188.16,"methodology":"fee schedule"}]}]},{"description":"INSERT TUNNELED CV CATH","code_information":[{"code":"36557","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT TUNNELED CV CATH","code_information":[{"code":"36558","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT TUNNELED CV CATH","code_information":[{"code":"36560","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT TUNNELED CV CATH","code_information":[{"code":"36561","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT TUNNELED CV CATH","code_information":[{"code":"36563","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT TUNNELED CV CATH","code_information":[{"code":"36565","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT TUNNELED CV CATH","code_information":[{"code":"36566","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSJ PICC <5 YR W/O IMAGING","code_information":[{"code":"36568","type":"CPT"}],"standard_charges":[{"minimum":2579.01,"maximum":2579.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PICC LINE INS=>5Y WO IMG ER","code_information":[{"code":"36569","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2198.76,"maximum":2891.52,"gross_charge":3012,"discounted_cash":1668.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2861.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2891.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2469.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2771.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2590.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2198.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2499.96,"methodology":"fee schedule"}]}]},{"description":"PICC LINE INS=>5Y WO IMG ER","code_information":[{"code":"36569","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1415.64,"maximum":2891.52,"gross_charge":3012,"discounted_cash":1668.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2861.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2891.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2469.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2771.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2590.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2198.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2499.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2078.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1415.64,"methodology":"fee schedule"}]}]},{"description":"INSERT PICVAD CATH","code_information":[{"code":"36570","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT PICVAD CATH","code_information":[{"code":"36571","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSJ PICC RSI <5 YR","code_information":[{"code":"36572","type":"CPT"}],"standard_charges":[{"minimum":993.38,"maximum":993.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":993.38,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSJ PICC RSI 5 YR+","code_information":[{"code":"36573","type":"CPT"}],"standard_charges":[{"minimum":2579.01,"maximum":2579.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR TUNNELED CV CATH","code_information":[{"code":"36575","type":"CPT"}],"standard_charges":[{"minimum":993.38,"maximum":993.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":993.38,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR TUNNELED CV CATH","code_information":[{"code":"36576","type":"CPT"}],"standard_charges":[{"minimum":2579.01,"maximum":2579.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLACE TUNNELED CV CATH","code_information":[{"code":"36578","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLACE CVAD CATH","code_information":[{"code":"36580","type":"CPT"}],"standard_charges":[{"minimum":2579.01,"maximum":2579.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLACE TUNNELED CV CATH","code_information":[{"code":"36581","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLACE TUNNELED CV CATH","code_information":[{"code":"36582","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLACE TUNNELED CV CATH","code_information":[{"code":"36583","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COMPL RPLCMT PICC RSI","code_information":[{"code":"36584","type":"CPT"}],"standard_charges":[{"minimum":2579.01,"maximum":2579.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLACE PICVAD CATH","code_information":[{"code":"36585","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL TUNNELED CV CATH","code_information":[{"code":"36589","type":"CPT"}],"standard_charges":[{"minimum":993.38,"maximum":993.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":993.38,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REM CVAD W/PMP TUNNELED ER","code_information":[{"code":"36590","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1910.41,"maximum":2512.32,"gross_charge":2617,"discounted_cash":1450.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2486.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2512.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2145.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2407.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2250.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1910.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2172.11,"methodology":"fee schedule"}]}]},{"description":"REM CVAD W/PMP TUNNELED ER","code_information":[{"code":"36590","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1229.99,"maximum":2579.01,"gross_charge":2617,"discounted_cash":1450.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2486.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2512.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2145.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2407.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2250.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1910.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2172.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1805.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1229.99,"methodology":"fee schedule"}]}]},{"description":"BLOOD DRAW ONLY FROM PORT ER","code_information":[{"code":"36591","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":148.92,"maximum":195.84,"gross_charge":204,"discounted_cash":113.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":169.32,"methodology":"fee schedule"}]}]},{"description":"BLOOD DRAW ONLY FROM PORT ER","code_information":[{"code":"36591","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":95.88,"maximum":195.84,"gross_charge":204,"discounted_cash":113.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":156.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":169.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":95.88,"methodology":"fee schedule"}]}]},{"description":"BLOOD DRAW ONLY FROM PICC ER","code_information":[{"code":"36592","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":148.92,"maximum":195.84,"gross_charge":204,"discounted_cash":113.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":169.32,"methodology":"fee schedule"}]}]},{"description":"BLOOD DRAW ONLY FROM PICC ER","code_information":[{"code":"36592","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":95.88,"maximum":195.84,"gross_charge":204,"discounted_cash":113.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":156.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":169.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":95.88,"methodology":"fee schedule"}]}]},{"description":"DECLOT VASCULAR DEVICE","code_information":[{"code":"36593","type":"CPT"}],"standard_charges":[{"minimum":569.95,"maximum":569.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":569.95,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MECH REMOV TUNNELED CV CATH","code_information":[{"code":"36595","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MECH REMOV TUNNELED CV CATH","code_information":[{"code":"36596","type":"CPT"}],"standard_charges":[{"minimum":2579.01,"maximum":2579.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPOSITION VENOUS CATHETER","code_information":[{"code":"36597","type":"CPT"}],"standard_charges":[{"minimum":2579.01,"maximum":2579.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJ W/FLUOR EVAL CV DEVICE","code_information":[{"code":"36598","type":"CPT"}],"standard_charges":[{"minimum":373.24,"maximum":373.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":373.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAB ARTERIAL PUNCTURE","code_information":[{"code":"36600","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":186.15,"maximum":244.8,"gross_charge":255,"discounted_cash":141.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":234.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":219.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":211.65,"methodology":"fee schedule"}]}]},{"description":"LAB ARTERIAL PUNCTURE","code_information":[{"code":"36600","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":119.85,"maximum":244.8,"gross_charge":255,"discounted_cash":141.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":205.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":234.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":219.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":211.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":175.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":119.85,"methodology":"fee schedule"}]}]},{"description":"INSERTION CATHETER ARTERY","code_information":[{"code":"36640","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE NDL INFS INTRAOSSEO ER","code_information":[{"code":"36680","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":361.35,"maximum":475.2,"gross_charge":495,"discounted_cash":274.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":470.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":475.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":455.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":425.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":410.85,"methodology":"fee schedule"}]}]},{"description":"PLACE NDL INFS INTRAOSSEO ER","code_information":[{"code":"36680","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":232.65,"maximum":495.62,"gross_charge":495,"discounted_cash":274.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":495.62,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":470.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":475.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":455.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":425.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":410.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":341.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":232.65,"methodology":"fee schedule"}]}]},{"description":"DEVICE FIXATION ABSORBABLE 5MM","code_information":[{"code":"367428","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1246.11,"maximum":1638.72,"gross_charge":1707,"discounted_cash":945.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1638.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1399.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1570.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1468.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1246.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1416.81,"methodology":"fee schedule"}]}]},{"description":"DEVICE FIXATION ABSORBABLE 5MM","code_information":[{"code":"367428","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":802.29,"maximum":1638.72,"gross_charge":1707,"discounted_cash":945.85,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1621.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1638.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1399.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1570.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1468.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1246.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1416.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1177.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":802.29,"methodology":"fee schedule"}]}]},{"description":"INSERTION OF CANNULA","code_information":[{"code":"36800","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERTION OF CANNULA","code_information":[{"code":"36810","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERTION OF CANNULA","code_information":[{"code":"36815","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AV FUSE UPPR ARM CEPHALIC","code_information":[{"code":"36818","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AV FUSE UPPR ARM BASILIC","code_information":[{"code":"36819","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AV FUSION/FOREARM VEIN","code_information":[{"code":"36820","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AV FUSION DIRECT ANY SITE","code_information":[{"code":"36821","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ARTERY-VEIN AUTOGRAFT","code_information":[{"code":"36825","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ARTERY-VEIN NONAUTOGRAFT","code_information":[{"code":"36830","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN THROMBECT AV FISTULA","code_information":[{"code":"36831","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AV FISTULA REVISION OPEN","code_information":[{"code":"36832","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AV FISTULA REVISION","code_information":[{"code":"36833","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ARTERY TO VEIN SHUNT","code_information":[{"code":"36835","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIST REVAS LIGATION HEMO","code_information":[{"code":"36838","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONN TRN MAXTRIX 47-62MM","code_information":[{"code":"368559","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1059.96,"maximum":1393.92,"gross_charge":1452,"discounted_cash":804.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1379.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1393.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1190.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1335.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1248.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1059.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1205.16,"methodology":"fee schedule"}]}]},{"description":"CONN TRN MAXTRIX 47-62MM","code_information":[{"code":"368559","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":682.44,"maximum":1393.92,"gross_charge":1452,"discounted_cash":804.56,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1379.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1393.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1190.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1335.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1248.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1059.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1205.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1001.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":682.44,"methodology":"fee schedule"}]}]},{"description":"EXTERNAL CANNULA DECLOTTING","code_information":[{"code":"36860","type":"CPT"}],"standard_charges":[{"minimum":2579.01,"maximum":2579.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CANNULA DECLOTTING","code_information":[{"code":"36861","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTRO CATH DIALYSIS CIRCUIT","code_information":[{"code":"36901","type":"CPT"}],"standard_charges":[{"minimum":2579.01,"maximum":2579.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTRO CATH DIALYSIS CIRCUIT","code_information":[{"code":"36902","type":"CPT"}],"standard_charges":[{"minimum":9091.37,"maximum":9091.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9091.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTRO CATH DIALYSIS CIRCUIT","code_information":[{"code":"36903","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THRMBC/NFS DIALYSIS CIRCUIT","code_information":[{"code":"36904","type":"CPT"}],"standard_charges":[{"minimum":9091.37,"maximum":9091.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9091.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THRMBC/NFS DIALYSIS CIRCUIT","code_information":[{"code":"36905","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THRMBC/NFS DIALYSIS CIRCUIT","code_information":[{"code":"36906","type":"CPT"}],"standard_charges":[{"minimum":29463.06,"maximum":29463.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29463.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HEMOSTAT SURGICEL SNOW 4INX4IN","code_information":[{"code":"370023","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":371.57,"maximum":488.64,"gross_charge":509,"discounted_cash":282.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":483.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":488.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":468.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":437.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":371.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":422.47,"methodology":"fee schedule"}]}]},{"description":"HEMOSTAT SURGICEL SNOW 4INX4IN","code_information":[{"code":"370023","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":239.23,"maximum":488.64,"gross_charge":509,"discounted_cash":282.04,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":483.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":488.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":417.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":468.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":437.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":371.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":422.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":351.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":239.23,"methodology":"fee schedule"}]}]},{"description":"TAP 5MM","code_information":[{"code":"371281","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":569.4,"maximum":748.8,"gross_charge":780,"discounted_cash":432.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":741,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":748.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":717.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":670.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":569.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":647.4,"methodology":"fee schedule"}]}]},{"description":"TAP 5MM","code_information":[{"code":"371281","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":366.6,"maximum":748.8,"gross_charge":780,"discounted_cash":432.2,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":741,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":748.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":639.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":717.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":670.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":569.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":647.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":538.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":366.6,"methodology":"fee schedule"}]}]},{"description":"INSERT HEPATIC SHUNT (TIPS)","code_information":[{"code":"37182","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE HEPATIC SHUNT (TIPS)","code_information":[{"code":"37183","type":"CPT"}],"standard_charges":[{"minimum":9091.37,"maximum":9091.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9091.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PRIM ART M-THRMBC 1ST VSL","code_information":[{"code":"37184","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VENOUS MECH THROMBECTOMY","code_information":[{"code":"37187","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VEN MECHNL THRMBC REPEAT TX","code_information":[{"code":"37188","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INS ENDOVAS VENA CAVA FILTR","code_information":[{"code":"37191","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REDO ENDOVAS VENA CAVA FILTR","code_information":[{"code":"37192","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REM ENDOVAS VENA CAVA FILTER","code_information":[{"code":"37193","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CEREBRAL THROMBOLYSIS ER","code_information":[{"code":"37195","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":555.53,"maximum":730.56,"gross_charge":761,"discounted_cash":421.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":730.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":624.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":700.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":654.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":555.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":631.63,"methodology":"fee schedule"}]}]},{"description":"CEREBRAL THROMBOLYSIS ER","code_information":[{"code":"37195","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":357.67,"maximum":730.56,"gross_charge":761,"discounted_cash":421.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":569.95,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":722.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":730.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":624.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":700.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":654.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":555.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":631.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":525.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":357.67,"methodology":"fee schedule"}]}]},{"description":"REMOVE INTRVAS FOREIGN BODY","code_information":[{"code":"37197","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WIRE-K W/BLNT PT 1.6MM 480MM","code_information":[{"code":"371991","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":133.59,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"}]}]},{"description":"WIRE-K W/BLNT PT 1.6MM 480MM","code_information":[{"code":"371991","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":86.01,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":86.01,"methodology":"fee schedule"}]}]},{"description":"TRANSCATHETER BIOPSY","code_information":[{"code":"37200","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HD REDUC POLYAX TI","code_information":[{"code":"372062","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":846.8,"maximum":1113.6,"gross_charge":1160,"discounted_cash":642.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1102,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":951.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1067.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":997.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":846.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":962.8,"methodology":"fee schedule"}]}]},{"description":"HD REDUC POLYAX TI","code_information":[{"code":"372062","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":545.2,"maximum":1113.6,"gross_charge":1160,"discounted_cash":642.76,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1102,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":951.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1067.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":997.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":846.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":962.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":800.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":545.2,"methodology":"fee schedule"}]}]},{"description":"THROMBOLYTIC ART THERAPY","code_information":[{"code":"37211","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THROMBOLYTIC VENOUS THERAPY","code_information":[{"code":"37212","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THROMBLYTIC ART/VEN THERAPY","code_information":[{"code":"37213","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CESSJ THERAPY CATH REMOVAL","code_information":[{"code":"37214","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ILIAC REVASC","code_information":[{"code":"37220","type":"CPT"}],"standard_charges":[{"minimum":9091.37,"maximum":9091.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9091.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ILIAC REVASC W/STENT","code_information":[{"code":"37221","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FEM/POPL REVAS W/TLA","code_information":[{"code":"37224","type":"CPT"}],"standard_charges":[{"minimum":9091.37,"maximum":9091.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9091.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FEM/POPL REVAS W/ATHER","code_information":[{"code":"37225","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FEM/POPL REVASC W/STENT","code_information":[{"code":"37226","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FEM/POPL REVASC STNT  ATHER","code_information":[{"code":"37227","type":"CPT"}],"standard_charges":[{"minimum":29463.06,"maximum":29463.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29463.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TIB/PER REVASC W/TLA","code_information":[{"code":"37228","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TIB/PER REVASC W/ATHER","code_information":[{"code":"37229","type":"CPT"}],"standard_charges":[{"minimum":29463.06,"maximum":29463.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29463.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TIB/PER REVASC W/STENT","code_information":[{"code":"37230","type":"CPT"}],"standard_charges":[{"minimum":29463.06,"maximum":29463.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29463.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TIB/PER REVASC STENT  ATHER","code_information":[{"code":"37231","type":"CPT"}],"standard_charges":[{"minimum":29463.06,"maximum":29463.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29463.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN/PERQ PLACE STENT 1ST","code_information":[{"code":"37236","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN/PERQ PLACE STENT SAME","code_information":[{"code":"37238","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VASC EMBOLIZE/OCCLUDE VENOUS","code_information":[{"code":"37241","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VASC EMBOLIZE/OCCLUDE ARTERY","code_information":[{"code":"37242","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VASC EMBOLIZE/OCCLUDE ORGAN","code_information":[{"code":"37243","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VASC EMBOLIZE/OCCLUDE BLEED","code_information":[{"code":"37244","type":"CPT"}],"standard_charges":[{"minimum":18419.8,"maximum":18419.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18419.8,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRLUML BALO ANGIOP 1ST ART","code_information":[{"code":"37246","type":"CPT"}],"standard_charges":[{"minimum":9091.37,"maximum":9091.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9091.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRLUML BALO ANGIOP 1ST VEIN","code_information":[{"code":"37248","type":"CPT"}],"standard_charges":[{"minimum":9091.37,"maximum":9091.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9091.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOSCOPY LIGATE PERF VEINS","code_information":[{"code":"37500","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VASCULAR ENDOSCOPY PROCEDURE","code_information":[{"code":"37501","type":"CPT"}],"standard_charges":[{"minimum":993.38,"maximum":993.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":993.38,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FIX SORBAFIX ADVANCE LAPSCP 30","code_information":[{"code":"375275","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1249.76,"maximum":1643.52,"gross_charge":1712,"discounted_cash":948.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1643.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1403.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1575.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1472.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1249.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1420.96,"methodology":"fee schedule"}]}]},{"description":"FIX SORBAFIX ADVANCE LAPSCP 30","code_information":[{"code":"375275","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":804.64,"maximum":1643.52,"gross_charge":1712,"discounted_cash":948.62,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1626.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1643.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1403.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1575.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1472.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1249.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1420.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1181.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":804.64,"methodology":"fee schedule"}]}]},{"description":"FIX SORBAFIX ADVANCE LAPSCP 15","code_information":[{"code":"375277","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":868.7,"maximum":1142.4,"gross_charge":1190,"discounted_cash":659.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1142.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":975.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1094.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":868.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":987.7,"methodology":"fee schedule"}]}]},{"description":"FIX SORBAFIX ADVANCE LAPSCP 15","code_information":[{"code":"375277","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":559.3,"maximum":1142.4,"gross_charge":1190,"discounted_cash":659.38,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1130.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1142.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":975.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1094.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1023.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":868.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":987.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":821.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":559.3,"methodology":"fee schedule"}]}]},{"description":"LIGATION OF NECK VEIN","code_information":[{"code":"37565","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATION OF NECK ARTERY","code_information":[{"code":"37600","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATION OF NECK ARTERY","code_information":[{"code":"37605","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATION OF NECK ARTERY","code_information":[{"code":"37606","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATION OF A-V FISTULA","code_information":[{"code":"37607","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TEMPORAL ARTERY PROCEDURE","code_information":[{"code":"37609","type":"CPT"}],"standard_charges":[{"minimum":2580.59,"maximum":2580.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2580.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATION OF NECK ARTERY","code_information":[{"code":"37615","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATION OF ABDOMEN ARTERY","code_information":[{"code":"37617","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATION OF EXTREMITY ARTERY","code_information":[{"code":"37618","type":"CPT"}],"standard_charges":[{"minimum":4629.03,"maximum":4629.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4629.03,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATION OF INF VENA CAVA","code_information":[{"code":"37619","type":"CPT"}],"standard_charges":[{"minimum":8749.36,"maximum":8749.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8749.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF MAJOR VEIN","code_information":[{"code":"37650","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF MAJOR VEIN","code_information":[{"code":"37660","type":"CPT"}],"standard_charges":[{"minimum":4629.03,"maximum":4629.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4629.03,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE LEG VEIN","code_information":[{"code":"37700","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATE/STRIP SHORT LEG VEIN","code_information":[{"code":"37718","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATE/STRIP LONG LEG VEIN","code_information":[{"code":"37722","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF LEG VEINS/LESION","code_information":[{"code":"37735","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATE LEG VEINS RADICAL","code_information":[{"code":"37760","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATE LEG VEINS OPEN","code_information":[{"code":"37761","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STAB PHLEB VEINS XTR 10-20","code_information":[{"code":"37765","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PHLEB VEINS - EXTREM 20+","code_information":[{"code":"37766","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF LEG VEIN","code_information":[{"code":"37780","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATE/DIVIDE/EXCISE VEIN","code_information":[{"code":"37785","type":"CPT"}],"standard_charges":[{"minimum":5248.58,"maximum":5248.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5248.58,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PENILE VENOUS OCCLUSION","code_information":[{"code":"37790","type":"CPT"}],"standard_charges":[{"minimum":5642.32,"maximum":5642.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5642.32,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VASCULAR SURGERY PROCEDURE","code_information":[{"code":"37799","type":"CPT"}],"standard_charges":[{"minimum":993.38,"maximum":993.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":993.38,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"END RNG CONVEX 0 DEG 17X22","code_information":[{"code":"378396","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1093.54,"maximum":1438.08,"gross_charge":1498,"discounted_cash":830.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1423.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1438.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1228.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1378.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1093.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1243.34,"methodology":"fee schedule"}]}]},{"description":"END RNG CONVEX 0 DEG 17X22","code_information":[{"code":"378396","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":704.06,"maximum":1438.08,"gross_charge":1498,"discounted_cash":830.05,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1423.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1438.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1228.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1378.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1288.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1093.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1243.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1033.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":704.06,"methodology":"fee schedule"}]}]},{"description":"ORACLE SPACER 9MM 55X22MM","code_information":[{"code":"379789","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":7935.83,"maximum":10436.16,"gross_charge":10871,"discounted_cash":6023.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10327.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10436.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8914.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10001.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9349.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7935.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9022.93,"methodology":"fee schedule"}]}]},{"description":"ORACLE SPACER 9MM 55X22MM","code_information":[{"code":"379789","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":5109.37,"maximum":10436.16,"gross_charge":10871,"discounted_cash":6023.63,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10327.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10436.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8914.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10001.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9349.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7935.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9022.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7500.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5109.37,"methodology":"fee schedule"}]}]},{"description":"SKIN ULCERS","code_information":[{"code":"3801","type":"APR-DRG"}],"standard_charges":[{"minimum":11299,"maximum":11299,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11299,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SKIN ULCERS","code_information":[{"code":"3802","type":"APR-DRG"}],"standard_charges":[{"minimum":15005,"maximum":15005,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15005,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SKIN ULCERS","code_information":[{"code":"3803","type":"APR-DRG"}],"standard_charges":[{"minimum":25313,"maximum":25313,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25313,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SKIN ULCERS","code_information":[{"code":"3804","type":"APR-DRG"}],"standard_charges":[{"minimum":40934,"maximum":40934,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40934,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRCR FIX SYS THRD 5MM","code_information":[{"code":"380971","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":26.28,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"}]}]},{"description":"TRCR FIX SYS THRD 5MM","code_information":[{"code":"380971","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":16.92,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.92,"methodology":"fee schedule"}]}]},{"description":"MAJOR SKIN DISORDERS","code_information":[{"code":"3811","type":"APR-DRG"}],"standard_charges":[{"minimum":12148,"maximum":12148,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12148,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR SKIN DISORDERS","code_information":[{"code":"3812","type":"APR-DRG"}],"standard_charges":[{"minimum":13559,"maximum":13559,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13559,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LAPAROSCOPY SPLENECTOMY","code_information":[{"code":"38120","type":"CPT"}],"standard_charges":[{"minimum":13979.57,"maximum":13979.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13979.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROC SPLEEN","code_information":[{"code":"38129","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR SKIN DISORDERS","code_information":[{"code":"3813","type":"APR-DRG"}],"standard_charges":[{"minimum":25952,"maximum":25952,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25952,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR SKIN DISORDERS","code_information":[{"code":"3814","type":"APR-DRG"}],"standard_charges":[{"minimum":53769,"maximum":53769,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53769,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HARVEST AUTO STEM CELLS","code_information":[{"code":"38206","type":"CPT"}],"standard_charges":[{"minimum":2139.32,"maximum":2139.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.32,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CRYOPRESERVE STEM CELLS","code_information":[{"code":"38207","type":"CPT"}],"standard_charges":[{"minimum":555.02,"maximum":555.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THAW PRESERVED STEM CELLS","code_information":[{"code":"38208","type":"CPT"}],"standard_charges":[{"minimum":555.02,"maximum":555.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"WASH HARVEST STEM CELLS","code_information":[{"code":"38209","type":"CPT"}],"standard_charges":[{"minimum":555.02,"maximum":555.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALIGNANT BREAST DISORDERS","code_information":[{"code":"3821","type":"APR-DRG"}],"standard_charges":[{"minimum":10991,"maximum":10991,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10991,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"T-CELL DEPLETION OF HARVEST","code_information":[{"code":"38210","type":"CPT"}],"standard_charges":[{"minimum":623.13,"maximum":623.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":623.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TUMOR CELL DEPLETE OF HARVST","code_information":[{"code":"38211","type":"CPT"}],"standard_charges":[{"minimum":623.13,"maximum":623.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":623.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RBC DEPLETION OF HARVEST","code_information":[{"code":"38212","type":"CPT"}],"standard_charges":[{"minimum":623.13,"maximum":623.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":623.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLATELET DEPLETE OF HARVEST","code_information":[{"code":"38213","type":"CPT"}],"standard_charges":[{"minimum":623.13,"maximum":623.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":623.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VOLUME DEPLETE OF HARVEST","code_information":[{"code":"38214","type":"CPT"}],"standard_charges":[{"minimum":623.13,"maximum":623.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":623.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HARVEST STEM CELL CONCENTRTE","code_information":[{"code":"38215","type":"CPT"}],"standard_charges":[{"minimum":623.13,"maximum":623.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":623.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALIGNANT BREAST DISORDERS","code_information":[{"code":"3822","type":"APR-DRG"}],"standard_charges":[{"minimum":15619,"maximum":15619,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15619,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DX BONE MARROW ASPIRATIONS","code_information":[{"code":"38220","type":"CPT"}],"standard_charges":[{"minimum":2208.13,"maximum":2208.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2208.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BX BONE MARROW NEEDLE ER","code_information":[{"code":"38221","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":805.92,"maximum":1059.84,"gross_charge":1104,"discounted_cash":611.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":905.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1015.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":949.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":805.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":916.32,"methodology":"fee schedule"}]}]},{"description":"BX BONE MARROW NEEDLE ER","code_information":[{"code":"38221","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":518.88,"maximum":2208.13,"gross_charge":1104,"discounted_cash":611.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2208.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1048.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1059.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":905.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1015.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":949.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":805.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":916.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":761.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":518.88,"methodology":"fee schedule"}]}]},{"description":"DX BONE MARROW BX  ASPIR","code_information":[{"code":"38222","type":"CPT"}],"standard_charges":[{"minimum":3719.47,"maximum":3719.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3719.47,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALIGNANT BREAST DISORDERS","code_information":[{"code":"3823","type":"APR-DRG"}],"standard_charges":[{"minimum":20066,"maximum":20066,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20066,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BONE MARROW HARVEST ALLOGEN","code_information":[{"code":"38230","type":"CPT"}],"standard_charges":[{"minimum":2139.32,"maximum":2139.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.32,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BONE MARROW HARVEST AUTOLOG","code_information":[{"code":"38232","type":"CPT"}],"standard_charges":[{"minimum":6336.73,"maximum":6336.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6336.73,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALIGNANT BREAST DISORDERS","code_information":[{"code":"3824","type":"APR-DRG"}],"standard_charges":[{"minimum":29459,"maximum":29459,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29459,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRANSPLT ALLO HCT/DONOR","code_information":[{"code":"38240","type":"CPT"}],"standard_charges":[{"minimum":49966.39,"maximum":49966.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49966.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPLT AUTOL HCT/DONOR","code_information":[{"code":"38241","type":"CPT"}],"standard_charges":[{"minimum":2139.32,"maximum":2139.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.32,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPLT ALLO LYMPHOCYTES","code_information":[{"code":"38242","type":"CPT"}],"standard_charges":[{"minimum":2139.32,"maximum":2139.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.32,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPLJ HEMATOPOIETIC BOOST","code_information":[{"code":"38243","type":"CPT"}],"standard_charges":[{"minimum":2139.32,"maximum":2139.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2139.32,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE LYMPH NODE LESION","code_information":[{"code":"38300","type":"CPT"}],"standard_charges":[{"minimum":3719.47,"maximum":3719.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3719.47,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE LYMPH NODE LESION","code_information":[{"code":"38305","type":"CPT"}],"standard_charges":[{"minimum":3719.47,"maximum":3719.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3719.47,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF LYMPH CHANNELS","code_information":[{"code":"38308","type":"CPT"}],"standard_charges":[{"minimum":4955.72,"maximum":4955.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4955.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CELLULITIS AND OTHER SKIN INFECTIONS","code_information":[{"code":"3831","type":"APR-DRG"}],"standard_charges":[{"minimum":10191,"maximum":10191,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10191,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CELLULITIS AND OTHER SKIN INFECTIONS","code_information":[{"code":"3832","type":"APR-DRG"}],"standard_charges":[{"minimum":14682,"maximum":14682,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14682,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CELLULITIS AND OTHER SKIN INFECTIONS","code_information":[{"code":"3833","type":"APR-DRG"}],"standard_charges":[{"minimum":17232,"maximum":17232,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17232,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CELLULITIS AND OTHER SKIN INFECTIONS","code_information":[{"code":"3834","type":"APR-DRG"}],"standard_charges":[{"minimum":31833,"maximum":31833,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31833,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE","code_information":[{"code":"3841","type":"APR-DRG"}],"standard_charges":[{"minimum":10039,"maximum":10039,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10039,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE","code_information":[{"code":"3842","type":"APR-DRG"}],"standard_charges":[{"minimum":13167,"maximum":13167,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13167,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE","code_information":[{"code":"3843","type":"APR-DRG"}],"standard_charges":[{"minimum":25012,"maximum":25012,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25012,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE","code_information":[{"code":"3844","type":"APR-DRG"}],"standard_charges":[{"minimum":37580,"maximum":37580,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37580,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY/REMOVAL LYMPH NODES","code_information":[{"code":"38500","type":"CPT"}],"standard_charges":[{"minimum":4955.72,"maximum":4955.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4955.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEEDLE BIOPSY LYMPH NODES","code_information":[{"code":"38505","type":"CPT"}],"standard_charges":[{"minimum":2208.13,"maximum":2208.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2208.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS","code_information":[{"code":"3851","type":"APR-DRG"}],"standard_charges":[{"minimum":9191,"maximum":9191,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9191,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY/REMOVAL LYMPH NODES","code_information":[{"code":"38510","type":"CPT"}],"standard_charges":[{"minimum":4955.72,"maximum":4955.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4955.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS","code_information":[{"code":"3852","type":"APR-DRG"}],"standard_charges":[{"minimum":15590,"maximum":15590,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15590,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY/REMOVAL LYMPH NODES","code_information":[{"code":"38520","type":"CPT"}],"standard_charges":[{"minimum":4955.72,"maximum":4955.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4955.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY/REMOVAL LYMPH NODES","code_information":[{"code":"38525","type":"CPT"}],"standard_charges":[{"minimum":4955.72,"maximum":4955.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4955.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS","code_information":[{"code":"3853","type":"APR-DRG"}],"standard_charges":[{"minimum":20014,"maximum":20014,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20014,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY/REMOVAL LYMPH NODES","code_information":[{"code":"38530","type":"CPT"}],"standard_charges":[{"minimum":4955.72,"maximum":4955.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4955.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OPEN BX/EXC INGUINOFEM NODES","code_information":[{"code":"38531","type":"CPT"}],"standard_charges":[{"minimum":4955.72,"maximum":4955.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4955.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS","code_information":[{"code":"3854","type":"APR-DRG"}],"standard_charges":[{"minimum":39921,"maximum":39921,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39921,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXPLORE DEEP NODE(S) NECK","code_information":[{"code":"38542","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL NECK/ARMPIT LESION","code_information":[{"code":"38550","type":"CPT"}],"standard_charges":[{"minimum":4955.72,"maximum":4955.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4955.72,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL NECK/ARMPIT LESION","code_information":[{"code":"38555","type":"CPT"}],"standard_charges":[{"minimum":8684.9,"maximum":8684.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8684.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL PELVIC LYMPH NODES","code_information":[{"code":"38562","type":"CPT"}],"standard_charges":[{"minimum":13979.57,"maximum":13979.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13979.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY LYMPH NODE BIOP","code_information":[{"code":"38570","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY LYMPHADENECTOMY","code_information":[{"code":"38571","type":"CPT"}],"standard_charges":[{"minimum":13979.57,"maximum":13979.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13979.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY LYMPHADENECTOMY","code_information":[{"code":"38572","type":"CPT"}],"standard_charges":[{"minimum":13979.57,"maximum":13979.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13979.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPS PELVIC LYMPHADEC","code_information":[{"code":"38573","type":"CPT"}],"standard_charges":[{"minimum":13979.57,"maximum":13979.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13979.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROC LYMPHATIC","code_information":[{"code":"38589","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STAPLER ILS CIRCULAR CRVD 29MM","code_information":[{"code":"386320","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":502.97,"maximum":661.44,"gross_charge":689,"discounted_cash":381.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":661.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":564.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":633.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":592.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":502.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":571.87,"methodology":"fee schedule"}]}]},{"description":"STAPLER ILS CIRCULAR CRVD 29MM","code_information":[{"code":"386320","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":323.83,"maximum":661.44,"gross_charge":689,"discounted_cash":381.78,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":661.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":564.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":633.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":592.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":502.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":571.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":475.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":323.83,"methodology":"fee schedule"}]}]},{"description":"REMOVAL OF LYMPH NODES NECK","code_information":[{"code":"38700","type":"CPT"}],"standard_charges":[{"minimum":8684.9,"maximum":8684.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8684.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF LYMPH NODES NECK","code_information":[{"code":"38720","type":"CPT"}],"standard_charges":[{"minimum":13999,"maximum":13999,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13999,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ARMPIT LYMPH NODES","code_information":[{"code":"38740","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ARMPIT LYMPH NODES","code_information":[{"code":"38745","type":"CPT"}],"standard_charges":[{"minimum":7941.79,"maximum":7941.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7941.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE GROIN LYMPH NODES","code_information":[{"code":"38760","type":"CPT"}],"standard_charges":[{"minimum":8684.9,"maximum":8684.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8684.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PEEK T-PAL 7MM SM","code_information":[{"code":"387678","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6560.51,"maximum":8627.52,"gross_charge":8987,"discounted_cash":4979.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8537.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8627.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7369.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8268.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7728.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6560.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7459.21,"methodology":"fee schedule"}]}]},{"description":"PEEK T-PAL 7MM SM","code_information":[{"code":"387678","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":4223.89,"maximum":8627.52,"gross_charge":8987,"discounted_cash":4979.7,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8537.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8627.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7369.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8268.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7728.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6560.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7459.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6201.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4223.89,"methodology":"fee schedule"}]}]},{"description":"RA TRACER ID OF SENTINL NODE","code_information":[{"code":"38792","type":"CPT"}],"standard_charges":[{"minimum":591.84,"maximum":591.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":591.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VEST SMARTVEST WRAP LG","code_information":[{"code":"389888","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":197.1,"maximum":259.2,"gross_charge":270,"discounted_cash":149.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":221.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":248.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":232.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":197.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":224.1,"methodology":"fee schedule"}]}]},{"description":"VEST SMARTVEST WRAP LG","code_information":[{"code":"389888","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":126.9,"maximum":259.2,"gross_charge":270,"discounted_cash":149.61,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":256.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":259.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":221.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":248.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":232.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":197.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":224.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":186.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":126.9,"methodology":"fee schedule"}]}]},{"description":"BLOOD/LYMPH SYSTEM PROCEDURE","code_information":[{"code":"38999","type":"CPT"}],"standard_charges":[{"minimum":623.13,"maximum":623.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":623.13,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HOT BIOPSY FORCEP","code_information":[{"code":"390551","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":105.85,"maximum":139.2,"gross_charge":145,"discounted_cash":80.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":133.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":124.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":120.35,"methodology":"fee schedule"}]}]},{"description":"HOT BIOPSY FORCEP","code_information":[{"code":"390551","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":68.15,"maximum":139.2,"gross_charge":145,"discounted_cash":80.35,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":133.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":124.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":120.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":68.15,"methodology":"fee schedule"}]}]},{"description":"NDL 45MM EZ-I0","code_information":[{"code":"392304","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":219.73,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"}]}]},{"description":"NDL 45MM EZ-I0","code_information":[{"code":"392304","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":141.47,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141.47,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL ENTERO VU 24PCT 600X1","code_information":[{"code":"392655","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":40.2814,"maximum":52.9728,"gross_charge":55.18,"discounted_cash":30.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.25,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.8,"methodology":"fee schedule"}]}]},{"description":"SOL ORAL ENTERO VU 24PCT 600X1","code_information":[{"code":"392655","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":25.9346,"maximum":52.9728,"gross_charge":55.18,"discounted_cash":30.58,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.25,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.94,"methodology":"fee schedule"}]}]},{"description":"MEDIASTINOSCPY W/MEDSTNL BX","code_information":[{"code":"39401","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MEDIASTINOSCPY W/LMPH NOD BX","code_information":[{"code":"39402","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NDL SET 15G EZ-10 25MM","code_information":[{"code":"395270","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":175.2,"maximum":230.4,"gross_charge":240,"discounted_cash":132.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":230.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":206.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":175.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":199.2,"methodology":"fee schedule"}]}]},{"description":"NDL SET 15G EZ-10 25MM","code_information":[{"code":"395270","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":112.8,"maximum":230.4,"gross_charge":240,"discounted_cash":132.99,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":228,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":230.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":206.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":175.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":199.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":112.8,"methodology":"fee schedule"}]}]},{"description":"TBNG CONN 60IN LONG","code_information":[{"code":"397252","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":75.19,"maximum":98.88,"gross_charge":103,"discounted_cash":57.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":98.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":94.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":88.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":85.49,"methodology":"fee schedule"}]}]},{"description":"TBNG CONN 60IN LONG","code_information":[{"code":"397252","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":48.41,"maximum":98.88,"gross_charge":103,"discounted_cash":57.08,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":98.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":94.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":88.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":85.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":48.41,"methodology":"fee schedule"}]}]},{"description":"TRAY JAMISHIDI SAFE T 11X4","code_information":[{"code":"397638","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":102.2,"maximum":134.4,"gross_charge":140,"discounted_cash":77.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":116.2,"methodology":"fee schedule"}]}]},{"description":"TRAY JAMISHIDI SAFE T 11X4","code_information":[{"code":"397638","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":65.8,"maximum":134.4,"gross_charge":140,"discounted_cash":77.58,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":116.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":65.8,"methodology":"fee schedule"}]}]},{"description":"PAD HEARTSTART AD CH PRE-CONN","code_information":[{"code":"397839","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":55.48,"maximum":72.96,"gross_charge":76,"discounted_cash":42.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.08,"methodology":"fee schedule"}]}]},{"description":"PAD HEARTSTART AD CH PRE-CONN","code_information":[{"code":"397839","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":35.72,"maximum":72.96,"gross_charge":76,"discounted_cash":42.12,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.72,"methodology":"fee schedule"}]}]},{"description":"ADMIN SET IV BLD FLD WM HI FLO","code_information":[{"code":"400380","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":63.875,"maximum":84,"gross_charge":87.5,"discounted_cash":48.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.75,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.5,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.63,"methodology":"fee schedule"}]}]},{"description":"ADMIN SET IV BLD FLD WM HI FLO","code_information":[{"code":"400380","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":41.125,"maximum":84,"gross_charge":87.5,"discounted_cash":48.49,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.75,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.5,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":41.13,"methodology":"fee schedule"}]}]},{"description":"ADRENAL PROCEDURES","code_information":[{"code":"4011","type":"APR-DRG"}],"standard_charges":[{"minimum":23456,"maximum":23456,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23456,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ADRENAL PROCEDURES","code_information":[{"code":"4012","type":"APR-DRG"}],"standard_charges":[{"minimum":49479,"maximum":49479,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49479,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ADRENAL PROCEDURES","code_information":[{"code":"4013","type":"APR-DRG"}],"standard_charges":[{"minimum":61634,"maximum":61634,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61634,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ADRENAL PROCEDURES","code_information":[{"code":"4014","type":"APR-DRG"}],"standard_charges":[{"minimum":99425,"maximum":99425,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":99425,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIT DRL QC 3.2X245MM","code_information":[{"code":"401898","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":459.17,"maximum":603.84,"gross_charge":629,"discounted_cash":348.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":597.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":603.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":515.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":578.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":540.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":459.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":522.07,"methodology":"fee schedule"}]}]},{"description":"BIT DRL QC 3.2X245MM","code_information":[{"code":"401898","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":295.63,"maximum":603.84,"gross_charge":629,"discounted_cash":348.53,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":597.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":603.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":515.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":578.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":540.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":459.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":522.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":434.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":295.63,"methodology":"fee schedule"}]}]},{"description":"PROCEDURES FOR OBESITY","code_information":[{"code":"4031","type":"APR-DRG"}],"standard_charges":[{"minimum":26765,"maximum":26765,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26765,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PROCEDURES FOR OBESITY","code_information":[{"code":"4032","type":"APR-DRG"}],"standard_charges":[{"minimum":31104,"maximum":31104,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31104,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PROCEDURES FOR OBESITY","code_information":[{"code":"4033","type":"APR-DRG"}],"standard_charges":[{"minimum":35905,"maximum":35905,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35905,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PROCEDURES FOR OBESITY","code_information":[{"code":"4034","type":"APR-DRG"}],"standard_charges":[{"minimum":92152,"maximum":92152,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":92152,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES","code_information":[{"code":"4041","type":"APR-DRG"}],"standard_charges":[{"minimum":14054,"maximum":14054,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14054,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES","code_information":[{"code":"4042","type":"APR-DRG"}],"standard_charges":[{"minimum":20010,"maximum":20010,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20010,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES","code_information":[{"code":"4043","type":"APR-DRG"}],"standard_charges":[{"minimum":56045,"maximum":56045,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56045,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES","code_information":[{"code":"4044","type":"APR-DRG"}],"standard_charges":[{"minimum":101529,"maximum":101529,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":101529,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY OF LIP","code_information":[{"code":"40490","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STOCKINETTE TUBIGRIP SZ-B BGE","code_information":[{"code":"404958","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":151.84,"maximum":199.68,"gross_charge":208,"discounted_cash":115.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":199.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":191.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":178.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":172.64,"methodology":"fee schedule"}]}]},{"description":"STOCKINETTE TUBIGRIP SZ-B BGE","code_information":[{"code":"404958","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":97.76,"maximum":199.68,"gross_charge":208,"discounted_cash":115.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":199.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":191.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":178.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":172.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":97.76,"methodology":"fee schedule"}]}]},{"description":"PARTIAL EXCISION OF LIP","code_information":[{"code":"40500","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS","code_information":[{"code":"4051","type":"APR-DRG"}],"standard_charges":[{"minimum":26701,"maximum":26701,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26701,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL EXCISION OF LIP","code_information":[{"code":"40510","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS","code_information":[{"code":"4052","type":"APR-DRG"}],"standard_charges":[{"minimum":30329,"maximum":30329,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30329,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL EXCISION OF LIP","code_information":[{"code":"40520","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT LIP WITH FLAP","code_information":[{"code":"40525","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT LIP WITH FLAP","code_information":[{"code":"40527","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS","code_information":[{"code":"4053","type":"APR-DRG"}],"standard_charges":[{"minimum":46407,"maximum":46407,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46407,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL REMOVAL OF LIP","code_information":[{"code":"40530","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS","code_information":[{"code":"4054","type":"APR-DRG"}],"standard_charges":[{"minimum":109419,"maximum":109419,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":109419,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BLDE MED NARW 25.0MMX5.5MM","code_information":[{"code":"405616","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":107.31,"maximum":141.12,"gross_charge":147,"discounted_cash":81.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":141.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":135.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.01,"methodology":"fee schedule"}]}]},{"description":"BLDE MED NARW 25.0MMX5.5MM","code_information":[{"code":"405616","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":69.09,"maximum":141.12,"gross_charge":147,"discounted_cash":81.46,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":141.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":135.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":69.09,"methodology":"fee schedule"}]}]},{"description":"REPAIR LIP","code_information":[{"code":"40650","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR LIP","code_information":[{"code":"40652","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR LIP","code_information":[{"code":"40654","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR CLEFT LIP/NASAL","code_information":[{"code":"40700","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR CLEFT LIP/NASAL","code_information":[{"code":"40701","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR CLEFT LIP/NASAL","code_information":[{"code":"40702","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR CLEFT LIP/NASAL","code_information":[{"code":"40720","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR CLEFT LIP/NASAL","code_information":[{"code":"40761","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NDL INJ DISP 25GX4","code_information":[{"code":"407686","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":60.59,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"}]}]},{"description":"NDL INJ DISP 25GX4","code_information":[{"code":"407686","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":39.01,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":39.01,"methodology":"fee schedule"}]}]},{"description":"LIP SURGERY PROCEDURE","code_information":[{"code":"40799","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"40800","type":"CPT"}],"standard_charges":[{"minimum":1081.95,"maximum":1081.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1081.95,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"40801","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL FOREIGN BODY MOUTH","code_information":[{"code":"40804","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL FOREIGN BODY MOUTH","code_information":[{"code":"40805","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF LIP FOLD","code_information":[{"code":"40806","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF MOUTH LESION","code_information":[{"code":"40808","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF MOUTH LESION","code_information":[{"code":"40810","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE/REPAIR MOUTH LESION","code_information":[{"code":"40812","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE/REPAIR MOUTH LESION","code_information":[{"code":"40814","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF MOUTH LESION","code_information":[{"code":"40816","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE ORAL MUCOSA FOR GRAFT","code_information":[{"code":"40818","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE LIP OR CHEEK FOLD","code_information":[{"code":"40819","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF MOUTH LESION","code_information":[{"code":"40820","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLOSE LAC MOUTH <2.5CM OR L ER","code_information":[{"code":"40830","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":331.42,"maximum":435.84,"gross_charge":454,"discounted_cash":251.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":431.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":435.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":417.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":390.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":331.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":376.82,"methodology":"fee schedule"}]}]},{"description":"CLOSE LAC MOUTH <2.5CM OR L ER","code_information":[{"code":"40830","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":213.38,"maximum":435.84,"gross_charge":454,"discounted_cash":251.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":431.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":435.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":417.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":390.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":331.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":376.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":313.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":213.38,"methodology":"fee schedule"}]}]},{"description":"REPAIR MOUTH LACERATION","code_information":[{"code":"40831","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF MOUTH","code_information":[{"code":"40840","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF MOUTH","code_information":[{"code":"40842","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF MOUTH","code_information":[{"code":"40843","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRSNG VAC GRANU SPIRAL MED","code_information":[{"code":"408432","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":140.16,"maximum":184.32,"gross_charge":192,"discounted_cash":106.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":184.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":159.36,"methodology":"fee schedule"}]}]},{"description":"DRSNG VAC GRANU SPIRAL MED","code_information":[{"code":"408432","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":90.24,"maximum":184.32,"gross_charge":192,"discounted_cash":106.39,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":184.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":132.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"}]}]},{"description":"RECONSTRUCTION OF MOUTH","code_information":[{"code":"40844","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF MOUTH","code_information":[{"code":"40845","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MOUTH SURGERY PROCEDURE","code_information":[{"code":"40899","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"END CAP 0 DEG","code_information":[{"code":"409718","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":280.32,"maximum":368.64,"gross_charge":384,"discounted_cash":212.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":368.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":314.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":353.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":330.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":280.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":318.72,"methodology":"fee schedule"}]}]},{"description":"END CAP 0 DEG","code_information":[{"code":"409718","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":180.48,"maximum":368.64,"gross_charge":384,"discounted_cash":212.78,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":368.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":314.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":353.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":330.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":280.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":318.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"41000","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"41005","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"41006","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"41007","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"41008","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"41009","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF TONGUE FOLD","code_information":[{"code":"41010","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"41015","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"41016","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"41017","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF MOUTH LESION","code_information":[{"code":"41018","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE NEEDLES HN FOR RT","code_information":[{"code":"41019","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PUMP KT KANG 1000ML SAFETY SCR","code_information":[{"code":"410772","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":14.6,"maximum":19.2,"gross_charge":20,"discounted_cash":11.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.6,"methodology":"fee schedule"}]}]},{"description":"PUMP KT KANG 1000ML SAFETY SCR","code_information":[{"code":"410772","type":"CDM"},{"code":"0271","type":"RC"}],"standard_charges":[{"minimum":9.4,"maximum":20,"gross_charge":20,"discounted_cash":11.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.4,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF TONGUE","code_information":[{"code":"41100","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SOL IRR STRL H2O 250ML BTL","code_information":[{"code":"411042","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":7.0226,"maximum":9.2352,"gross_charge":9.62,"discounted_cash":5.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.86,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.99,"methodology":"fee schedule"}]}]},{"description":"SOL IRR STRL H2O 250ML BTL","code_information":[{"code":"411042","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":4.5214,"maximum":9.2352,"gross_charge":9.62,"discounted_cash":5.34,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.86,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.53,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF TONGUE","code_information":[{"code":"41105","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF FLOOR OF MOUTH","code_information":[{"code":"41108","type":"CPT"}],"standard_charges":[{"minimum":2447.57,"maximum":2447.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF TONGUE LESION","code_information":[{"code":"41110","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF TONGUE LESION","code_information":[{"code":"41112","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF TONGUE LESION","code_information":[{"code":"41113","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF TONGUE LESION","code_information":[{"code":"41114","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF TONGUE FOLD","code_information":[{"code":"41115","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF MOUTH LESION","code_information":[{"code":"41116","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF TONGUE","code_information":[{"code":"41120","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR LAC MOUTH/TONGUE <2.5CM ER","code_information":[{"code":"41250","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":399.31,"maximum":525.12,"gross_charge":547,"discounted_cash":303.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":525.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":448.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":503.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":470.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":454.01,"methodology":"fee schedule"}]}]},{"description":"RPR LAC MOUTH/TONGUE <2.5CM ER","code_information":[{"code":"41250","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":257.09,"maximum":525.12,"gross_charge":547,"discounted_cash":303.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":470.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":525.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":448.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":503.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":470.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":454.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":377.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":257.09,"methodology":"fee schedule"}]}]},{"description":"REPAIR TONGUE LACERATION","code_information":[{"code":"41251","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR LAC MOUTH/TONGUE >2.6CM ER","code_information":[{"code":"41252","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":383.25,"maximum":504,"gross_charge":525,"discounted_cash":290.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":504,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":430.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":483,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":451.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":383.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":435.75,"methodology":"fee schedule"}]}]},{"description":"RPR LAC MOUTH/TONGUE >2.6CM ER","code_information":[{"code":"41252","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":246.75,"maximum":504,"gross_charge":525,"discounted_cash":290.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":504,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":430.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":483,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":451.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":383.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":435.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":246.75,"methodology":"fee schedule"}]}]},{"description":"TONGUE TO LIP SURGERY","code_information":[{"code":"41510","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TONGUE SUSPENSION","code_information":[{"code":"41512","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION TONGUE FOLD","code_information":[{"code":"41520","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TONGUE BASE VOL REDUCTION","code_information":[{"code":"41530","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PIN DISTR CERV 14MM","code_information":[{"code":"415861","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1741.05,"maximum":2289.6,"gross_charge":2385,"discounted_cash":1321.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2265.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2289.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1955.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2194.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2051.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1741.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1979.55,"methodology":"fee schedule"}]}]},{"description":"PIN DISTR CERV 14MM","code_information":[{"code":"415861","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1120.95,"maximum":2289.6,"gross_charge":2385,"discounted_cash":1321.53,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2265.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2289.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1955.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2194.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2051.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1741.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1979.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1645.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1120.95,"methodology":"fee schedule"}]}]},{"description":"TONGUE AND MOUTH SURGERY","code_information":[{"code":"41599","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SPLNT EXTRA FLEX PLS","code_information":[{"code":"417655","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":115.34,"maximum":151.68,"gross_charge":158,"discounted_cash":87.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":151.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":145.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.14,"methodology":"fee schedule"}]}]},{"description":"SPLNT EXTRA FLEX PLS","code_information":[{"code":"417655","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":74.26,"maximum":151.68,"gross_charge":158,"discounted_cash":87.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":150.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":151.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":145.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":74.26,"methodology":"fee schedule"}]}]},{"description":"DRAIN ABS/CYST DENTOALVLR ER","code_information":[{"code":"41800","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":195.64,"maximum":257.28,"gross_charge":268,"discounted_cash":148.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":257.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":246.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":230.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":195.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":222.44,"methodology":"fee schedule"}]}]},{"description":"DRAIN ABS/CYST DENTOALVLR ER","code_information":[{"code":"41800","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":125.96,"maximum":257.28,"gross_charge":268,"discounted_cash":148.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":194.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":254.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":257.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":246.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":230.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":195.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":222.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":184.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":125.96,"methodology":"fee schedule"}]}]},{"description":"REMOVAL FOREIGN BODY GUM","code_information":[{"code":"41805","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL FOREIGN BODY JAWBONE","code_information":[{"code":"41806","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION GUM EACH QUADRANT","code_information":[{"code":"41820","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF GUM FLAP","code_information":[{"code":"41821","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF GUM LESION","code_information":[{"code":"41822","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF GUM LESION","code_information":[{"code":"41823","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF GUM LESION","code_information":[{"code":"41825","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF GUM LESION","code_information":[{"code":"41826","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF GUM LESION","code_information":[{"code":"41827","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF GUM LESION","code_information":[{"code":"41828","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF GUM TISSUE","code_information":[{"code":"41830","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF GUM LESION","code_information":[{"code":"41850","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GUM GRAFT","code_information":[{"code":"41870","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR GUM","code_information":[{"code":"41872","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR TOOTH SOCKET","code_information":[{"code":"41874","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DENTAL SURGERY PROCEDURE","code_information":[{"code":"41899","type":"CPT"}],"standard_charges":[{"minimum":2653.84,"maximum":2653.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2653.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE MOUTH ROOF LESION","code_information":[{"code":"42000","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIABETES","code_information":[{"code":"4201","type":"APR-DRG"}],"standard_charges":[{"minimum":7500,"maximum":7500,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7500,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DIABETES","code_information":[{"code":"4202","type":"APR-DRG"}],"standard_charges":[{"minimum":9229,"maximum":9229,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9229,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DIABETES","code_information":[{"code":"4203","type":"APR-DRG"}],"standard_charges":[{"minimum":15194,"maximum":15194,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15194,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DIABETES","code_information":[{"code":"4204","type":"APR-DRG"}],"standard_charges":[{"minimum":30174,"maximum":30174,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30174,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY ROOF OF MOUTH","code_information":[{"code":"42100","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION LESION MOUTH ROOF","code_information":[{"code":"42104","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION LESION MOUTH ROOF","code_information":[{"code":"42106","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION LESION MOUTH ROOF","code_information":[{"code":"42107","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS","code_information":[{"code":"4211","type":"APR-DRG"}],"standard_charges":[{"minimum":11953,"maximum":11953,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11953,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS","code_information":[{"code":"4212","type":"APR-DRG"}],"standard_charges":[{"minimum":21692,"maximum":21692,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21692,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE PALATE/LESION","code_information":[{"code":"42120","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS","code_information":[{"code":"4213","type":"APR-DRG"}],"standard_charges":[{"minimum":46190,"maximum":46190,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46190,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS","code_information":[{"code":"4214","type":"APR-DRG"}],"standard_charges":[{"minimum":88681,"maximum":88681,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":88681,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXCISION OF UVULA","code_information":[{"code":"42140","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR PALATE PHARYNX/UVULA","code_information":[{"code":"42145","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT MOUTH ROOF LESION","code_information":[{"code":"42160","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR PALATE","code_information":[{"code":"42180","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR PALATE","code_information":[{"code":"42182","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT CLEFT PALATE","code_information":[{"code":"42200","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT CLEFT PALATE","code_information":[{"code":"42205","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS","code_information":[{"code":"4221","type":"APR-DRG"}],"standard_charges":[{"minimum":5238,"maximum":5238,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5238,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RECONSTRUCT CLEFT PALATE","code_information":[{"code":"42210","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT CLEFT PALATE","code_information":[{"code":"42215","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS","code_information":[{"code":"4222","type":"APR-DRG"}],"standard_charges":[{"minimum":9915,"maximum":9915,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9915,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RECONSTRUCT CLEFT PALATE","code_information":[{"code":"42220","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT CLEFT PALATE","code_information":[{"code":"42225","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LENGTHENING OF PALATE","code_information":[{"code":"42226","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LENGTHENING OF PALATE","code_information":[{"code":"42227","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS","code_information":[{"code":"4223","type":"APR-DRG"}],"standard_charges":[{"minimum":14814,"maximum":14814,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14814,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR PALATE","code_information":[{"code":"42235","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS","code_information":[{"code":"4224","type":"APR-DRG"}],"standard_charges":[{"minimum":31795,"maximum":31795,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31795,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR NOSE TO LIP FISTULA","code_information":[{"code":"42260","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPARATION PALATE MOLD","code_information":[{"code":"42280","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERTION PALATE PROSTHESIS","code_information":[{"code":"42281","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PALATE/UVULA SURGERY","code_information":[{"code":"42299","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF SALIVARY GLAND","code_information":[{"code":"42300","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF SALIVARY GLAND","code_information":[{"code":"42305","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INBORN ERRORS OF METABOLISM","code_information":[{"code":"4231","type":"APR-DRG"}],"standard_charges":[{"minimum":8435,"maximum":8435,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8435,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAINAGE OF SALIVARY GLAND","code_information":[{"code":"42310","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INBORN ERRORS OF METABOLISM","code_information":[{"code":"4232","type":"APR-DRG"}],"standard_charges":[{"minimum":11337,"maximum":11337,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11337,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAINAGE OF SALIVARY GLAND","code_information":[{"code":"42320","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INBORN ERRORS OF METABOLISM","code_information":[{"code":"4233","type":"APR-DRG"}],"standard_charges":[{"minimum":21777,"maximum":21777,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21777,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF SALIVARY STONE","code_information":[{"code":"42330","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SALIVARY STONE","code_information":[{"code":"42335","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INBORN ERRORS OF METABOLISM","code_information":[{"code":"4234","type":"APR-DRG"}],"standard_charges":[{"minimum":39847,"maximum":39847,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39847,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF SALIVARY STONE","code_information":[{"code":"42340","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF SALIVARY GLAND","code_information":[{"code":"42400","type":"CPT"}],"standard_charges":[{"minimum":1081.95,"maximum":1081.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1081.95,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF SALIVARY GLAND","code_information":[{"code":"42405","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF SALIVARY CYST","code_information":[{"code":"42408","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF SALIVARY CYST","code_information":[{"code":"42409","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER ENDOCRINE DISORDERS","code_information":[{"code":"4241","type":"APR-DRG"}],"standard_charges":[{"minimum":11216,"maximum":11216,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11216,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXCISE PAROTID GLAND/LESION","code_information":[{"code":"42410","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE PAROTID GLAND/LESION","code_information":[{"code":"42415","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER ENDOCRINE DISORDERS","code_information":[{"code":"4242","type":"APR-DRG"}],"standard_charges":[{"minimum":11462,"maximum":11462,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11462,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXCISE PAROTID GLAND/LESION","code_information":[{"code":"42420","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE PAROTID GLAND/LESION","code_information":[{"code":"42425","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER ENDOCRINE DISORDERS","code_information":[{"code":"4243","type":"APR-DRG"}],"standard_charges":[{"minimum":15758,"maximum":15758,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15758,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER ENDOCRINE DISORDERS","code_information":[{"code":"4244","type":"APR-DRG"}],"standard_charges":[{"minimum":35454,"maximum":35454,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35454,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXCISE SUBMAXILLARY GLAND","code_information":[{"code":"42440","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE SUBLINGUAL GLAND","code_information":[{"code":"42450","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR SALIVARY DUCT","code_information":[{"code":"42500","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR SALIVARY DUCT","code_information":[{"code":"42505","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PAROTID DUCT DIVERSION","code_information":[{"code":"42507","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PAROTID DUCT DIVERSION","code_information":[{"code":"42509","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS","code_information":[{"code":"4251","type":"APR-DRG"}],"standard_charges":[{"minimum":11151,"maximum":11151,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11151,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PAROTID DUCT DIVERSION","code_information":[{"code":"42510","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS","code_information":[{"code":"4252","type":"APR-DRG"}],"standard_charges":[{"minimum":11478,"maximum":11478,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11478,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS","code_information":[{"code":"4253","type":"APR-DRG"}],"standard_charges":[{"minimum":14334,"maximum":14334,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14334,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS","code_information":[{"code":"4254","type":"APR-DRG"}],"standard_charges":[{"minimum":27878,"maximum":27878,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27878,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CLOSURE OF SALIVARY FISTULA","code_information":[{"code":"42600","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NON-HYPOVOLEMIC SODIUM DISORDERS","code_information":[{"code":"4261","type":"APR-DRG"}],"standard_charges":[{"minimum":7563,"maximum":7563,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7563,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-HYPOVOLEMIC SODIUM DISORDERS","code_information":[{"code":"4262","type":"APR-DRG"}],"standard_charges":[{"minimum":13296,"maximum":13296,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13296,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-HYPOVOLEMIC SODIUM DISORDERS","code_information":[{"code":"4263","type":"APR-DRG"}],"standard_charges":[{"minimum":20745,"maximum":20745,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20745,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-HYPOVOLEMIC SODIUM DISORDERS","code_information":[{"code":"4264","type":"APR-DRG"}],"standard_charges":[{"minimum":35703,"maximum":35703,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35703,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DILATION OF SALIVARY DUCT","code_information":[{"code":"42650","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATION OF SALIVARY DUCT","code_information":[{"code":"42660","type":"CPT"}],"standard_charges":[{"minimum":786.91,"maximum":786.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATION OF SALIVARY DUCT","code_information":[{"code":"42665","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIT MILLING 2MM CYLINDRIC","code_information":[{"code":"426676","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":788.4,"maximum":1036.8,"gross_charge":1080,"discounted_cash":598.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1026,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1036.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":885.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":993.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":928.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":788.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":896.4,"methodology":"fee schedule"}]}]},{"description":"BIT MILLING 2MM CYLINDRIC","code_information":[{"code":"426676","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":507.6,"maximum":1036.8,"gross_charge":1080,"discounted_cash":598.43,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1026,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1036.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":885.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":993.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":928.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":788.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":896.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":745.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":507.6,"methodology":"fee schedule"}]}]},{"description":"SALIVARY SURGERY PROCEDURE","code_information":[{"code":"42699","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF TONSIL ABSCESS","code_information":[{"code":"42700","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THYROID DISORDERS","code_information":[{"code":"4271","type":"APR-DRG"}],"standard_charges":[{"minimum":22683,"maximum":22683,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22683,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"THYROID DISORDERS","code_information":[{"code":"4272","type":"APR-DRG"}],"standard_charges":[{"minimum":31746,"maximum":31746,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31746,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAINAGE OF THROAT ABSCESS","code_information":[{"code":"42720","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF THROAT ABSCESS","code_information":[{"code":"42725","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THYROID DISORDERS","code_information":[{"code":"4273","type":"APR-DRG"}],"standard_charges":[{"minimum":51672,"maximum":51672,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":51672,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"THYROID DISORDERS","code_information":[{"code":"4274","type":"APR-DRG"}],"standard_charges":[{"minimum":56839,"maximum":56839,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56839,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY OF THROAT","code_information":[{"code":"42800","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF UPPER NOSE/THROAT","code_information":[{"code":"42804","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF UPPER NOSE/THROAT","code_information":[{"code":"42806","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE PHARYNX LESION","code_information":[{"code":"42808","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PHARYNX FOREIGN BODY","code_information":[{"code":"42809","type":"CPT"}],"standard_charges":[{"minimum":470.06,"maximum":470.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":470.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF NECK CYST","code_information":[{"code":"42810","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF NECK CYST","code_information":[{"code":"42815","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE TONSILS AND ADENOIDS","code_information":[{"code":"42820","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE TONSILS AND ADENOIDS","code_information":[{"code":"42821","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TONSILS","code_information":[{"code":"42825","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TONSILS","code_information":[{"code":"42826","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ADENOIDS","code_information":[{"code":"42830","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ADENOIDS","code_information":[{"code":"42831","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ADENOIDS","code_information":[{"code":"42835","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ADENOIDS","code_information":[{"code":"42836","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXTENSIVE SURGERY OF THROAT","code_information":[{"code":"42842","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXTENSIVE SURGERY OF THROAT","code_information":[{"code":"42844","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF TONSIL TAGS","code_information":[{"code":"42860","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF LINGUAL TONSIL","code_information":[{"code":"42870","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF PHARYNX","code_information":[{"code":"42890","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF PHARYNGEAL WALLS","code_information":[{"code":"42892","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR THROAT WOUND","code_information":[{"code":"42900","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF THROAT","code_information":[{"code":"42950","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SURGICAL OPENING OF THROAT","code_information":[{"code":"42955","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CNTRL HEMORR OROPHARY SMP ER","code_information":[{"code":"42960","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":244.55,"maximum":321.6,"gross_charge":335,"discounted_cash":185.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":321.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":274.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":308.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.05,"methodology":"fee schedule"}]}]},{"description":"CNTRL HEMORR OROPHARY SMP ER","code_information":[{"code":"42960","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":157.45,"maximum":786.91,"gross_charge":335,"discounted_cash":185.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":786.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":321.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":274.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":308.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":157.45,"methodology":"fee schedule"}]}]},{"description":"CONTROL THROAT BLEEDING","code_information":[{"code":"42961","type":"CPT"}],"standard_charges":[{"minimum":4430.51,"maximum":4430.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4430.51,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONTROL THROAT BLEEDING","code_information":[{"code":"42962","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONTROL NOSE/THROAT BLEEDING","code_information":[{"code":"42970","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONTROL NOSE/THROAT BLEEDING","code_information":[{"code":"42972","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THROAT SURGERY PROCEDURE","code_information":[{"code":"42999","type":"CPT"}],"standard_charges":[{"minimum":368.1,"maximum":368.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF ESOPHAGUS","code_information":[{"code":"43020","type":"CPT"}],"standard_charges":[{"minimum":2353.26,"maximum":2353.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THROAT MUSCLE SURGERY","code_information":[{"code":"43030","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRACH QK CRICOTHYROTMY SET 2MM","code_information":[{"code":"431265","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":302.22,"maximum":397.44,"gross_charge":414,"discounted_cash":229.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":393.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":397.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":339.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":380.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":356.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":302.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":343.62,"methodology":"fee schedule"}]}]},{"description":"TRACH QK CRICOTHYROTMY SET 2MM","code_information":[{"code":"431265","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":194.58,"maximum":397.44,"gross_charge":414,"discounted_cash":229.4,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":393.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":397.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":339.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":380.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":356.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":302.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":343.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":285.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":194.58,"methodology":"fee schedule"}]}]},{"description":"REMOVAL OF ESOPHAGUS POUCH","code_information":[{"code":"43130","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PUMP E ENTRL FEEDG KANGAROO","code_information":[{"code":"431390","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":689.12,"maximum":906.24,"gross_charge":944,"discounted_cash":523.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":896.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":906.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":774.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":811.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":689.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":783.52,"methodology":"fee schedule"}]}]},{"description":"PUMP E ENTRL FEEDG KANGAROO","code_information":[{"code":"431390","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":443.68,"maximum":906.24,"gross_charge":944,"discounted_cash":523.08,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":896.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":906.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":774.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":868.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":811.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":689.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":783.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":651.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":443.68,"methodology":"fee schedule"}]}]},{"description":"ESOPHAGOSCOPY RIGID TRNSO","code_information":[{"code":"43180","type":"CPT"}],"standard_charges":[{"minimum":8847.52,"maximum":8847.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8847.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOPY RIGID TRNSO DX","code_information":[{"code":"43191","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCP RIG TRNSO INJECT","code_information":[{"code":"43192","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCP RIG TRNSO BIOPSY","code_information":[{"code":"43193","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCP RIG TRNSO REM FB","code_information":[{"code":"43194","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOPY RIGID BALLOON","code_information":[{"code":"43195","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCP GUIDE WIRE DILAT","code_information":[{"code":"43196","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOPY FLEX DX BRUSH","code_information":[{"code":"43197","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSC FLEX TRNSN BIOPSY","code_information":[{"code":"43198","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOPY FLEXIBLE BRUSH","code_information":[{"code":"43200","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPH SCOPE W/SUBMUCOUS INJ","code_information":[{"code":"43201","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOPY FLEX BIOPSY","code_information":[{"code":"43202","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPH SCOPE W/SCLEROSIS INJ","code_information":[{"code":"43204","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGUS ENDOSCOPY/LIGATION","code_information":[{"code":"43205","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPH OPTICAL ENDOMICROSCOPY","code_information":[{"code":"43206","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD ESOPHAGOGASTRC FNDOPLSTY","code_information":[{"code":"43210","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOP MUCOSAL RESECT","code_information":[{"code":"43211","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOP STENT PLACEMENT","code_information":[{"code":"43212","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOPY RETRO BALLOON","code_information":[{"code":"43213","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSC DILATE BALLOON 30","code_information":[{"code":"43214","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSC W REMOVE FB ER","code_information":[{"code":"43215","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1565.12,"maximum":2058.24,"gross_charge":2144,"discounted_cash":1188,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2036.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2058.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1758.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1972.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1843.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1565.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1779.52,"methodology":"fee schedule"}]}]},{"description":"ESOPHAGOSC W REMOVE FB ER","code_information":[{"code":"43215","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1007.68,"maximum":2826.82,"gross_charge":2144,"discounted_cash":1188,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2036.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2058.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1758.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1972.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1843.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1565.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1779.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1479.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1007.68,"methodology":"fee schedule"}]}]},{"description":"ESOPHAGOSCOPY LESION REMOVAL","code_information":[{"code":"43216","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOPY SNARE LES REMV","code_information":[{"code":"43217","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOPY BALLOON <30MM","code_information":[{"code":"43220","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPH ENDOSCOPY DILATION","code_information":[{"code":"43226","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOPY CONTROL BLEED","code_information":[{"code":"43227","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOPY LESION ABLATE","code_information":[{"code":"43229","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOP ULTRASOUND EXAM","code_information":[{"code":"43231","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGOSCOPY W/US NEEDLE BX","code_information":[{"code":"43232","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD BALLOON DIL ESOPH30 MM/>","code_information":[{"code":"43233","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD DIAGNOSTIC BRUSH WASH","code_information":[{"code":"43235","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"UPPR GI SCOPE W/SUBMUC INJ","code_information":[{"code":"43236","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOSCOPIC US EXAM ESOPH","code_information":[{"code":"43237","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD US FINE NEEDLE BX/ASPIR","code_information":[{"code":"43238","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD BIOPSY SINGLE/MULTIPLE","code_information":[{"code":"43239","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD W/TRANSMURAL DRAIN CYST","code_information":[{"code":"43240","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD TUBE/CATH INSERTION","code_information":[{"code":"43241","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD US FINE NEEDLE BX/ASPIR","code_information":[{"code":"43242","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD INJECTION VARICES","code_information":[{"code":"43243","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD VARICES LIGATION","code_information":[{"code":"43244","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD DILATE STRICTURE","code_information":[{"code":"43245","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD PLACE GASTROSTOMY TUBE","code_information":[{"code":"43246","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD REMOVE FOREIGN BODY","code_information":[{"code":"43247","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD GUIDE WIRE INSERTION","code_information":[{"code":"43248","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPH EGD DILATION <30 MM","code_information":[{"code":"43249","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD CAUTERY TUMOR POLYP","code_information":[{"code":"43250","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD REMOVE LESION SNARE","code_information":[{"code":"43251","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD OPTICAL ENDOMICROSCOPY","code_information":[{"code":"43252","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD US TRANSMURAL INJXN/MARK","code_information":[{"code":"43253","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD ENDO MUCOSAL RESECTION","code_information":[{"code":"43254","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD CONTROL BLEEDING ANY","code_information":[{"code":"43255","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD W/THRML TXMNT GERD","code_information":[{"code":"43257","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD US EXAM DUODENUM/JEJUNUM","code_information":[{"code":"43259","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ERCP W/SPECIMEN COLLECTION","code_information":[{"code":"43260","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDO CHOLANGIOPANCREATOGRAPH","code_information":[{"code":"43261","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDO CHOLANGIOPANCREATOGRAPH","code_information":[{"code":"43262","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ERCP SPHINCTER PRESSURE MEAS","code_information":[{"code":"43263","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ERCP REMOVE DUCT CALCULI","code_information":[{"code":"43264","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ERCP LITHOTRIPSY CALCULI","code_information":[{"code":"43265","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD ENDOSCOPIC STENT PLACE","code_information":[{"code":"43266","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EGD LESION ABLATION","code_information":[{"code":"43270","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ERCP DUCT STENT PLACEMENT","code_information":[{"code":"43274","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ERCP REMOVE FORGN BODY DUCT","code_information":[{"code":"43275","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ERCP STENT EXCHANGE W/DILATE","code_information":[{"code":"43276","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ERCP EA DUCT/AMPULLA DILATE","code_information":[{"code":"43277","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ERCP LESION ABLATE W/DILATE","code_information":[{"code":"43278","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY FUNDOPLASTY","code_information":[{"code":"43280","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP PARAESOPHAG HERN REPAIR","code_information":[{"code":"43281","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP PARAESOPH HER RPR W/MESH","code_information":[{"code":"43282","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPS ESOPHGL SPHNCTR AGMNTJ","code_information":[{"code":"43284","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RMVL ESOPHGL SPHNCTR DEV","code_information":[{"code":"43285","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROC ESOPH","code_information":[{"code":"43289","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR ESOPHAGUS OPENING","code_information":[{"code":"43420","type":"CPT"}],"standard_charges":[{"minimum":4760.12,"maximum":4760.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4760.12,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATE ESOPHAGUS 1/MULT PASS","code_information":[{"code":"43450","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATE ESOPHAGUS","code_information":[{"code":"43453","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ESOPHAGUS SURGERY PROCEDURE","code_information":[{"code":"43499","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SURGICAL OPENING OF STOMACH","code_information":[{"code":"43510","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN WND PENROSE LF 18X.25 ST","code_information":[{"code":"435722","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":5.694,"maximum":7.488,"gross_charge":7.8,"discounted_cash":4.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.48,"methodology":"fee schedule"}]}]},{"description":"DRAIN WND PENROSE LF 18X.25 ST","code_information":[{"code":"435722","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":3.666,"maximum":7.488,"gross_charge":7.8,"discounted_cash":4.33,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.67,"methodology":"fee schedule"}]}]},{"description":"LAP IMPL ELECTRODE ANTRUM","code_information":[{"code":"43647","type":"CPT"}],"standard_charges":[{"minimum":19546.1,"maximum":19546.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19546.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP REVISE/REMV ELTRD ANTRUM","code_information":[{"code":"43648","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY VAGUS NERVE","code_information":[{"code":"43651","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY VAGUS NERVE","code_information":[{"code":"43652","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY GASTROSTOMY","code_information":[{"code":"43653","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROC STOM","code_information":[{"code":"43659","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NASAL/ORO INSERTION W STENT ER","code_information":[{"code":"43752","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":261.34,"maximum":343.68,"gross_charge":358,"discounted_cash":198.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":343.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":329.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":261.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":297.14,"methodology":"fee schedule"}]}]},{"description":"NASAL/ORO INSERTION W STENT ER","code_information":[{"code":"43752","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":168.26,"maximum":470.06,"gross_charge":358,"discounted_cash":198.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":470.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":343.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":329.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":261.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":297.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":168.26,"methodology":"fee schedule"}]}]},{"description":"INTUBTN GASTRIC TREATMENT ER","code_information":[{"code":"43753","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":406.61,"maximum":534.72,"gross_charge":557,"discounted_cash":308.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":534.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":456.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":512.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":479.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":406.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":462.31,"methodology":"fee schedule"}]}]},{"description":"INTUBTN GASTRIC TREATMENT ER","code_information":[{"code":"43753","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":261.79,"maximum":534.72,"gross_charge":557,"discounted_cash":308.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":460.03,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":534.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":456.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":512.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":479.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":406.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":462.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":384.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":261.79,"methodology":"fee schedule"}]}]},{"description":"DX GASTR INTUB W/ASP SPEC","code_information":[{"code":"43754","type":"CPT"}],"standard_charges":[{"minimum":460.03,"maximum":460.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":460.03,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DX GASTR INTUB W/ASP SPECS","code_information":[{"code":"43755","type":"CPT"}],"standard_charges":[{"minimum":242.75,"maximum":242.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":242.75,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DX DUOD INTUB W/ASP SPEC","code_information":[{"code":"43756","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DX DUOD INTUB W/ASP SPECS","code_information":[{"code":"43757","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPOSITION GASTROSTOMY TUBE","code_information":[{"code":"43761","type":"CPT"}],"standard_charges":[{"minimum":462.97,"maximum":462.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":462.97,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHANGE TUBE GASTROTOMY ER","code_information":[{"code":"43762","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":403.69,"maximum":530.88,"gross_charge":553,"discounted_cash":306.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":530.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":453.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":508.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":475.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":403.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":458.99,"methodology":"fee schedule"}]}]},{"description":"CHANGE TUBE GASTROTOMY ER","code_information":[{"code":"43762","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":259.91,"maximum":530.88,"gross_charge":553,"discounted_cash":306.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":462.97,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":525.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":530.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":453.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":508.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":475.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":403.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":458.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":381.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":259.91,"methodology":"fee schedule"}]}]},{"description":"RPLC GTUBE REVJ GSTRST TRC","code_information":[{"code":"43763","type":"CPT"}],"standard_charges":[{"minimum":462.97,"maximum":462.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":462.97,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP PLACE GASTR ADJ DEVICE","code_information":[{"code":"43770","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP REVISE GASTR ADJ DEVICE","code_information":[{"code":"43771","type":"CPT"}],"standard_charges":[{"minimum":7816.73,"maximum":7816.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7816.73,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP RMVL GASTR ADJ DEVICE","code_information":[{"code":"43772","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP REPLACE GASTR ADJ DEVICE","code_information":[{"code":"43773","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP RMVL GASTR ADJ ALL PARTS","code_information":[{"code":"43774","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE GASTROSTOMY TUBE","code_information":[{"code":"43830","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE GASTROSTOMY TUBE","code_information":[{"code":"43831","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF STOMACH LESION","code_information":[{"code":"43840","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR STOMACH OPENING","code_information":[{"code":"43870","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE GASTRIC PORT OPEN","code_information":[{"code":"43886","type":"CPT"}],"standard_charges":[{"minimum":6127,"maximum":6127,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6127,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE GASTRIC PORT OPEN","code_information":[{"code":"43887","type":"CPT"}],"standard_charges":[{"minimum":2983.99,"maximum":2983.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2983.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHANGE GASTRIC PORT OPEN","code_information":[{"code":"43888","type":"CPT"}],"standard_charges":[{"minimum":6127,"maximum":6127,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6127,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIT DRL FLEX 3.2","code_information":[{"code":"439143","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":667.22,"maximum":877.44,"gross_charge":914,"discounted_cash":506.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":868.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":877.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":749.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":840.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":786.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":758.62,"methodology":"fee schedule"}]}]},{"description":"BIT DRL FLEX 3.2","code_information":[{"code":"439143","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":429.58,"maximum":877.44,"gross_charge":914,"discounted_cash":506.45,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":868.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":877.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":749.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":840.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":786.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":667.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":758.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":630.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":429.58,"methodology":"fee schedule"}]}]},{"description":"STOMACH SURGERY PROCEDURE","code_information":[{"code":"43999","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY TRANSPLANT","code_information":[{"code":"4401","type":"APR-DRG"}],"standard_charges":[{"minimum":106381,"maximum":106381,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":106381,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY TRANSPLANT","code_information":[{"code":"4402","type":"APR-DRG"}],"standard_charges":[{"minimum":204766,"maximum":204766,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":204766,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY TRANSPLANT","code_information":[{"code":"4403","type":"APR-DRG"}],"standard_charges":[{"minimum":242222,"maximum":242222,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":242222,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY TRANSPLANT","code_information":[{"code":"4404","type":"APR-DRG"}],"standard_charges":[{"minimum":371444,"maximum":371444,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":371444,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY OF BOWEL","code_information":[{"code":"44100","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR BLADDER PROCEDURES","code_information":[{"code":"4411","type":"APR-DRG"}],"standard_charges":[{"minimum":30459,"maximum":30459,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30459,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR BLADDER PROCEDURES","code_information":[{"code":"4412","type":"APR-DRG"}],"standard_charges":[{"minimum":33476,"maximum":33476,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33476,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR BLADDER PROCEDURES","code_information":[{"code":"4413","type":"APR-DRG"}],"standard_charges":[{"minimum":60433,"maximum":60433,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60433,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR BLADDER PROCEDURES","code_information":[{"code":"4414","type":"APR-DRG"}],"standard_charges":[{"minimum":130650,"maximum":130650,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":130650,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LAP ENTEROLYSIS","code_information":[{"code":"44180","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP JEJUNOSTOMY","code_information":[{"code":"44186","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY","code_information":[{"code":"4421","type":"APR-DRG"}],"standard_charges":[{"minimum":26158,"maximum":26158,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26158,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY","code_information":[{"code":"4422","type":"APR-DRG"}],"standard_charges":[{"minimum":30243,"maximum":30243,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30243,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY","code_information":[{"code":"4423","type":"APR-DRG"}],"standard_charges":[{"minimum":49177,"maximum":49177,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49177,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LAPAROSCOPE PROC INTESTINE","code_information":[{"code":"44238","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY","code_information":[{"code":"4424","type":"APR-DRG"}],"standard_charges":[{"minimum":86010,"maximum":86010,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":86010,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPEN BOWEL TO SKIN","code_information":[{"code":"44300","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY","code_information":[{"code":"4431","type":"APR-DRG"}],"standard_charges":[{"minimum":22155,"maximum":22155,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22155,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF ILEOSTOMY","code_information":[{"code":"44312","type":"CPT"}],"standard_charges":[{"minimum":6127,"maximum":6127,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6127,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF ILEOSTOMY","code_information":[{"code":"44314","type":"CPT"}],"standard_charges":[{"minimum":6127,"maximum":6127,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6127,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY","code_information":[{"code":"4432","type":"APR-DRG"}],"standard_charges":[{"minimum":30221,"maximum":30221,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30221,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY","code_information":[{"code":"4433","type":"APR-DRG"}],"standard_charges":[{"minimum":37863,"maximum":37863,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37863,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY","code_information":[{"code":"4434","type":"APR-DRG"}],"standard_charges":[{"minimum":78454,"maximum":78454,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78454,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF COLOSTOMY","code_information":[{"code":"44340","type":"CPT"}],"standard_charges":[{"minimum":6127,"maximum":6127,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6127,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF COLOSTOMY","code_information":[{"code":"44345","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF COLOSTOMY","code_information":[{"code":"44346","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44360","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY/BIOPSY","code_information":[{"code":"44361","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44363","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44364","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44365","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44366","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44369","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY/STENT","code_information":[{"code":"44370","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44372","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44373","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44376","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY/BIOPSY","code_information":[{"code":"44377","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44378","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"S BOWEL ENDOSCOPE W/STENT","code_information":[{"code":"44379","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY BR/WA","code_information":[{"code":"44380","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY BR/WA","code_information":[{"code":"44381","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44382","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SMALL BOWEL ENDOSCOPY","code_information":[{"code":"44384","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOSCOPY OF BOWEL POUCH","code_information":[{"code":"44385","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOSCOPY BOWEL POUCH/BIOP","code_information":[{"code":"44386","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY THRU STOMA SPX","code_information":[{"code":"44388","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY WITH BIOPSY","code_information":[{"code":"44389","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY FOR FOREIGN BODY","code_information":[{"code":"44390","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY FOR BLEEDING","code_information":[{"code":"44391","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY  POLYPECTOMY","code_information":[{"code":"44392","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/SNARE","code_information":[{"code":"44394","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY WITH ABLATION","code_information":[{"code":"44401","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/STENT PLCMT","code_information":[{"code":"44402","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/RESECTION","code_information":[{"code":"44403","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/INJECTION","code_information":[{"code":"44404","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/DILATION","code_information":[{"code":"44405","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/ULTRASOUND","code_information":[{"code":"44406","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/NDL ASPIR/BX","code_information":[{"code":"44407","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/DECOMPRESSION","code_information":[{"code":"44408","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR","code_information":[{"code":"4441","type":"APR-DRG"}],"standard_charges":[{"minimum":21030,"maximum":21030,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21030,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR","code_information":[{"code":"4442","type":"APR-DRG"}],"standard_charges":[{"minimum":29764,"maximum":29764,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29764,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR","code_information":[{"code":"4443","type":"APR-DRG"}],"standard_charges":[{"minimum":33082,"maximum":33082,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33082,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR","code_information":[{"code":"4444","type":"APR-DRG"}],"standard_charges":[{"minimum":57034,"maximum":57034,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57034,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FRCP RJ4 SC W/NDL 240MM","code_information":[{"code":"444413","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"FRCP RJ4 SC W/NDL 240MM","code_information":[{"code":"444413","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":30.55,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"INTRO GASTROINTESTINAL TUBE","code_information":[{"code":"44500","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER BLADDER PROCEDURES","code_information":[{"code":"4451","type":"APR-DRG"}],"standard_charges":[{"minimum":19438,"maximum":19438,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19438,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER BLADDER PROCEDURES","code_information":[{"code":"4452","type":"APR-DRG"}],"standard_charges":[{"minimum":26275,"maximum":26275,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26275,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER BLADDER PROCEDURES","code_information":[{"code":"4453","type":"APR-DRG"}],"standard_charges":[{"minimum":52935,"maximum":52935,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52935,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER BLADDER PROCEDURES","code_information":[{"code":"4454","type":"APR-DRG"}],"standard_charges":[{"minimum":72110,"maximum":72110,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72110,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SUTURE SMALL INTESTINE","code_information":[{"code":"44602","type":"CPT"}],"standard_charges":[{"minimum":5359.23,"maximum":5359.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5359.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URETHRAL AND TRANSURETHRAL PROCEDURES","code_information":[{"code":"4461","type":"APR-DRG"}],"standard_charges":[{"minimum":12621,"maximum":12621,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12621,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"URETHRAL AND TRANSURETHRAL PROCEDURES","code_information":[{"code":"4462","type":"APR-DRG"}],"standard_charges":[{"minimum":15458,"maximum":15458,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15458,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"URETHRAL AND TRANSURETHRAL PROCEDURES","code_information":[{"code":"4463","type":"APR-DRG"}],"standard_charges":[{"minimum":37995,"maximum":37995,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37995,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"URETHRAL AND TRANSURETHRAL PROCEDURES","code_information":[{"code":"4464","type":"APR-DRG"}],"standard_charges":[{"minimum":60619,"maximum":60619,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60619,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES","code_information":[{"code":"4471","type":"APR-DRG"}],"standard_charges":[{"minimum":29228,"maximum":29228,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29228,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES","code_information":[{"code":"4472","type":"APR-DRG"}],"standard_charges":[{"minimum":33461,"maximum":33461,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33461,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES","code_information":[{"code":"4473","type":"APR-DRG"}],"standard_charges":[{"minimum":53654,"maximum":53654,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53654,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES","code_information":[{"code":"4474","type":"APR-DRG"}],"standard_charges":[{"minimum":90100,"maximum":90100,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90100,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UNLISTED PX SMALL INTESTINE","code_information":[{"code":"44799","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"APPENDECTOMY","code_information":[{"code":"44950","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY APPENDECTOMY","code_information":[{"code":"44970","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROC APP","code_information":[{"code":"44979","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF PELVIC ABSCESS","code_information":[{"code":"45000","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF RECTAL ABSCESS","code_information":[{"code":"45005","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF RECTAL ABSCESS","code_information":[{"code":"45020","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF RECTUM","code_information":[{"code":"45100","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF ANORECTAL LESION","code_information":[{"code":"45108","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF RECTAL STRICTURE","code_information":[{"code":"45150","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF RECTAL LESION","code_information":[{"code":"45160","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC RECT TUM TRANSANAL PART","code_information":[{"code":"45171","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXC RECT TUM TRANSANAL FULL","code_information":[{"code":"45172","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION RECTAL TUMOR","code_information":[{"code":"45190","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCTOSIGMOIDOSCOPY DX","code_information":[{"code":"45300","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCTOSIGMOIDOSCOPY DILATE","code_information":[{"code":"45303","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCTOSIGMOIDOSCOPY W/BX","code_information":[{"code":"45305","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCTOSIGMOIDOSCOPY FB","code_information":[{"code":"45307","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCTOSIGMOIDOSCOPY REMOVAL","code_information":[{"code":"45308","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCTOSIGMOIDOSCOPY REMOVAL","code_information":[{"code":"45309","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCTOSIGMOIDOSCOPY REMOVAL","code_information":[{"code":"45315","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCTOSIGMOIDOSCOPY BLEED","code_information":[{"code":"45317","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCTOSIGMOIDOSCOPY ABLATE","code_information":[{"code":"45320","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCTOSIGMOIDOSCOPY VOLVUL","code_information":[{"code":"45321","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCTOSIGMOIDOSCOPY W/STENT","code_information":[{"code":"45327","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIAGNOSTIC SIGMOIDOSCOPY","code_information":[{"code":"45330","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY AND BIOPSY","code_information":[{"code":"45331","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY W/FB REMOVAL","code_information":[{"code":"45332","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY  POLYPECTOMY","code_information":[{"code":"45333","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY FOR BLEEDING","code_information":[{"code":"45334","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY W/SUBMUC INJ","code_information":[{"code":"45335","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY  DECOMPRESS","code_information":[{"code":"45337","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY W/TUMR REMOVE","code_information":[{"code":"45338","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIG W/TNDSC BALLOON DILATION","code_information":[{"code":"45340","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY W/ULTRASOUND","code_information":[{"code":"45341","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY W/US GUIDE BX","code_information":[{"code":"45342","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY W/ABLATION","code_information":[{"code":"45346","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY W/PLCMT STENT","code_information":[{"code":"45347","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIGMOIDOSCOPY W/RESECTION","code_information":[{"code":"45349","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SGMDSC W/BAND LIGATION","code_information":[{"code":"45350","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NDL EPIDURAL TOUHY 20GX6","code_information":[{"code":"453617","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":19.4764,"maximum":25.6128,"gross_charge":26.68,"discounted_cash":14.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.55,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.15,"methodology":"fee schedule"}]}]},{"description":"NDL EPIDURAL TOUHY 20GX6","code_information":[{"code":"453617","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":12.5396,"maximum":25.6128,"gross_charge":26.68,"discounted_cash":14.79,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.55,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.54,"methodology":"fee schedule"}]}]},{"description":"DIAGNOSTIC COLONOSCOPY","code_information":[{"code":"45378","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/FB REMOVAL","code_information":[{"code":"45379","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY AND BIOPSY","code_information":[{"code":"45380","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY SUBMUCOUS NJX","code_information":[{"code":"45381","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/CONTROL BLEED","code_information":[{"code":"45382","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/LESION REMOVAL","code_information":[{"code":"45384","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/LESION REMOVAL","code_information":[{"code":"45385","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/BALLOON DILAT","code_information":[{"code":"45386","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/ABLATION","code_information":[{"code":"45388","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/STENT PLCMT","code_information":[{"code":"45389","type":"CPT"}],"standard_charges":[{"minimum":8747.44,"maximum":8747.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8747.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/RESECTION","code_information":[{"code":"45390","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/ENDOSCOPE US","code_information":[{"code":"45391","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/ENDOSCOPIC FNB","code_information":[{"code":"45392","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/DECOMPRESSION","code_information":[{"code":"45393","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLONOSCOPY W/BAND LIGATION","code_information":[{"code":"45398","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"UNLISTED PROCEDURE COLON","code_information":[{"code":"45399","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROC RECTUM","code_information":[{"code":"45499","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF RECTUM","code_information":[{"code":"45500","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF RECTUM","code_information":[{"code":"45505","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF RECTAL PROLAPSE","code_information":[{"code":"45520","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECT RECTAL PROLAPSE","code_information":[{"code":"45541","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF RECTOCELE","code_information":[{"code":"45560","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CANSTR VAC FREEDOM GEL 300ML","code_information":[{"code":"458127","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":77.38,"maximum":101.76,"gross_charge":106,"discounted_cash":58.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":101.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":97.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":91.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.98,"methodology":"fee schedule"}]}]},{"description":"CANSTR VAC FREEDOM GEL 300ML","code_information":[{"code":"458127","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":49.82,"maximum":101.76,"gross_charge":106,"discounted_cash":58.74,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":101.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":97.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":91.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":49.82,"methodology":"fee schedule"}]}]},{"description":"REDUCTION OF RECTAL PROLAPSE","code_information":[{"code":"45900","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATION OF ANAL SPHINCTER","code_information":[{"code":"45905","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATION OF RECTAL NARROWING","code_information":[{"code":"45910","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE RECTAL OBSTRUCTION","code_information":[{"code":"45915","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SURG DX EXAM ANORECTAL","code_information":[{"code":"45990","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECTUM SURGERY PROCEDURE","code_information":[{"code":"45999","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACEMENT OF SETON","code_information":[{"code":"46020","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF RECTAL MARKER","code_information":[{"code":"46030","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"I&D ABSC ISCHIO/PERIRECTAL ER","code_information":[{"code":"46040","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2930.95,"maximum":3854.4,"gross_charge":4015,"discounted_cash":2224.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3814.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3854.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3292.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3693.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3452.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2930.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3332.45,"methodology":"fee schedule"}]}]},{"description":"I&D ABSC ISCHIO/PERIRECTAL ER","code_information":[{"code":"46040","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1803.86,"maximum":3854.4,"gross_charge":4015,"discounted_cash":2224.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3814.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3854.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3292.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3693.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3452.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2930.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3332.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2770.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1887.05,"methodology":"fee schedule"}]}]},{"description":"INCISION OF RECTAL ABSCESS","code_information":[{"code":"46045","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF ANAL ABSCESS","code_information":[{"code":"46050","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BAG ENDOSCP TRTVL SYS 10MM","code_information":[{"code":"460531","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":98.55,"maximum":129.6,"gross_charge":135,"discounted_cash":74.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.05,"methodology":"fee schedule"}]}]},{"description":"BAG ENDOSCP TRTVL SYS 10MM","code_information":[{"code":"460531","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":63.45,"maximum":129.6,"gross_charge":135,"discounted_cash":74.81,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":63.45,"methodology":"fee schedule"}]}]},{"description":"INCISION OF RECTAL ABSCESS","code_information":[{"code":"46060","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF ANAL SEPTUM","code_information":[{"code":"46070","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF ANAL SPHINCTER","code_information":[{"code":"46080","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INC HEMORRHOID EXTERNAL ER","code_information":[{"code":"46083","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":443.84,"maximum":583.68,"gross_charge":608,"discounted_cash":336.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":583.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":498.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":559.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":522.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":443.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":504.64,"methodology":"fee schedule"}]}]},{"description":"INC HEMORRHOID EXTERNAL ER","code_information":[{"code":"46083","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":285.76,"maximum":583.68,"gross_charge":608,"discounted_cash":336.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":462.97,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":577.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":583.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":498.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":559.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":522.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":443.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":504.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":419.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":285.76,"methodology":"fee schedule"}]}]},{"description":"KIDNEY AND URINARY TRACT MALIGNANCY","code_information":[{"code":"4611","type":"APR-DRG"}],"standard_charges":[{"minimum":14144,"maximum":14144,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14144,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY AND URINARY TRACT MALIGNANCY","code_information":[{"code":"4612","type":"APR-DRG"}],"standard_charges":[{"minimum":15714,"maximum":15714,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15714,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY AND URINARY TRACT MALIGNANCY","code_information":[{"code":"4613","type":"APR-DRG"}],"standard_charges":[{"minimum":26839,"maximum":26839,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26839,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY AND URINARY TRACT MALIGNANCY","code_information":[{"code":"4614","type":"APR-DRG"}],"standard_charges":[{"minimum":36089,"maximum":36089,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36089,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF ANAL FISSURE","code_information":[{"code":"46200","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEPHRITIS AND NEPHROSIS","code_information":[{"code":"4621","type":"APR-DRG"}],"standard_charges":[{"minimum":8758,"maximum":8758,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8758,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEPHRITIS AND NEPHROSIS","code_information":[{"code":"4622","type":"APR-DRG"}],"standard_charges":[{"minimum":14835,"maximum":14835,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14835,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXCISE ANAL EXT TAG/PAPILLA","code_information":[{"code":"46220","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIGATION OF HEMORRHOID(S)","code_information":[{"code":"46221","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEPHRITIS AND NEPHROSIS","code_information":[{"code":"4623","type":"APR-DRG"}],"standard_charges":[{"minimum":21615,"maximum":21615,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21615,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF ANAL TAGS","code_information":[{"code":"46230","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEPHRITIS AND NEPHROSIS","code_information":[{"code":"4624","type":"APR-DRG"}],"standard_charges":[{"minimum":61088,"maximum":61088,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61088,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE EXT HEM GROUPS 2+","code_information":[{"code":"46250","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE INT/EXT HEM 1 GROUP","code_information":[{"code":"46255","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE IN/EX HEM GRP  FISS","code_information":[{"code":"46257","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE IN/EX HEM GRP W/FISTU","code_information":[{"code":"46258","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE IN/EX HEM GROUPS 2+","code_information":[{"code":"46260","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE IN/EX HEM GRPS  FISS","code_information":[{"code":"46261","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE IN/EX HEM GRPS W/FIST","code_information":[{"code":"46262","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ANAL FIST SUBQ","code_information":[{"code":"46270","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ANAL FIST INTER","code_information":[{"code":"46275","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ANAL FIST COMPLEX","code_information":[{"code":"46280","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE ANAL FIST 2 STAGE","code_information":[{"code":"46285","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR ANAL FISTULA","code_information":[{"code":"46288","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY AND URINARY TRACT INFECTIONS","code_information":[{"code":"4631","type":"APR-DRG"}],"standard_charges":[{"minimum":9758,"maximum":9758,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9758,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY AND URINARY TRACT INFECTIONS","code_information":[{"code":"4632","type":"APR-DRG"}],"standard_charges":[{"minimum":10749,"maximum":10749,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10749,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXC HEMORRHOID THROMB EXT ER","code_information":[{"code":"46320","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1873.91,"maximum":2464.32,"gross_charge":2567,"discounted_cash":1422.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2438.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2464.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2104.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2361.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2207.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1873.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2130.61,"methodology":"fee schedule"}]}]},{"description":"EXC HEMORRHOID THROMB EXT ER","code_information":[{"code":"46320","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1206.49,"maximum":2464.32,"gross_charge":2567,"discounted_cash":1422.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2438.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2464.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2104.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2361.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2207.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1873.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2130.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1771.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1206.49,"methodology":"fee schedule"}]}]},{"description":"KIDNEY AND URINARY TRACT INFECTIONS","code_information":[{"code":"4633","type":"APR-DRG"}],"standard_charges":[{"minimum":20898,"maximum":20898,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20898,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KIDNEY AND URINARY TRACT INFECTIONS","code_information":[{"code":"4634","type":"APR-DRG"}],"standard_charges":[{"minimum":27218,"maximum":27218,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27218,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INJECTION INTO HEMORRHOID(S)","code_information":[{"code":"46500","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMODENERVATION ANAL MUSC","code_information":[{"code":"46505","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION","code_information":[{"code":"4651","type":"APR-DRG"}],"standard_charges":[{"minimum":8754,"maximum":8754,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8754,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION","code_information":[{"code":"4652","type":"APR-DRG"}],"standard_charges":[{"minimum":10841,"maximum":10841,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10841,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION","code_information":[{"code":"4653","type":"APR-DRG"}],"standard_charges":[{"minimum":17496,"maximum":17496,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17496,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION","code_information":[{"code":"4654","type":"APR-DRG"}],"standard_charges":[{"minimum":34346,"maximum":34346,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34346,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANOSCOPY ER","code_information":[{"code":"46600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":204.4,"maximum":268.8,"gross_charge":280,"discounted_cash":155.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":266,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":268.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":257.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":240.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":232.4,"methodology":"fee schedule"}]}]},{"description":"ANOSCOPY ER","code_information":[{"code":"46600","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":131.6,"maximum":268.8,"gross_charge":280,"discounted_cash":155.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":194.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":266,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":268.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":257.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":240.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":232.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":131.6,"methodology":"fee schedule"}]}]},{"description":"DIAGNOSTIC ANOSCOPY","code_information":[{"code":"46601","type":"CPT"}],"standard_charges":[{"minimum":194.74,"maximum":194.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":194.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANOSCOPY AND DILATION","code_information":[{"code":"46604","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANOSCOPY AND BIOPSY","code_information":[{"code":"46606","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIAGNOSTIC ANOSCOPY  BIOPSY","code_information":[{"code":"46607","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANOSCOPY REMOVE FOR BODY","code_information":[{"code":"46608","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE","code_information":[{"code":"4661","type":"APR-DRG"}],"standard_charges":[{"minimum":9285,"maximum":9285,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9285,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANOSCOPY REMOVE LESION","code_information":[{"code":"46610","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANOSCOPY","code_information":[{"code":"46611","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANOSCOPY REMOVE LESIONS","code_information":[{"code":"46612","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANOSCOPY CONTROL BLEEDING","code_information":[{"code":"46614","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANOSCOPY","code_information":[{"code":"46615","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE","code_information":[{"code":"4662","type":"APR-DRG"}],"standard_charges":[{"minimum":11575,"maximum":11575,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11575,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE","code_information":[{"code":"4663","type":"APR-DRG"}],"standard_charges":[{"minimum":19947,"maximum":19947,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19947,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE","code_information":[{"code":"4664","type":"APR-DRG"}],"standard_charges":[{"minimum":54219,"maximum":54219,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54219,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR OF ANAL STRICTURE","code_information":[{"code":"46700","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPR OF ANAL FISTULA W/GLUE","code_information":[{"code":"46706","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR ANORECTAL FIST W/PLUG","code_information":[{"code":"46707","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF ANAL SPHINCTER","code_information":[{"code":"46750","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF ANUS","code_information":[{"code":"46753","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SUTURE FROM ANUS","code_information":[{"code":"46754","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF ANAL SPHINCTER","code_information":[{"code":"46760","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF ANAL SPHINCTER","code_information":[{"code":"46761","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS","code_information":[{"code":"4681","type":"APR-DRG"}],"standard_charges":[{"minimum":9747,"maximum":9747,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9747,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS","code_information":[{"code":"4682","type":"APR-DRG"}],"standard_charges":[{"minimum":14945,"maximum":14945,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14945,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS","code_information":[{"code":"4683","type":"APR-DRG"}],"standard_charges":[{"minimum":15787,"maximum":15787,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15787,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS","code_information":[{"code":"4684","type":"APR-DRG"}],"standard_charges":[{"minimum":34077,"maximum":34077,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34077,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DESTRUCTION ANAL LESION(S)","code_information":[{"code":"46900","type":"CPT"}],"standard_charges":[{"minimum":601.61,"maximum":601.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":601.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE KIDNEY INJURY","code_information":[{"code":"4691","type":"APR-DRG"}],"standard_charges":[{"minimum":8350,"maximum":8350,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8350,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DESTRUCTION ANAL LESION(S)","code_information":[{"code":"46910","type":"CPT"}],"standard_charges":[{"minimum":2983.99,"maximum":2983.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2983.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CRYOSURGERY ANAL LESION(S)","code_information":[{"code":"46916","type":"CPT"}],"standard_charges":[{"minimum":312.32,"maximum":312.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":312.32,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LASER SURGERY ANAL LESIONS","code_information":[{"code":"46917","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE KIDNEY INJURY","code_information":[{"code":"4692","type":"APR-DRG"}],"standard_charges":[{"minimum":10758,"maximum":10758,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10758,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXCISION OF ANAL LESION(S)","code_information":[{"code":"46922","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION ANAL LESION(S)","code_information":[{"code":"46924","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE KIDNEY INJURY","code_information":[{"code":"4693","type":"APR-DRG"}],"standard_charges":[{"minimum":23673,"maximum":23673,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23673,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DESTROY INTERNAL HEMORRHOIDS","code_information":[{"code":"46930","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE KIDNEY INJURY","code_information":[{"code":"4694","type":"APR-DRG"}],"standard_charges":[{"minimum":61226,"maximum":61226,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61226,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREATMENT OF ANAL FISSURE","code_information":[{"code":"46940","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF ANAL FISSURE","code_information":[{"code":"46942","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INT HRHC LIG 1 HROID W/O IMG","code_information":[{"code":"46945","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INT HRHC LIG 2+HROID W/O IMG","code_information":[{"code":"46946","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HEMORRHOIDOPEXY BY STAPLING","code_information":[{"code":"46947","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INT HRHC TRANAL DARTLZJ 2+","code_information":[{"code":"46948","type":"CPT"}],"standard_charges":[{"minimum":4250.43,"maximum":4250.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4250.43,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANUS SURGERY PROCEDURE","code_information":[{"code":"46999","type":"CPT"}],"standard_charges":[{"minimum":1380.61,"maximum":1380.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1380.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEEDLE BIOPSY OF LIVER","code_information":[{"code":"47000","type":"CPT"}],"standard_charges":[{"minimum":2447.57,"maximum":2447.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HIP MIN 1 VIEW LT","code_information":[{"code":"470002615","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":167.9,"maximum":220.8,"gross_charge":230,"discounted_cash":127.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":218.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":211.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.9,"methodology":"fee schedule"}]}]},{"description":"HIP MIN 1 VIEW LT","code_information":[{"code":"470002615","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":108.1,"maximum":220.8,"gross_charge":230,"discounted_cash":127.45,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":218.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":211.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":108.1,"methodology":"fee schedule"}]}]},{"description":"HIP MIN 2-3 VIEW LT","code_information":[{"code":"470002619","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":245.28,"maximum":322.56,"gross_charge":336,"discounted_cash":186.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.88,"methodology":"fee schedule"}]}]},{"description":"HIP MIN 2-3 VIEW LT","code_information":[{"code":"470002619","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":157.92,"maximum":322.56,"gross_charge":336,"discounted_cash":186.18,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":157.92,"methodology":"fee schedule"}]}]},{"description":"HIP MIN 4 VIEW LT","code_information":[{"code":"470002623","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":302.95,"maximum":398.4,"gross_charge":415,"discounted_cash":229.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":398.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":381.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":356.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":302.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":344.45,"methodology":"fee schedule"}]}]},{"description":"HIP MIN 4 VIEW LT","code_information":[{"code":"470002623","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":195.05,"maximum":398.4,"gross_charge":415,"discounted_cash":229.96,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":398.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":381.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":356.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":302.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":344.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":286.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":195.05,"methodology":"fee schedule"}]}]},{"description":"HIP MIN 2 VIEW BI","code_information":[{"code":"470002627","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":200.75,"maximum":264,"gross_charge":275,"discounted_cash":152.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":236.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":228.25,"methodology":"fee schedule"}]}]},{"description":"HIP MIN 2 VIEW BI","code_information":[{"code":"470002627","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":129.25,"maximum":264,"gross_charge":275,"discounted_cash":152.38,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":236.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":228.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":189.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":129.25,"methodology":"fee schedule"}]}]},{"description":"HIP MIN 3-4 VIEW BI","code_information":[{"code":"470002629","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":275.21,"maximum":361.92,"gross_charge":377,"discounted_cash":208.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":361.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":309.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":346.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":324.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":312.91,"methodology":"fee schedule"}]}]},{"description":"HIP MIN 3-4 VIEW BI","code_information":[{"code":"470002629","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":177.19,"maximum":361.92,"gross_charge":377,"discounted_cash":208.9,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":358.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":361.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":309.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":346.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":324.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":312.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":260.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":177.19,"methodology":"fee schedule"}]}]},{"description":"FEMUR MIN 1 VIEW LT","code_information":[{"code":"470002631","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":159.14,"maximum":209.28,"gross_charge":218,"discounted_cash":120.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":209.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":200.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":187.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.94,"methodology":"fee schedule"}]}]},{"description":"FEMUR MIN 1 VIEW LT","code_information":[{"code":"470002631","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":102.46,"maximum":209.28,"gross_charge":218,"discounted_cash":120.8,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":209.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":200.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":187.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":150.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":102.46,"methodology":"fee schedule"}]}]},{"description":"FEMUR MIN 2 VIEW LT","code_information":[{"code":"470002632","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":190.53,"maximum":250.56,"gross_charge":261,"discounted_cash":144.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":250.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":240.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":224.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":190.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":216.63,"methodology":"fee schedule"}]}]},{"description":"FEMUR MIN 2 VIEW LT","code_information":[{"code":"470002632","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":122.67,"maximum":250.56,"gross_charge":261,"discounted_cash":144.63,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":250.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":240.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":224.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":190.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":216.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":180.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":122.67,"methodology":"fee schedule"}]}]},{"description":"FEMUR MIN 1 VIEW BI","code_information":[{"code":"470002635","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":176.66,"maximum":232.32,"gross_charge":242,"discounted_cash":134.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":232.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":222.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":208.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":200.86,"methodology":"fee schedule"}]}]},{"description":"FEMUR MIN 1 VIEW BI","code_information":[{"code":"470002635","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":113.74,"maximum":232.32,"gross_charge":242,"discounted_cash":134.1,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":232.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":222.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":208.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":200.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":166.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":113.74,"methodology":"fee schedule"}]}]},{"description":"FEMUR MIN 2 VIEW BI","code_information":[{"code":"470002636","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":208.05,"maximum":273.6,"gross_charge":285,"discounted_cash":157.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":273.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":245.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":236.55,"methodology":"fee schedule"}]}]},{"description":"FEMUR MIN 2 VIEW BI","code_information":[{"code":"470002636","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":133.95,"maximum":273.6,"gross_charge":285,"discounted_cash":157.92,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":270.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":273.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":245.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":236.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":133.95,"methodology":"fee schedule"}]}]},{"description":"HIP MIN 5 VIEW BI","code_information":[{"code":"470002637","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":313.17,"maximum":411.84,"gross_charge":429,"discounted_cash":237.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":407.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":411.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":394.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":368.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":313.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":356.07,"methodology":"fee schedule"}]}]},{"description":"HIP MIN 5 VIEW BI","code_information":[{"code":"470002637","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":201.63,"maximum":411.84,"gross_charge":429,"discounted_cash":237.71,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":407.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":411.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":351.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":394.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":368.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":313.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":356.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":296.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":201.63,"methodology":"fee schedule"}]}]},{"description":"SINUS COMP MIN 3V","code_information":[{"code":"470002680","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":202.21,"maximum":265.92,"gross_charge":277,"discounted_cash":153.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":265.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":254.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":238.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":202.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":229.91,"methodology":"fee schedule"}]}]},{"description":"SINUS COMP MIN 3V","code_information":[{"code":"470002680","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":130.19,"maximum":265.92,"gross_charge":277,"discounted_cash":153.49,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":263.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":265.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":254.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":238.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":202.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":229.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":130.19,"methodology":"fee schedule"}]}]},{"description":"SINUS LESS 3V","code_information":[{"code":"470002685","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":171.55,"maximum":225.6,"gross_charge":235,"discounted_cash":130.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":225.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":216.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":202.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":195.05,"methodology":"fee schedule"}]}]},{"description":"SINUS LESS 3V","code_information":[{"code":"470002685","type":"CDM"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":110.45,"maximum":225.6,"gross_charge":235,"discounted_cash":130.22,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":223.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":225.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":216.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":202.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":195.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":162.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":110.45,"methodology":"fee schedule"}]}]},{"description":"CHRONIC KIDNEY DISEASE","code_information":[{"code":"4701","type":"APR-DRG"}],"standard_charges":[{"minimum":8650,"maximum":8650,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8650,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHRONIC KIDNEY DISEASE","code_information":[{"code":"4702","type":"APR-DRG"}],"standard_charges":[{"minimum":12276,"maximum":12276,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12276,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHRONIC KIDNEY DISEASE","code_information":[{"code":"4703","type":"APR-DRG"}],"standard_charges":[{"minimum":13068,"maximum":13068,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13068,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHRONIC KIDNEY DISEASE","code_information":[{"code":"4704","type":"APR-DRG"}],"standard_charges":[{"minimum":32326,"maximum":32326,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32326,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LAPARO ABLATE LIVER TUMOR RF","code_information":[{"code":"47370","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO ABLATE LIVER CRYOSURG","code_information":[{"code":"47371","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROCEDURE LIVER","code_information":[{"code":"47379","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERCUT ABLATE LIVER RF","code_information":[{"code":"47382","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ ABLTJ LVR CRYOABLATION","code_information":[{"code":"47383","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LIVER SURGERY PROCEDURE","code_information":[{"code":"47399","type":"CPT"}],"standard_charges":[{"minimum":1081.95,"maximum":1081.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1081.95,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF GALLBLADDER","code_information":[{"code":"47490","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJ BIL DRAIN W/GUIDE EXIST","code_information":[{"code":"47531","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":462.09,"maximum":607.68,"gross_charge":633,"discounted_cash":350.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":607.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":519.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":582.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":544.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":462.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":525.39,"methodology":"fee schedule"}]}]},{"description":"INJ BIL DRAIN W/GUIDE EXIST","code_information":[{"code":"47531","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":297.51,"maximum":5537.74,"gross_charge":633,"discounted_cash":350.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":601.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":607.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":519.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":582.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":544.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":462.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":525.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":436.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":297.51,"methodology":"fee schedule"}]}]},{"description":"INJECTION FOR CHOLANGIOGRAM","code_information":[{"code":"47532","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLMT BILIARY DRAINAGE CATH","code_information":[{"code":"47533","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLMT BILIARY DRAINAGE CATH","code_information":[{"code":"47534","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONVERSION EXT BIL DRG CATH","code_information":[{"code":"47535","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCHANGE BILIARY DRG CATH","code_information":[{"code":"47536","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL BILIARY DRG CATH","code_information":[{"code":"47537","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ PLMT BILE DUCT STENT","code_information":[{"code":"47538","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ PLMT BILE DUCT STENT","code_information":[{"code":"47539","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERQ PLMT BILE DUCT STENT","code_information":[{"code":"47540","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLMT ACCESS BIL TREE SM BWL","code_information":[{"code":"47541","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BILIARY ENDO PERQ DX W/SPECI","code_information":[{"code":"47552","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BILIARY ENDOSCOPY THRU SKIN","code_information":[{"code":"47553","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BILIARY ENDOSCOPY THRU SKIN","code_information":[{"code":"47554","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BILIARY ENDOSCOPY THRU SKIN","code_information":[{"code":"47555","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BILIARY ENDOSCOPY THRU SKIN","code_information":[{"code":"47556","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPIC CHOLECYSTECTOMY","code_information":[{"code":"47562","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO CHOLECYSTECTOMY/GRAPH","code_information":[{"code":"47563","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO CHOLECYSTECTOMY/EXPLR","code_information":[{"code":"47564","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO CHOLECYSTOENTEROSTOMY","code_information":[{"code":"47570","type":"CPT"}],"standard_charges":[{"minimum":7900.75,"maximum":7900.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7900.75,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROC BILIARY","code_information":[{"code":"47579","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF GALLBLADDER","code_information":[{"code":"47600","type":"CPT"}],"standard_charges":[{"minimum":7681.1,"maximum":7681.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7681.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BILE TRACT SURGERY PROCEDURE","code_information":[{"code":"47999","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BLOCK AXILLARY","code_information":[{"code":"480000001","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":324.12,"maximum":426.24,"gross_charge":444,"discounted_cash":246.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":421.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":426.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":364.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":408.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":381.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":324.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":368.52,"methodology":"fee schedule"}]}]},{"description":"BLOCK AXILLARY","code_information":[{"code":"480000001","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":426.24,"gross_charge":444,"discounted_cash":246.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":421.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":426.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":364.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":408.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":381.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":324.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":368.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":306.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":208.68,"methodology":"fee schedule"}]}]},{"description":"GENERAL ANESTHESIA","code_information":[{"code":"480000009","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":13.87,"maximum":18.24,"gross_charge":19,"discounted_cash":10.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.77,"methodology":"fee schedule"}]}]},{"description":"GENERAL ANESTHESIA","code_information":[{"code":"480000009","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":8.93,"maximum":19,"gross_charge":19,"discounted_cash":10.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.93,"methodology":"fee schedule"}]}]},{"description":"MONITORED ANESTHESIA CARE MAC","code_information":[{"code":"480000016","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":12.41,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"}]}]},{"description":"MONITORED ANESTHESIA CARE MAC","code_information":[{"code":"480000016","type":"CDM"},{"code":"0370","type":"RC"}],"standard_charges":[{"minimum":7.99,"maximum":17,"gross_charge":17,"discounted_cash":9.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.99,"methodology":"fee schedule"}]}]},{"description":"GEN ANESTHESIA FOR RAD","code_information":[{"code":"480000022","type":"CDM"},{"code":"0371","type":"RC"}],"standard_charges":[{"minimum":13.87,"maximum":18.24,"gross_charge":19,"discounted_cash":10.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.77,"methodology":"fee schedule"}]}]},{"description":"GEN ANESTHESIA FOR RAD","code_information":[{"code":"480000022","type":"CDM"},{"code":"0371","type":"RC"}],"standard_charges":[{"minimum":8.93,"maximum":18.24,"gross_charge":19,"discounted_cash":10.53,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.93,"methodology":"fee schedule"}]}]},{"description":"MAJOR MALE PELVIC PROCEDURES","code_information":[{"code":"4801","type":"APR-DRG"}],"standard_charges":[{"minimum":26283,"maximum":26283,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26283,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR MALE PELVIC PROCEDURES","code_information":[{"code":"4802","type":"APR-DRG"}],"standard_charges":[{"minimum":26555,"maximum":26555,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26555,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR MALE PELVIC PROCEDURES","code_information":[{"code":"4803","type":"APR-DRG"}],"standard_charges":[{"minimum":46713,"maximum":46713,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46713,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR MALE PELVIC PROCEDURES","code_information":[{"code":"4804","type":"APR-DRG"}],"standard_charges":[{"minimum":89891,"maximum":89891,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89891,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEEDLE BIOPSY PANCREAS","code_information":[{"code":"48102","type":"CPT"}],"standard_charges":[{"minimum":2447.57,"maximum":2447.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSURETHRAL PROSTATECTOMY","code_information":[{"code":"4821","type":"APR-DRG"}],"standard_charges":[{"minimum":16139,"maximum":16139,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16139,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRANSURETHRAL PROSTATECTOMY","code_information":[{"code":"4822","type":"APR-DRG"}],"standard_charges":[{"minimum":19987,"maximum":19987,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19987,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRANSURETHRAL PROSTATECTOMY","code_information":[{"code":"4823","type":"APR-DRG"}],"standard_charges":[{"minimum":34739,"maximum":34739,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34739,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TRANSURETHRAL PROSTATECTOMY","code_information":[{"code":"4824","type":"APR-DRG"}],"standard_charges":[{"minimum":62630,"maximum":62630,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":62630,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PENIS, TESTES AND SCROTAL PROCEDURES","code_information":[{"code":"4831","type":"APR-DRG"}],"standard_charges":[{"minimum":22366,"maximum":22366,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22366,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PENIS, TESTES AND SCROTAL PROCEDURES","code_information":[{"code":"4832","type":"APR-DRG"}],"standard_charges":[{"minimum":27265,"maximum":27265,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27265,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PENIS, TESTES AND SCROTAL PROCEDURES","code_information":[{"code":"4833","type":"APR-DRG"}],"standard_charges":[{"minimum":41676,"maximum":41676,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":41676,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PENIS, TESTES AND SCROTAL PROCEDURES","code_information":[{"code":"4834","type":"APR-DRG"}],"standard_charges":[{"minimum":71112,"maximum":71112,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71112,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"4841","type":"APR-DRG"}],"standard_charges":[{"minimum":25469,"maximum":25469,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25469,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"4842","type":"APR-DRG"}],"standard_charges":[{"minimum":26301,"maximum":26301,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26301,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"4843","type":"APR-DRG"}],"standard_charges":[{"minimum":35836,"maximum":35836,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35836,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"4844","type":"APR-DRG"}],"standard_charges":[{"minimum":86797,"maximum":86797,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":86797,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TY URINE METER NO-CATH","code_information":[{"code":"487770","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":31.682,"maximum":41.664,"gross_charge":43.4,"discounted_cash":24.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.93,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.03,"methodology":"fee schedule"}]}]},{"description":"TY URINE METER NO-CATH","code_information":[{"code":"487770","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":20.398,"maximum":41.664,"gross_charge":43.4,"discounted_cash":24.05,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.93,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"}]}]},{"description":"CATH FOLEY TEMP COMPLETE 16FR","code_information":[{"code":"489439","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":80.9424,"maximum":106.4448,"gross_charge":110.88,"discounted_cash":61.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.01,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.04,"methodology":"fee schedule"}]}]},{"description":"CATH FOLEY TEMP COMPLETE 16FR","code_information":[{"code":"489439","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":52.1136,"maximum":106.4448,"gross_charge":110.88,"discounted_cash":61.44,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.01,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":52.12,"methodology":"fee schedule"}]}]},{"description":"PANCREAS SURGERY PROCEDURE","code_information":[{"code":"48999","type":"CPT"}],"standard_charges":[{"minimum":1081.95,"maximum":1081.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1081.95,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION BEHIND ABDOMEN","code_information":[{"code":"49010","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACCELERATOR 90-S","code_information":[{"code":"490388","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":310.25,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"}]}]},{"description":"ACCELERATOR 90-S","code_information":[{"code":"490388","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":293.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":199.75,"methodology":"fee schedule"}]}]},{"description":"ABD PARACENTESIS WO IMAGING ER","code_information":[{"code":"49082","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1129.31,"maximum":1485.12,"gross_charge":1547,"discounted_cash":857.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1469.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1268.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1423.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1330.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1129.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1284.01,"methodology":"fee schedule"}]}]},{"description":"ABD PARACENTESIS WO IMAGING ER","code_information":[{"code":"49082","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":727.09,"maximum":1485.12,"gross_charge":1547,"discounted_cash":857.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1469.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1485.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1268.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1423.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1330.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1129.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1284.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1067.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":727.09,"methodology":"fee schedule"}]}]},{"description":"ABD PARACENTESIS W GUIDE US","code_information":[{"code":"49083","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":945.35,"maximum":1243.2,"gross_charge":1295,"discounted_cash":717.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1243.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1061.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1191.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":945.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1074.85,"methodology":"fee schedule"}]}]},{"description":"ABD PARACENTESIS W GUIDE US","code_information":[{"code":"49083","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1200.12,"maximum":1578.24,"gross_charge":1644,"discounted_cash":910.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1561.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1578.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1348.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1512.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1413.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1200.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1364.52,"methodology":"fee schedule"}]}]},{"description":"ABD PARACENTESIS W GUIDE US","code_information":[{"code":"49083","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":608.65,"maximum":1408.36,"gross_charge":1295,"discounted_cash":717.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1230.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1243.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1061.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1191.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":945.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1074.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":893.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":608.65,"methodology":"fee schedule"}]}]},{"description":"ABD PARACENTESIS W GUIDE US","code_information":[{"code":"49083","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":772.68,"maximum":1578.24,"gross_charge":1644,"discounted_cash":910.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1561.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1578.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1348.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1512.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1413.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1200.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1364.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1134.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":772.68,"methodology":"fee schedule"}]}]},{"description":"ABD PARACENTESIS W IMAGING ER","code_information":[{"code":"49083","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1302.32,"maximum":1712.64,"gross_charge":1784,"discounted_cash":988.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1694.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1712.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1462.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1641.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1534.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1302.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1480.72,"methodology":"fee schedule"}]}]},{"description":"ABD PARACENTESIS W IMAGING ER","code_information":[{"code":"49083","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":838.48,"maximum":1712.64,"gross_charge":1784,"discounted_cash":988.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1694.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1712.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1462.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1641.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1534.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1302.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1480.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1230.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":838.48,"methodology":"fee schedule"}]}]},{"description":"PERITONEAL LAVAGE","code_information":[{"code":"49084","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY ABDOMINAL MASS","code_information":[{"code":"49180","type":"CPT"}],"standard_charges":[{"minimum":2447.57,"maximum":2447.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SCLEROTX FLUID COLLECTION","code_information":[{"code":"49185","type":"CPT"}],"standard_charges":[{"minimum":1081.95,"maximum":1081.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1081.95,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF UMBILICUS","code_information":[{"code":"49250","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF OMENTUM","code_information":[{"code":"49255","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIAG LAPARO SEPARATE PROC","code_information":[{"code":"49320","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY BIOPSY","code_information":[{"code":"49321","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY ASPIRATION","code_information":[{"code":"49322","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO DRAIN LYMPHOCELE","code_information":[{"code":"49323","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP INSERT TUNNEL IP CATH","code_information":[{"code":"49324","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP REVISION PERM IP CATH","code_information":[{"code":"49325","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO PROC ABDM/PER/OMENT","code_information":[{"code":"49329","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE FOREIGN BODY ADBOMEN","code_information":[{"code":"49402","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMAGE CATH FLUID COLXN VISC","code_information":[{"code":"49405","type":"CPT"}],"standard_charges":[{"minimum":2447.57,"maximum":2447.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMAGE CATH FLUID PERI/RETRO","code_information":[{"code":"49406","type":"CPT"}],"standard_charges":[{"minimum":2447.57,"maximum":2447.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMAGE CATH FLUID TRNS/VGNL","code_information":[{"code":"49407","type":"CPT"}],"standard_charges":[{"minimum":2447.57,"maximum":2447.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2447.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INS MARK ABD/PEL FOR RT PERQ","code_information":[{"code":"49411","type":"CPT"}],"standard_charges":[{"minimum":2195.66,"maximum":2195.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2195.66,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INS DEVICE FOR RT GUIDE OPEN","code_information":[{"code":"49412","type":"CPT"}],"standard_charges":[{"minimum":1741.76,"maximum":1741.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1741.76,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT TUN IP CATH PERC","code_information":[{"code":"49418","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT TUN IP CATH W/PORT","code_information":[{"code":"49419","type":"CPT"}],"standard_charges":[{"minimum":8298.37,"maximum":8298.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8298.37,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INS TUN IP CATH FOR DIAL OPN","code_information":[{"code":"49421","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE TUNNELED IP CATH","code_information":[{"code":"49422","type":"CPT"}],"standard_charges":[{"minimum":4978.05,"maximum":4978.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4978.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCHANGE DRAINAGE CATHETER","code_information":[{"code":"49423","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE ABDOMEN-VENOUS SHUNT","code_information":[{"code":"49426","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SHUNT","code_information":[{"code":"49429","type":"CPT"}],"standard_charges":[{"minimum":4978.05,"maximum":4978.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4978.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EMBEDDED IP CATH EXIT-SITE","code_information":[{"code":"49436","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE GASTROSTOMY TUBE PERC","code_information":[{"code":"49440","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE DUOD/JEJ TUBE PERC","code_information":[{"code":"49441","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE CECOSTOMY TUBE PERC","code_information":[{"code":"49442","type":"CPT"}],"standard_charges":[{"minimum":1803.86,"maximum":1803.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1803.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHANGE G-TUBE TO G-J PERC","code_information":[{"code":"49446","type":"CPT"}],"standard_charges":[{"minimum":2826.82,"maximum":2826.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2826.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GI TUBE CHANGE","code_information":[{"code":"49450","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1255.6,"maximum":1651.2,"gross_charge":1720,"discounted_cash":953.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1651.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1410.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1582.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1479.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1255.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1427.6,"methodology":"fee schedule"}]}]},{"description":"GI TUBE CHANGE","code_information":[{"code":"49450","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":808.4,"maximum":1651.2,"gross_charge":1720,"discounted_cash":953.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1651.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1410.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1582.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1479.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1255.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1427.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1186.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":808.4,"methodology":"fee schedule"}]}]},{"description":"REPLACE DUOD/JEJ TUBE PERC","code_information":[{"code":"49451","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLACE G-J TUBE PERC","code_information":[{"code":"49452","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FIX G/COLON TUBE W/DEVICE","code_information":[{"code":"49460","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FLUORO EXAM OF G/COLON TUBE","code_information":[{"code":"49465","type":"CPT"}],"standard_charges":[{"minimum":400.31,"maximum":400.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":400.31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR HERN PREEMIE REDUC","code_information":[{"code":"49491","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR ING HERN PREMIE BLOCKED","code_information":[{"code":"49492","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR ING HERNIA BABY REDUC","code_information":[{"code":"49495","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR ING HERNIA BABY BLOCKED","code_information":[{"code":"49496","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR ING HERNIA INIT REDUCE","code_information":[{"code":"49500","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR ING HERNIA INIT BLOCKED","code_information":[{"code":"49501","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PRP I/HERN INIT REDUC >5 YR","code_information":[{"code":"49505","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PRP I/HERN INIT BLOCK >5 YR","code_information":[{"code":"49507","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REREPAIR ING HERNIA REDUCE","code_information":[{"code":"49520","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REREPAIR ING HERNIA BLOCKED","code_information":[{"code":"49521","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR ING HERNIA SLIDING","code_information":[{"code":"49525","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR LUMBAR HERNIA","code_information":[{"code":"49540","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR REM HERNIA INIT REDUCE","code_information":[{"code":"49550","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR FEM HERNIA INIT BLOCKED","code_information":[{"code":"49553","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REREPAIR FEM HERNIA REDUCE","code_information":[{"code":"49555","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REREPAIR FEM HERNIA BLOCKED","code_information":[{"code":"49557","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR VENTRAL HERN INIT REDUC","code_information":[{"code":"49560","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR VENTRAL HERN INIT BLOCK","code_information":[{"code":"49561","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REREPAIR VENTRL HERN REDUCE","code_information":[{"code":"49565","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REREPAIR VENTRL HERN BLOCK","code_information":[{"code":"49566","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR EPIGASTRIC HERN REDUCE","code_information":[{"code":"49570","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR EPIGASTRIC HERN BLOCKED","code_information":[{"code":"49572","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR UMBIL HERN REDUC < 5 YR","code_information":[{"code":"49580","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR UMBIL HERN BLOCK < 5 YR","code_information":[{"code":"49582","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR UMBIL HERN REDUC > 5 YR","code_information":[{"code":"49585","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RPR UMBIL HERN BLOCK > 5 YR","code_information":[{"code":"49587","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR SPIGELIAN HERNIA","code_information":[{"code":"49590","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR UMBILICAL LESION","code_information":[{"code":"49600","type":"CPT"}],"standard_charges":[{"minimum":5537.74,"maximum":5537.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5537.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP ING HERNIA REPAIR INIT","code_information":[{"code":"49650","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP ING HERNIA REPAIR RECUR","code_information":[{"code":"49651","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP VENT/ABD HERNIA REPAIR","code_information":[{"code":"49652","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP VENT/ABD HERN PROC COMP","code_information":[{"code":"49653","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP INC HERNIA REPAIR","code_information":[{"code":"49654","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP INC HERN REPAIR COMP","code_information":[{"code":"49655","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP INC HERNIA REPAIR RECUR","code_information":[{"code":"49656","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAP INC HERN RECUR COMP","code_information":[{"code":"49657","type":"CPT"}],"standard_charges":[{"minimum":15495.44,"maximum":15495.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15495.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO PROC HERNIA REPAIR","code_information":[{"code":"49659","type":"CPT"}],"standard_charges":[{"minimum":8802.94,"maximum":8802.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8802.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABDOMEN SURGERY PROCEDURE","code_information":[{"code":"49999","type":"CPT"}],"standard_charges":[{"minimum":1408.36,"maximum":1408.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1408.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALIGNANCY, MALE REPRODUCTIVE SYSTEM","code_information":[{"code":"5001","type":"APR-DRG"}],"standard_charges":[{"minimum":9709,"maximum":9709,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9709,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALIGNANCY, MALE REPRODUCTIVE SYSTEM","code_information":[{"code":"5002","type":"APR-DRG"}],"standard_charges":[{"minimum":15285,"maximum":15285,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15285,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RENAL ABSCESS OPEN DRAIN","code_information":[{"code":"50020","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALIGNANCY, MALE REPRODUCTIVE SYSTEM","code_information":[{"code":"5003","type":"APR-DRG"}],"standard_charges":[{"minimum":20887,"maximum":20887,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20887,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALIGNANCY, MALE REPRODUCTIVE SYSTEM","code_information":[{"code":"5004","type":"APR-DRG"}],"standard_charges":[{"minimum":42925,"maximum":42925,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42925,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF KIDNEY STONE","code_information":[{"code":"50080","type":"CPT"}],"standard_charges":[{"minimum":13428.66,"maximum":13428.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13428.66,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF KIDNEY STONE","code_information":[{"code":"50081","type":"CPT"}],"standard_charges":[{"minimum":13428.66,"maximum":13428.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13428.66,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY","code_information":[{"code":"5011","type":"APR-DRG"}],"standard_charges":[{"minimum":9303,"maximum":9303,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9303,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY","code_information":[{"code":"5012","type":"APR-DRG"}],"standard_charges":[{"minimum":18045,"maximum":18045,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18045,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY","code_information":[{"code":"5013","type":"APR-DRG"}],"standard_charges":[{"minimum":26434,"maximum":26434,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26434,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY","code_information":[{"code":"5014","type":"APR-DRG"}],"standard_charges":[{"minimum":40078,"maximum":40078,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40078,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RENAL BIOPSY PERQ","code_information":[{"code":"50200","type":"CPT"}],"standard_charges":[{"minimum":2287.94,"maximum":2287.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2287.94,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHANGE URETER STENT PERCUT","code_information":[{"code":"50382","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE URETER STENT PERCUT","code_information":[{"code":"50384","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHANGE STENT VIA TRANSURETH","code_information":[{"code":"50385","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE STENT VIA TRANSURETH","code_information":[{"code":"50386","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHANGE NEPHROURETERAL CATH","code_information":[{"code":"50387","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE RENAL TUBE W/FLUORO","code_information":[{"code":"50389","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF KIDNEY LESION","code_information":[{"code":"50390","type":"CPT"}],"standard_charges":[{"minimum":1011.39,"maximum":1011.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1011.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSTLL RX AGNT INTO RNAL TUB","code_information":[{"code":"50391","type":"CPT"}],"standard_charges":[{"minimum":432.79,"maximum":432.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":432.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MEASURE KIDNEY PRESSURE","code_information":[{"code":"50396","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX PX NFROSGRM /URTRGRM","code_information":[{"code":"50430","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX PX NFROSGRM /URTRGRM","code_information":[{"code":"50431","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLMT NEPHROSTOMY CATHETER","code_information":[{"code":"50432","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLMT NEPHROURETERAL CATHETER","code_information":[{"code":"50433","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONVERT NEPHROSTOMY CATHETER","code_information":[{"code":"50434","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCHANGE NEPHROSTOMY CATH","code_information":[{"code":"50435","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILAT XST TRC NDURLGC PX","code_information":[{"code":"50436","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILAT XST TRC NEW ACCESS RCS","code_information":[{"code":"50437","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO ABLATE RENAL CYST","code_information":[{"code":"50541","type":"CPT"}],"standard_charges":[{"minimum":8228.84,"maximum":8228.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8228.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO ABLATE RENAL MASS","code_information":[{"code":"50542","type":"CPT"}],"standard_charges":[{"minimum":14484.86,"maximum":14484.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14484.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO PARTIAL NEPHRECTOMY","code_information":[{"code":"50543","type":"CPT"}],"standard_charges":[{"minimum":14484.86,"maximum":14484.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14484.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY PYELOPLASTY","code_information":[{"code":"50544","type":"CPT"}],"standard_charges":[{"minimum":14484.86,"maximum":14484.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14484.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO REMOVAL DONOR KIDNEY","code_information":[{"code":"50547","type":"CPT"}],"standard_charges":[{"minimum":12529.45,"maximum":12529.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12529.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO REMOVE W/URETER","code_information":[{"code":"50548","type":"CPT"}],"standard_charges":[{"minimum":12529.45,"maximum":12529.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12529.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROC RENAL","code_information":[{"code":"50549","type":"CPT"}],"standard_charges":[{"minimum":8228.84,"maximum":8228.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8228.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY ENDOSCOPY","code_information":[{"code":"50551","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY ENDOSCOPY","code_information":[{"code":"50553","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY ENDOSCOPY  BIOPSY","code_information":[{"code":"50555","type":"CPT"}],"standard_charges":[{"minimum":13428.66,"maximum":13428.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13428.66,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY ENDOSCOPY  TREATMENT","code_information":[{"code":"50557","type":"CPT"}],"standard_charges":[{"minimum":13428.66,"maximum":13428.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13428.66,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY ENDOSCOPY  TREATMENT","code_information":[{"code":"50561","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RENAL SCOPE W/TUMOR RESECT","code_information":[{"code":"50562","type":"CPT"}],"standard_charges":[{"minimum":13428.66,"maximum":13428.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13428.66,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY ENDOSCOPY","code_information":[{"code":"50570","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY ENDOSCOPY","code_information":[{"code":"50572","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY ENDOSCOPY  BIOPSY","code_information":[{"code":"50574","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY ENDOSCOPY","code_information":[{"code":"50575","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY ENDOSCOPY  TREATMENT","code_information":[{"code":"50576","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KIDNEY ENDOSCOPY  TREATMENT","code_information":[{"code":"50580","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FRAGMENTING OF KIDNEY STONE","code_information":[{"code":"50590","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERC RF ABLATE RENAL TUMOR","code_information":[{"code":"50592","type":"CPT"}],"standard_charges":[{"minimum":8228.84,"maximum":8228.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8228.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERC CRYO ABLATE RENAL TUM","code_information":[{"code":"50593","type":"CPT"}],"standard_charges":[{"minimum":14484.86,"maximum":14484.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14484.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MEASURE URETER PRESSURE","code_information":[{"code":"50686","type":"CPT"}],"standard_charges":[{"minimum":226.92,"maximum":226.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":226.92,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHANGE OF URETER TUBE/STENT","code_information":[{"code":"50688","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLMT URETERAL STENT PRQ","code_information":[{"code":"50693","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLMT URETERAL STENT PRQ","code_information":[{"code":"50694","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLMT URETERAL STENT PRQ","code_information":[{"code":"50695","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE URETER","code_information":[{"code":"50727","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY URETEROLITHOTOMY","code_information":[{"code":"50945","type":"CPT"}],"standard_charges":[{"minimum":8228.84,"maximum":8228.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8228.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO NEW URETER/BLADDER","code_information":[{"code":"50947","type":"CPT"}],"standard_charges":[{"minimum":8228.84,"maximum":8228.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8228.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO NEW URETER/BLADDER","code_information":[{"code":"50948","type":"CPT"}],"standard_charges":[{"minimum":14484.86,"maximum":14484.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14484.86,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROC URETER","code_information":[{"code":"50949","type":"CPT"}],"standard_charges":[{"minimum":8228.84,"maximum":8228.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8228.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOSCOPY OF URETER","code_information":[{"code":"50951","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOSCOPY OF URETER","code_information":[{"code":"50953","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URETER ENDOSCOPY  BIOPSY","code_information":[{"code":"50955","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URETER ENDOSCOPY  TREATMENT","code_information":[{"code":"50957","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URETER ENDOSCOPY  TREATMENT","code_information":[{"code":"50961","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URETER ENDOSCOPY","code_information":[{"code":"50970","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URETER ENDOSCOPY  CATHETER","code_information":[{"code":"50972","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URETER ENDOSCOPY  BIOPSY","code_information":[{"code":"50974","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URETER ENDOSCOPY  TREATMENT","code_information":[{"code":"50976","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URETER ENDOSCOPY  TREATMENT","code_information":[{"code":"50980","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES","code_information":[{"code":"5101","type":"APR-DRG"}],"standard_charges":[{"minimum":28907,"maximum":28907,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28907,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES","code_information":[{"code":"5102","type":"APR-DRG"}],"standard_charges":[{"minimum":34087,"maximum":34087,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34087,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCISE  TREAT BLADDER","code_information":[{"code":"51020","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES","code_information":[{"code":"5103","type":"APR-DRG"}],"standard_charges":[{"minimum":50139,"maximum":50139,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50139,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCISE  TREAT BLADDER","code_information":[{"code":"51030","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES","code_information":[{"code":"5104","type":"APR-DRG"}],"standard_charges":[{"minimum":104827,"maximum":104827,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":104827,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCISE  DRAIN BLADDER","code_information":[{"code":"51040","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE BLADDER/DRAIN URETER","code_information":[{"code":"51045","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF BLADDER STONE","code_information":[{"code":"51050","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF URETER STONE","code_information":[{"code":"51060","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE URETER CALCULUS","code_information":[{"code":"51065","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF BLADDER ABSCESS","code_information":[{"code":"51080","type":"CPT"}],"standard_charges":[{"minimum":3853.9,"maximum":3853.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3853.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN BLADDER BY NEEDLE","code_information":[{"code":"51100","type":"CPT"}],"standard_charges":[{"minimum":432.79,"maximum":432.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":432.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN BLADDER BY TROCAR/CATH","code_information":[{"code":"51101","type":"CPT"}],"standard_charges":[{"minimum":1495.73,"maximum":1495.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1495.73,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN BL W/CATH INSERTION","code_information":[{"code":"51102","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY","code_information":[{"code":"5111","type":"APR-DRG"}],"standard_charges":[{"minimum":29181,"maximum":29181,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29181,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY","code_information":[{"code":"5112","type":"APR-DRG"}],"standard_charges":[{"minimum":35421,"maximum":35421,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35421,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY","code_information":[{"code":"5113","type":"APR-DRG"}],"standard_charges":[{"minimum":52063,"maximum":52063,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52063,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY","code_information":[{"code":"5114","type":"APR-DRG"}],"standard_charges":[{"minimum":94351,"maximum":94351,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":94351,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY","code_information":[{"code":"5121","type":"APR-DRG"}],"standard_charges":[{"minimum":26586,"maximum":26586,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26586,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY","code_information":[{"code":"5122","type":"APR-DRG"}],"standard_charges":[{"minimum":31533,"maximum":31533,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31533,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY","code_information":[{"code":"5123","type":"APR-DRG"}],"standard_charges":[{"minimum":52210,"maximum":52210,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52210,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY","code_information":[{"code":"5124","type":"APR-DRG"}],"standard_charges":[{"minimum":86068,"maximum":86068,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":86068,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA","code_information":[{"code":"5131","type":"APR-DRG"}],"standard_charges":[{"minimum":16660,"maximum":16660,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16660,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA","code_information":[{"code":"5132","type":"APR-DRG"}],"standard_charges":[{"minimum":20409,"maximum":20409,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20409,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA","code_information":[{"code":"5133","type":"APR-DRG"}],"standard_charges":[{"minimum":42118,"maximum":42118,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42118,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA","code_information":[{"code":"5134","type":"APR-DRG"}],"standard_charges":[{"minimum":101997,"maximum":101997,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":101997,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES","code_information":[{"code":"5141","type":"APR-DRG"}],"standard_charges":[{"minimum":14595,"maximum":14595,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14595,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES","code_information":[{"code":"5142","type":"APR-DRG"}],"standard_charges":[{"minimum":21759,"maximum":21759,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21759,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES","code_information":[{"code":"5143","type":"APR-DRG"}],"standard_charges":[{"minimum":49453,"maximum":49453,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49453,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES","code_information":[{"code":"5144","type":"APR-DRG"}],"standard_charges":[{"minimum":89254,"maximum":89254,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89254,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF BLADDER CYST","code_information":[{"code":"51500","type":"CPT"}],"standard_charges":[{"minimum":8228.84,"maximum":8228.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8228.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF BLADDER LESION","code_information":[{"code":"51520","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF URETER LESION","code_information":[{"code":"51535","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IRRIGATION OF BLADDER","code_information":[{"code":"51700","type":"CPT"}],"standard_charges":[{"minimum":432.79,"maximum":432.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":432.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH BLADDER NON-INDWELLING ER","code_information":[{"code":"51701","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":257.69,"maximum":338.88,"gross_charge":353,"discounted_cash":195.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":338.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":289.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":324.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":303.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":257.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":292.99,"methodology":"fee schedule"}]}]},{"description":"CATH BLADDER NON-INDWELLING ER","code_information":[{"code":"51701","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":165.91,"maximum":338.88,"gross_charge":353,"discounted_cash":195.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":182.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":335.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":338.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":289.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":324.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":303.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":257.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":292.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":243.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":165.91,"methodology":"fee schedule"}]}]},{"description":"CATH BLADDER SIMPLE ER","code_information":[{"code":"51702","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":256.96,"maximum":337.92,"gross_charge":352,"discounted_cash":195.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":337.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":288.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":323.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":302.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":256.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":292.16,"methodology":"fee schedule"}]}]},{"description":"CATH BLADDER SIMPLE ER","code_information":[{"code":"51702","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":165.44,"maximum":337.92,"gross_charge":352,"discounted_cash":195.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":182.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":334.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":337.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":288.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":323.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":302.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":256.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":292.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":242.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":165.44,"methodology":"fee schedule"}]}]},{"description":"CATH BLADDER COMPLEX ER","code_information":[{"code":"51703","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":294.19,"maximum":386.88,"gross_charge":403,"discounted_cash":223.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":382.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":386.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":370.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":346.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":334.49,"methodology":"fee schedule"}]}]},{"description":"CATH BLADDER COMPLEX ER","code_information":[{"code":"51703","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":189.41,"maximum":386.88,"gross_charge":403,"discounted_cash":223.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":226.92,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":382.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":386.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":370.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":346.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":334.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":278.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":189.41,"methodology":"fee schedule"}]}]},{"description":"CHG TUBE CYSTOSTOMY SMP ER","code_information":[{"code":"51705","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":389.82,"maximum":512.64,"gross_charge":534,"discounted_cash":295.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":512.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":491.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":459.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":389.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":443.22,"methodology":"fee schedule"}]}]},{"description":"CHG TUBE CYSTOSTOMY SMP ER","code_information":[{"code":"51705","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":250.98,"maximum":512.64,"gross_charge":534,"discounted_cash":295.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":432.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":512.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":491.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":459.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":389.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":443.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":368.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":250.98,"methodology":"fee schedule"}]}]},{"description":"DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES","code_information":[{"code":"5171","type":"APR-DRG"}],"standard_charges":[{"minimum":14326,"maximum":14326,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14326,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHANGE OF BLADDER TUBE","code_information":[{"code":"51710","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOSCOPIC INJECTION/IMPLANT","code_information":[{"code":"51715","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES","code_information":[{"code":"5172","type":"APR-DRG"}],"standard_charges":[{"minimum":17337,"maximum":17337,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17337,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREATMENT OF BLADDER LESION","code_information":[{"code":"51720","type":"CPT"}],"standard_charges":[{"minimum":432.79,"maximum":432.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":432.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SIMPLE CYSTOMETROGRAM","code_information":[{"code":"51725","type":"CPT"}],"standard_charges":[{"minimum":432.79,"maximum":432.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":432.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COMPLEX CYSTOMETROGRAM","code_information":[{"code":"51726","type":"CPT"}],"standard_charges":[{"minimum":432.79,"maximum":432.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":432.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOMETROGRAM W/UP","code_information":[{"code":"51727","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOMETROGRAM W/VP","code_information":[{"code":"51728","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOMETROGRAM W/VPUP","code_information":[{"code":"51729","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES","code_information":[{"code":"5173","type":"APR-DRG"}],"standard_charges":[{"minimum":32198,"maximum":32198,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32198,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"URINE FLOW MEASUREMENT","code_information":[{"code":"51736","type":"CPT"}],"standard_charges":[{"minimum":182.04,"maximum":182.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":182.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES","code_information":[{"code":"5174","type":"APR-DRG"}],"standard_charges":[{"minimum":61278,"maximum":61278,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61278,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTRO-UROFLOWMETRY FIRST","code_information":[{"code":"51741","type":"CPT"}],"standard_charges":[{"minimum":226.92,"maximum":226.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":226.92,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANAL/URINARY MUSCLE STUDY","code_information":[{"code":"51784","type":"CPT"}],"standard_charges":[{"minimum":226.92,"maximum":226.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":226.92,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANAL/URINARY MUSCLE STUDY","code_information":[{"code":"51785","type":"CPT"}],"standard_charges":[{"minimum":432.79,"maximum":432.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":432.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URINARY REFLEX STUDY","code_information":[{"code":"51792","type":"CPT"}],"standard_charges":[{"minimum":90.5,"maximum":90.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MEASURE POST-VOID URI US ER","code_information":[{"code":"51798","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":121.18,"maximum":159.36,"gross_charge":166,"discounted_cash":91.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":152.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":142.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":137.78,"methodology":"fee schedule"}]}]},{"description":"MEASURE POST-VOID URI US ER","code_information":[{"code":"51798","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":78.02,"maximum":159.36,"gross_charge":166,"discounted_cash":91.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":152.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":142.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":137.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"5181","type":"APR-DRG"}],"standard_charges":[{"minimum":19315,"maximum":19315,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19315,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"5182","type":"APR-DRG"}],"standard_charges":[{"minimum":24969,"maximum":24969,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24969,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"5183","type":"APR-DRG"}],"standard_charges":[{"minimum":45934,"maximum":45934,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45934,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES","code_information":[{"code":"5184","type":"APR-DRG"}],"standard_charges":[{"minimum":77832,"maximum":77832,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":77832,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ATTACH BLADDER/URETHRA","code_information":[{"code":"51840","type":"CPT"}],"standard_charges":[{"minimum":7170.41,"maximum":7170.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7170.41,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLADDER NECK","code_information":[{"code":"51845","type":"CPT"}],"standard_charges":[{"minimum":7170.41,"maximum":7170.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7170.41,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF BLADDER WOUND","code_information":[{"code":"51860","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF BLADDER OPENING","code_information":[{"code":"51880","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA","code_information":[{"code":"5191","type":"APR-DRG"}],"standard_charges":[{"minimum":16564,"maximum":16564,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16564,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA","code_information":[{"code":"5192","type":"APR-DRG"}],"standard_charges":[{"minimum":20761,"maximum":20761,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20761,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA","code_information":[{"code":"5193","type":"APR-DRG"}],"standard_charges":[{"minimum":37649,"maximum":37649,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37649,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA","code_information":[{"code":"5194","type":"APR-DRG"}],"standard_charges":[{"minimum":71734,"maximum":71734,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71734,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LAPARO URETHRAL SUSPENSION","code_information":[{"code":"51990","type":"CPT"}],"standard_charges":[{"minimum":8228.84,"maximum":8228.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8228.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO SLING OPERATION","code_information":[{"code":"51992","type":"CPT"}],"standard_charges":[{"minimum":8228.84,"maximum":8228.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8228.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROC BLA","code_information":[{"code":"51999","type":"CPT"}],"standard_charges":[{"minimum":8228.84,"maximum":8228.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8228.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY","code_information":[{"code":"52000","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY REMOVAL OF CLOTS","code_information":[{"code":"52001","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY  URETER CATHETER","code_information":[{"code":"52005","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND BIOPSY","code_information":[{"code":"52007","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY  DUCT CATHETER","code_information":[{"code":"52010","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY W/BIOPSY(S)","code_information":[{"code":"52204","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52214","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52224","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52234","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52235","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52240","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND RADIOTRACER","code_information":[{"code":"52250","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52260","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52265","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY  REVISE URETHRA","code_information":[{"code":"52270","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY  REVISE URETHRA","code_information":[{"code":"52275","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52276","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52277","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52281","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY IMPLANT STENT","code_information":[{"code":"52282","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52283","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52285","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY CHEMODENERVATION","code_information":[{"code":"52287","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52290","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52300","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52301","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52305","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52310","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52315","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE BLADDER STONE","code_information":[{"code":"52317","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE BLADDER STONE","code_information":[{"code":"52318","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52320","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY STONE REMOVAL","code_information":[{"code":"52325","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY INJECT MATERIAL","code_information":[{"code":"52327","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52330","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOSCOPY AND TREATMENT","code_information":[{"code":"52332","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CREATE PASSAGE TO KIDNEY","code_information":[{"code":"52334","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTO W/URETER STRICTURE TX","code_information":[{"code":"52341","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTO W/UP STRICTURE TX","code_information":[{"code":"52342","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTO W/RENAL STRICTURE TX","code_information":[{"code":"52343","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTO/URETERO STRICTURE TX","code_information":[{"code":"52344","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTO/URETERO W/UP STRICTURE","code_information":[{"code":"52345","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOURETERO W/RENAL STRICT","code_information":[{"code":"52346","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOURETERO  OR PYELOSCOPE","code_information":[{"code":"52351","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOURETERO W/STONE REMOVE","code_information":[{"code":"52352","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOURETERO W/LITHOTRIPSY","code_information":[{"code":"52353","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOURETERO W/BIOPSY","code_information":[{"code":"52354","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOURETERO W/EXCISE TUMOR","code_information":[{"code":"52355","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTO/URETERO W/LITHOTRIPSY","code_information":[{"code":"52356","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOURETERO W/CONGEN REPR","code_information":[{"code":"52400","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CYSTOURETHRO CUT EJACUL DUCT","code_information":[{"code":"52402","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF PROSTATE","code_information":[{"code":"52450","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF BLADDER NECK","code_information":[{"code":"52500","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROSTATECTOMY (TURP)","code_information":[{"code":"52601","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PROSTATE REGROWTH","code_information":[{"code":"52630","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELIEVE BLADDER CONTRACTURE","code_information":[{"code":"52640","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LASER SURGERY OF PROSTATE","code_information":[{"code":"52647","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LASER SURGERY OF PROSTATE","code_information":[{"code":"52648","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROSTATE LASER ENUCLEATION","code_information":[{"code":"52649","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF PROSTATE ABSCESS","code_information":[{"code":"52700","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF URETHRA","code_information":[{"code":"53000","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM MALIGNANCY","code_information":[{"code":"5301","type":"APR-DRG"}],"standard_charges":[{"minimum":10501,"maximum":10501,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10501,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCISION OF URETHRA","code_information":[{"code":"53010","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM MALIGNANCY","code_information":[{"code":"5302","type":"APR-DRG"}],"standard_charges":[{"minimum":14108,"maximum":14108,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14108,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCISION OF URETHRA","code_information":[{"code":"53020","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF URETHRA","code_information":[{"code":"53025","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM MALIGNANCY","code_information":[{"code":"5303","type":"APR-DRG"}],"standard_charges":[{"minimum":27091,"maximum":27091,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27091,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM MALIGNANCY","code_information":[{"code":"5304","type":"APR-DRG"}],"standard_charges":[{"minimum":36160,"maximum":36160,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36160,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAINAGE OF URETHRA ABSCESS","code_information":[{"code":"53040","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF URETHRA ABSCESS","code_information":[{"code":"53060","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF URINARY LEAKAGE","code_information":[{"code":"53080","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF URINARY LEAKAGE","code_information":[{"code":"53085","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM INFECTIONS","code_information":[{"code":"5311","type":"APR-DRG"}],"standard_charges":[{"minimum":8821,"maximum":8821,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8821,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM INFECTIONS","code_information":[{"code":"5312","type":"APR-DRG"}],"standard_charges":[{"minimum":14750,"maximum":14750,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14750,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM INFECTIONS","code_information":[{"code":"5313","type":"APR-DRG"}],"standard_charges":[{"minimum":21099,"maximum":21099,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21099,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FEMALE REPRODUCTIVE SYSTEM INFECTIONS","code_information":[{"code":"5314","type":"APR-DRG"}],"standard_charges":[{"minimum":34564,"maximum":34564,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34564,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY OF URETHRA","code_information":[{"code":"53200","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS","code_information":[{"code":"5321","type":"APR-DRG"}],"standard_charges":[{"minimum":8319,"maximum":8319,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8319,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF URETHRA","code_information":[{"code":"53210","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF URETHRA","code_information":[{"code":"53215","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS","code_information":[{"code":"5322","type":"APR-DRG"}],"standard_charges":[{"minimum":10756,"maximum":10756,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10756,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREATMENT OF URETHRA LESION","code_information":[{"code":"53220","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS","code_information":[{"code":"5323","type":"APR-DRG"}],"standard_charges":[{"minimum":16853,"maximum":16853,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16853,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF URETHRA LESION","code_information":[{"code":"53230","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF URETHRA LESION","code_information":[{"code":"53235","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS","code_information":[{"code":"5324","type":"APR-DRG"}],"standard_charges":[{"minimum":28550,"maximum":28550,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28550,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SURGERY FOR URETHRA POUCH","code_information":[{"code":"53240","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF URETHRA GLAND","code_information":[{"code":"53250","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF URETHRA LESION","code_information":[{"code":"53260","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF URETHRA LESION","code_information":[{"code":"53265","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF URETHRA GLAND","code_information":[{"code":"53270","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF URETHRA DEFECT","code_information":[{"code":"53275","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE URETHRA STAGE 1","code_information":[{"code":"53400","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE URETHRA STAGE 2","code_information":[{"code":"53405","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF URETHRA","code_information":[{"code":"53410","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT URETHRA STAGE 1","code_information":[{"code":"53420","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT URETHRA STAGE 2","code_information":[{"code":"53425","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF URETHRA","code_information":[{"code":"53430","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT URETHRA/BLADDER","code_information":[{"code":"53431","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MALE SLING PROCEDURE","code_information":[{"code":"53440","type":"CPT"}],"standard_charges":[{"minimum":18680.81,"maximum":18680.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18680.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/REVISE MALE SLING","code_information":[{"code":"53442","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT TANDEM CUFF","code_information":[{"code":"53444","type":"CPT"}],"standard_charges":[{"minimum":29690.16,"maximum":29690.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29690.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT URO/VES NCK SPHINCTER","code_information":[{"code":"53445","type":"CPT"}],"standard_charges":[{"minimum":29690.16,"maximum":29690.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29690.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE URO SPHINCTER","code_information":[{"code":"53446","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/REPLACE UR SPHINCTER","code_information":[{"code":"53447","type":"CPT"}],"standard_charges":[{"minimum":29690.16,"maximum":29690.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29690.16,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOV/REPLC UR SPHINCTR COMP","code_information":[{"code":"53448","type":"CPT"}],"standard_charges":[{"minimum":25727.67,"maximum":25727.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25727.67,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR URO SPHINCTER","code_information":[{"code":"53449","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF URETHRA","code_information":[{"code":"53450","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF URETHRA","code_information":[{"code":"53460","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"URETHRLYS TRANSVAG W/ SCOPE","code_information":[{"code":"53500","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF URETHRA INJURY","code_information":[{"code":"53502","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF URETHRA INJURY","code_information":[{"code":"53505","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF URETHRA INJURY","code_information":[{"code":"53510","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF URETHRA INJURY","code_information":[{"code":"53515","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF URETHRA DEFECT","code_information":[{"code":"53520","type":"CPT"}],"standard_charges":[{"minimum":7177.5,"maximum":7177.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7177.5,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATE URETHRA STRICTURE","code_information":[{"code":"53600","type":"CPT"}],"standard_charges":[{"minimum":432.79,"maximum":432.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":432.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATE URETHRA STRICTURE","code_information":[{"code":"53601","type":"CPT"}],"standard_charges":[{"minimum":182.04,"maximum":182.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":182.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATE URETHRA STRICTURE","code_information":[{"code":"53605","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATE URETHRA STRICTURE","code_information":[{"code":"53620","type":"CPT"}],"standard_charges":[{"minimum":934.64,"maximum":934.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":934.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATE URETHRA STRICTURE","code_information":[{"code":"53621","type":"CPT"}],"standard_charges":[{"minimum":432.79,"maximum":432.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":432.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATION OF URETHRA","code_information":[{"code":"53660","type":"CPT"}],"standard_charges":[{"minimum":226.92,"maximum":226.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":226.92,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATION OF URETHRA","code_information":[{"code":"53661","type":"CPT"}],"standard_charges":[{"minimum":182.04,"maximum":182.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":182.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATION OF URETHRA","code_information":[{"code":"53665","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROSTATIC MICROWAVE THERMOTX","code_information":[{"code":"53850","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROSTATIC RF THERMOTX","code_information":[{"code":"53852","type":"CPT"}],"standard_charges":[{"minimum":5002.48,"maximum":5002.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5002.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRURL DSTRJ PRST8 TISS RF WV","code_information":[{"code":"53854","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT PROST URETHRAL STENT","code_information":[{"code":"53855","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSURETHRAL RF TREATMENT","code_information":[{"code":"53860","type":"CPT"}],"standard_charges":[{"minimum":2915.6,"maximum":2915.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2915.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"UROLOGY SURGERY PROCEDURE","code_information":[{"code":"53899","type":"CPT"}],"standard_charges":[{"minimum":432.79,"maximum":432.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":432.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CESAREAN SECTION WITH STERILIZATION","code_information":[{"code":"5391","type":"APR-DRG"}],"standard_charges":[{"minimum":11584,"maximum":11584,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11584,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CESAREAN SECTION WITH STERILIZATION","code_information":[{"code":"5392","type":"APR-DRG"}],"standard_charges":[{"minimum":17557,"maximum":17557,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17557,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CESAREAN SECTION WITH STERILIZATION","code_information":[{"code":"5393","type":"APR-DRG"}],"standard_charges":[{"minimum":24750,"maximum":24750,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24750,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CESAREAN SECTION WITH STERILIZATION","code_information":[{"code":"5394","type":"APR-DRG"}],"standard_charges":[{"minimum":52399,"maximum":52399,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52399,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SLITTING OF PREPUCE","code_information":[{"code":"54000","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SLITTING OF PREPUCE","code_information":[{"code":"54001","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CESAREAN SECTION WITHOUT STERILIZATION","code_information":[{"code":"5401","type":"APR-DRG"}],"standard_charges":[{"minimum":13133,"maximum":13133,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13133,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAIN PENIS LESION","code_information":[{"code":"54015","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CESAREAN SECTION WITHOUT STERILIZATION","code_information":[{"code":"5402","type":"APR-DRG"}],"standard_charges":[{"minimum":16258,"maximum":16258,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16258,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CESAREAN SECTION WITHOUT STERILIZATION","code_information":[{"code":"5403","type":"APR-DRG"}],"standard_charges":[{"minimum":24402,"maximum":24402,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24402,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CESAREAN SECTION WITHOUT STERILIZATION","code_information":[{"code":"5404","type":"APR-DRG"}],"standard_charges":[{"minimum":48067,"maximum":48067,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":48067,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DESTRUCTION PENIS LESION(S)","code_information":[{"code":"54050","type":"CPT"}],"standard_charges":[{"minimum":555.85,"maximum":555.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":555.85,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION PENIS LESION(S)","code_information":[{"code":"54055","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CRYOSURGERY PENIS LESION(S)","code_information":[{"code":"54056","type":"CPT"}],"standard_charges":[{"minimum":288.56,"maximum":288.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":288.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LASER SURG PENIS LESION(S)","code_information":[{"code":"54057","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISION OF PENIS LESION(S)","code_information":[{"code":"54060","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION PENIS LESION(S)","code_information":[{"code":"54065","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF PENIS","code_information":[{"code":"54100","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF PENIS","code_information":[{"code":"54105","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C","code_information":[{"code":"5411","type":"APR-DRG"}],"standard_charges":[{"minimum":13027,"maximum":13027,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13027,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREATMENT OF PENIS LESION","code_information":[{"code":"54110","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT PENIS LESION GRAFT","code_information":[{"code":"54111","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT PENIS LESION GRAFT","code_information":[{"code":"54112","type":"CPT"}],"standard_charges":[{"minimum":13272.52,"maximum":13272.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13272.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF PENIS LESION","code_information":[{"code":"54115","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C","code_information":[{"code":"5412","type":"APR-DRG"}],"standard_charges":[{"minimum":14346,"maximum":14346,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14346,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL REMOVAL OF PENIS","code_information":[{"code":"54120","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C","code_information":[{"code":"5413","type":"APR-DRG"}],"standard_charges":[{"minimum":17510,"maximum":17510,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17510,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C","code_information":[{"code":"5414","type":"APR-DRG"}],"standard_charges":[{"minimum":22924,"maximum":22924,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22924,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CIRCUMCISION W/REGIONL BLOCK","code_information":[{"code":"54150","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CIRCUMCISION NEONATE","code_information":[{"code":"54160","type":"CPT"}],"standard_charges":[{"minimum":923.77,"maximum":923.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":923.77,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CIRCUM 28 DAYS OR OLDER","code_information":[{"code":"54161","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LYSIS PENIL CIRCUMIC LESION","code_information":[{"code":"54162","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF CIRCUMCISION","code_information":[{"code":"54163","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FRENULOTOMY OF PENIS","code_information":[{"code":"54164","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF PENIS LESION","code_information":[{"code":"54200","type":"CPT"}],"standard_charges":[{"minimum":427.74,"maximum":427.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":427.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF PENIS LESION","code_information":[{"code":"54205","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C","code_information":[{"code":"5421","type":"APR-DRG"}],"standard_charges":[{"minimum":8622,"maximum":8622,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8622,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C","code_information":[{"code":"5422","type":"APR-DRG"}],"standard_charges":[{"minimum":9933,"maximum":9933,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9933,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREATMENT OF PENIS LESION","code_information":[{"code":"54220","type":"CPT"}],"standard_charges":[{"minimum":427.74,"maximum":427.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":427.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C","code_information":[{"code":"5423","type":"APR-DRG"}],"standard_charges":[{"minimum":19218,"maximum":19218,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19218,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DYNAMIC CAVERNOSOMETRY","code_information":[{"code":"54231","type":"CPT"}],"standard_charges":[{"minimum":427.74,"maximum":427.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":427.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PENILE INJECTION","code_information":[{"code":"54235","type":"CPT"}],"standard_charges":[{"minimum":427.74,"maximum":427.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":427.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C","code_information":[{"code":"5424","type":"APR-DRG"}],"standard_charges":[{"minimum":36077,"maximum":36077,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36077,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PENIS STUDY","code_information":[{"code":"54240","type":"CPT"}],"standard_charges":[{"minimum":425.01,"maximum":425.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":425.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PENIS STUDY","code_information":[{"code":"54250","type":"CPT"}],"standard_charges":[{"minimum":427.74,"maximum":427.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":427.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF PENIS","code_information":[{"code":"54300","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF PENIS","code_information":[{"code":"54304","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF URETHRA","code_information":[{"code":"54308","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY","code_information":[{"code":"5431","type":"APR-DRG"}],"standard_charges":[{"minimum":9713,"maximum":9713,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9713,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RECONSTRUCTION OF URETHRA","code_information":[{"code":"54312","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF URETHRA","code_information":[{"code":"54316","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF URETHRA","code_information":[{"code":"54318","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY","code_information":[{"code":"5432","type":"APR-DRG"}],"standard_charges":[{"minimum":12337,"maximum":12337,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12337,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RECONSTRUCTION OF URETHRA","code_information":[{"code":"54322","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF URETHRA","code_information":[{"code":"54324","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF URETHRA","code_information":[{"code":"54326","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE PENIS/URETHRA","code_information":[{"code":"54328","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY","code_information":[{"code":"5433","type":"APR-DRG"}],"standard_charges":[{"minimum":18454,"maximum":18454,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18454,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISE PENIS/URETHRA","code_information":[{"code":"54332","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE PENIS/URETHRA","code_information":[{"code":"54336","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY","code_information":[{"code":"5434","type":"APR-DRG"}],"standard_charges":[{"minimum":38956,"maximum":38956,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38956,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SECONDARY URETHRAL SURGERY","code_information":[{"code":"54340","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SECONDARY URETHRAL SURGERY","code_information":[{"code":"54344","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SECONDARY URETHRAL SURGERY","code_information":[{"code":"54348","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCT URETHRA/PENIS","code_information":[{"code":"54352","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PENIS PLASTIC SURGERY","code_information":[{"code":"54360","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR PENIS","code_information":[{"code":"54380","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR PENIS","code_information":[{"code":"54385","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT SEMI-RIGID PROSTHESIS","code_information":[{"code":"54400","type":"CPT"}],"standard_charges":[{"minimum":18463.59,"maximum":18463.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18463.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT SELF-CONTD PROSTHESIS","code_information":[{"code":"54401","type":"CPT"}],"standard_charges":[{"minimum":29344.92,"maximum":29344.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29344.92,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT MULTI-COMP PENIS PROS","code_information":[{"code":"54405","type":"CPT"}],"standard_charges":[{"minimum":29344.92,"maximum":29344.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29344.92,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE MUTI-COMP PENIS PROS","code_information":[{"code":"54406","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR MULTI-COMP PENIS PROS","code_information":[{"code":"54408","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/REPLACE PENIS PROSTH","code_information":[{"code":"54410","type":"CPT"}],"standard_charges":[{"minimum":29344.92,"maximum":29344.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29344.92,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOV/REPLC PENIS PROS COMP","code_information":[{"code":"54411","type":"CPT"}],"standard_charges":[{"minimum":29344.92,"maximum":29344.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29344.92,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SELF-CONTD PENIS PROS","code_information":[{"code":"54415","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMV/REPL PENIS CONTAIN PROS","code_information":[{"code":"54416","type":"CPT"}],"standard_charges":[{"minimum":29344.92,"maximum":29344.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29344.92,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMV/REPLC PENIS PROS COMPL","code_information":[{"code":"54417","type":"CPT"}],"standard_charges":[{"minimum":18463.59,"maximum":18463.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18463.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF PENIS","code_information":[{"code":"54420","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF PENIS","code_information":[{"code":"54435","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR CORPOREAL TEAR","code_information":[{"code":"54437","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF PENIS","code_information":[{"code":"54440","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PREPUTIAL STRETCHING","code_information":[{"code":"54450","type":"CPT"}],"standard_charges":[{"minimum":427.74,"maximum":427.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":427.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF TESTIS","code_information":[{"code":"54500","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF TESTIS","code_information":[{"code":"54505","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE LESION TESTIS","code_information":[{"code":"54512","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TESTIS","code_information":[{"code":"54520","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ORCHIECTOMY PARTIAL","code_information":[{"code":"54522","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TESTIS","code_information":[{"code":"54530","type":"CPT"}],"standard_charges":[{"minimum":5116.39,"maximum":5116.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5116.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXTENSIVE TESTIS SURGERY","code_information":[{"code":"54535","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION FOR TESTIS","code_information":[{"code":"54550","type":"CPT"}],"standard_charges":[{"minimum":5116.39,"maximum":5116.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5116.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION FOR TESTIS","code_information":[{"code":"54560","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REDUCE TESTIS TORSION","code_information":[{"code":"54600","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SUSPENSION OF TESTIS","code_information":[{"code":"54620","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ORCHIOPEXY INGUN/SCROT APPR","code_information":[{"code":"54640","type":"CPT"}],"standard_charges":[{"minimum":5116.39,"maximum":5116.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5116.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ORCHIOPEXY (FOWLER-STEPHENS)","code_information":[{"code":"54650","type":"CPT"}],"standard_charges":[{"minimum":5116.39,"maximum":5116.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5116.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF TESTIS","code_information":[{"code":"54660","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR TESTIS INJURY","code_information":[{"code":"54670","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELOCATION OF TESTIS(ES)","code_information":[{"code":"54680","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY ORCHIECTOMY","code_information":[{"code":"54690","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY ORCHIOPEXY","code_information":[{"code":"54692","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPE PROC TESTIS","code_information":[{"code":"54699","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF SCROTUM ER","code_information":[{"code":"54700","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2604.64,"maximum":3425.28,"gross_charge":3568,"discounted_cash":1977.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3425.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2925.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3282.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3068.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2604.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2961.44,"methodology":"fee schedule"}]}]},{"description":"DRAINAGE OF SCROTUM ER","code_information":[{"code":"54700","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1676.96,"maximum":3425.28,"gross_charge":3568,"discounted_cash":1977.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3389.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3425.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2925.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3282.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3068.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2604.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2961.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2461.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1676.96,"methodology":"fee schedule"}]}]},{"description":"ANTEPARTUM WITH O.R. PROCEDURE","code_information":[{"code":"5471","type":"APR-DRG"}],"standard_charges":[{"minimum":11429,"maximum":11429,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11429,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANTEPARTUM WITH O.R. PROCEDURE","code_information":[{"code":"5472","type":"APR-DRG"}],"standard_charges":[{"minimum":17931,"maximum":17931,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17931,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANTEPARTUM WITH O.R. PROCEDURE","code_information":[{"code":"5473","type":"APR-DRG"}],"standard_charges":[{"minimum":23687,"maximum":23687,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23687,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANTEPARTUM WITH O.R. PROCEDURE","code_information":[{"code":"5474","type":"APR-DRG"}],"standard_charges":[{"minimum":47342,"maximum":47342,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47342,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY OF EPIDIDYMIS","code_information":[{"code":"54800","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE","code_information":[{"code":"5481","type":"APR-DRG"}],"standard_charges":[{"minimum":8641,"maximum":8641,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8641,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE","code_information":[{"code":"5482","type":"APR-DRG"}],"standard_charges":[{"minimum":14756,"maximum":14756,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14756,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE","code_information":[{"code":"5483","type":"APR-DRG"}],"standard_charges":[{"minimum":32587,"maximum":32587,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32587,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE EPIDIDYMIS LESION","code_information":[{"code":"54830","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE","code_information":[{"code":"5484","type":"APR-DRG"}],"standard_charges":[{"minimum":76348,"maximum":76348,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76348,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE EPIDIDYMIS LESION","code_information":[{"code":"54840","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF EPIDIDYMIS","code_information":[{"code":"54860","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF EPIDIDYMIS","code_information":[{"code":"54861","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE EPIDIDYMIS","code_information":[{"code":"54865","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF SPERMATIC DUCTS","code_information":[{"code":"54900","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FUSION OF SPERMATIC DUCTS","code_information":[{"code":"54901","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF HYDROCELE","code_information":[{"code":"55000","type":"CPT"}],"standard_charges":[{"minimum":999.64,"maximum":999.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":999.64,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HYDROCELE","code_information":[{"code":"55040","type":"CPT"}],"standard_charges":[{"minimum":5116.39,"maximum":5116.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5116.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HYDROCELES","code_information":[{"code":"55041","type":"CPT"}],"standard_charges":[{"minimum":5116.39,"maximum":5116.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5116.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF HYDROCELE","code_information":[{"code":"55060","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF SCROTUM ABSCESS","code_information":[{"code":"55100","type":"CPT"}],"standard_charges":[{"minimum":2261.34,"maximum":2261.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2261.34,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE SCROTUM","code_information":[{"code":"55110","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SCROTUM LESION","code_information":[{"code":"55120","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SCROTUM","code_information":[{"code":"55150","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF SCROTUM","code_information":[{"code":"55175","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF SCROTUM","code_information":[{"code":"55180","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF SPERM DUCT","code_information":[{"code":"55200","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SPERM DUCT(S)","code_information":[{"code":"55250","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF SPERM DUCT","code_information":[{"code":"55400","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF HYDROCELE","code_information":[{"code":"55500","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SPERM CORD LESION","code_information":[{"code":"55520","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE SPERMATIC CORD VEINS","code_information":[{"code":"55530","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE SPERMATIC CORD VEINS","code_information":[{"code":"55535","type":"CPT"}],"standard_charges":[{"minimum":5116.39,"maximum":5116.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5116.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE HERNIA  SPERM VEINS","code_information":[{"code":"55540","type":"CPT"}],"standard_charges":[{"minimum":5116.39,"maximum":5116.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5116.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO LIGATE SPERMATIC VEIN","code_information":[{"code":"55550","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO PROC SPERMATIC CORD","code_information":[{"code":"55559","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE SPERM DUCT POUCH","code_information":[{"code":"55600","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE SPERM DUCT POUCH","code_information":[{"code":"55605","type":"CPT"}],"standard_charges":[{"minimum":4049.44,"maximum":4049.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4049.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPERM DUCT POUCH","code_information":[{"code":"55650","type":"CPT"}],"standard_charges":[{"minimum":4049.44,"maximum":4049.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4049.44,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPERM POUCH LESION","code_information":[{"code":"55680","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF PROSTATE","code_information":[{"code":"55700","type":"CPT"}],"standard_charges":[{"minimum":2881.69,"maximum":2881.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2881.69,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF PROSTATE","code_information":[{"code":"55705","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROSTATE SATURATION SAMPLING","code_information":[{"code":"55706","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF PROSTATE ABSCESS","code_information":[{"code":"55720","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF PROSTATE ABSCESS","code_information":[{"code":"55725","type":"CPT"}],"standard_charges":[{"minimum":4944.31,"maximum":4944.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4944.31,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SURGICAL EXPOSURE PROSTATE","code_information":[{"code":"55860","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO RADICAL PROSTATECTOMY","code_information":[{"code":"55866","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ELECTROEJACULATION","code_information":[{"code":"55870","type":"CPT"}],"standard_charges":[{"minimum":1018.01,"maximum":1018.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CRYOABLATE PROSTATE","code_information":[{"code":"55873","type":"CPT"}],"standard_charges":[{"minimum":13272.52,"maximum":13272.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13272.52,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TPRNL PLMT BIODEGRDABL MATRL","code_information":[{"code":"55874","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPERI NEEDLE PLACE PROS","code_information":[{"code":"55875","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE RT DEVICE/MARKER PROS","code_information":[{"code":"55876","type":"CPT"}],"standard_charges":[{"minimum":2028.6,"maximum":2028.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2028.6,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABLTJ MAL PRST8 TISS HIFU","code_information":[{"code":"55880","type":"CPT"}],"standard_charges":[{"minimum":7094.04,"maximum":7094.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7094.04,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SOL WATER INHALATION STRL","code_information":[{"code":"558895","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":16.6732,"maximum":21.9264,"gross_charge":22.84,"discounted_cash":12.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.96,"methodology":"fee schedule"}]}]},{"description":"SOL WATER INHALATION STRL","code_information":[{"code":"558895","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":10.7348,"maximum":21.9264,"gross_charge":22.84,"discounted_cash":12.66,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.74,"methodology":"fee schedule"}]}]},{"description":"GENITAL SURGERY PROCEDURE","code_information":[{"code":"55899","type":"CPT"}],"standard_charges":[{"minimum":427.74,"maximum":427.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":427.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PLACE NEEDLES PELVIC FOR RT","code_information":[{"code":"55920","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SEX TRANSFORMATION M TO F","code_information":[{"code":"55970","type":"CPT"}],"standard_charges":[{"minimum":15226.23,"maximum":15226.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15226.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SEX TRANSFORMATION F TO M","code_information":[{"code":"55980","type":"CPT"}],"standard_charges":[{"minimum":15226.23,"maximum":15226.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15226.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAGINAL DELIVERY","code_information":[{"code":"5601","type":"APR-DRG"}],"standard_charges":[{"minimum":7626,"maximum":7626,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7626,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VAGINAL DELIVERY","code_information":[{"code":"5602","type":"APR-DRG"}],"standard_charges":[{"minimum":8505,"maximum":8505,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8505,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VAGINAL DELIVERY","code_information":[{"code":"5603","type":"APR-DRG"}],"standard_charges":[{"minimum":12056,"maximum":12056,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12056,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VAGINAL DELIVERY","code_information":[{"code":"5604","type":"APR-DRG"}],"standard_charges":[{"minimum":15734,"maximum":15734,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15734,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE","code_information":[{"code":"5611","type":"APR-DRG"}],"standard_charges":[{"minimum":6799,"maximum":6799,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6799,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE","code_information":[{"code":"5612","type":"APR-DRG"}],"standard_charges":[{"minimum":8350,"maximum":8350,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8350,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE","code_information":[{"code":"5613","type":"APR-DRG"}],"standard_charges":[{"minimum":12148,"maximum":12148,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12148,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE","code_information":[{"code":"5614","type":"APR-DRG"}],"standard_charges":[{"minimum":24763,"maximum":24763,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24763,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CLIP II RESOLUTION 235CM","code_information":[{"code":"561512","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":399.675,"maximum":525.6,"gross_charge":547.5,"discounted_cash":303.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":520.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":525.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":448.95,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":503.7,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":470.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":454.43,"methodology":"fee schedule"}]}]},{"description":"CLIP II RESOLUTION 235CM","code_information":[{"code":"561512","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":257.325,"maximum":525.6,"gross_charge":547.5,"discounted_cash":303.37,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":520.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":525.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":448.95,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":503.7,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":470.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":454.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":377.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":257.33,"methodology":"fee schedule"}]}]},{"description":"I  D OF VULVA/PERINEUM","code_information":[{"code":"56405","type":"CPT"}],"standard_charges":[{"minimum":452.4,"maximum":452.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":452.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY","code_information":[{"code":"5641","type":"APR-DRG"}],"standard_charges":[{"minimum":5906,"maximum":5906,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5906,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY","code_information":[{"code":"5642","type":"APR-DRG"}],"standard_charges":[{"minimum":7480,"maximum":7480,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7480,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAINAGE OF GLAND ABSCESS","code_information":[{"code":"56420","type":"CPT"}],"standard_charges":[{"minimum":273.74,"maximum":273.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":273.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY","code_information":[{"code":"5643","type":"APR-DRG"}],"standard_charges":[{"minimum":12695,"maximum":12695,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12695,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY","code_information":[{"code":"5644","type":"APR-DRG"}],"standard_charges":[{"minimum":26154,"maximum":26154,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26154,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SURGERY FOR VULVA LESION","code_information":[{"code":"56440","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LYSIS OF LABIAL LESION(S)","code_information":[{"code":"56441","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYMENOTOMY","code_information":[{"code":"56442","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRI-STAPLE 2.0 CRV TP RELOAD","code_information":[{"code":"564969","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":316.309,"maximum":415.968,"gross_charge":433.3,"discounted_cash":240.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.64,"methodology":"fee schedule"}]}]},{"description":"TRI-STAPLE 2.0 CRV TP RELOAD","code_information":[{"code":"564969","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":203.651,"maximum":415.968,"gross_charge":433.3,"discounted_cash":240.1,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":203.66,"methodology":"fee schedule"}]}]},{"description":"DESTROY VULVA LESIONS SIM","code_information":[{"code":"56501","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTROY VULVA LESION/S COMPL","code_information":[{"code":"56515","type":"CPT"}],"standard_charges":[{"minimum":2756.93,"maximum":2756.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.93,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF VULVA/PERINEUM","code_information":[{"code":"56605","type":"CPT"}],"standard_charges":[{"minimum":1018.01,"maximum":1018.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANTEPARTUM WITHOUT O.R. PROCEDURE","code_information":[{"code":"5661","type":"APR-DRG"}],"standard_charges":[{"minimum":6669,"maximum":6669,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6669,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANTEPARTUM WITHOUT O.R. PROCEDURE","code_information":[{"code":"5662","type":"APR-DRG"}],"standard_charges":[{"minimum":10951,"maximum":10951,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10951,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL REMOVAL OF VULVA","code_information":[{"code":"56620","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COMPLETE REMOVAL OF VULVA","code_information":[{"code":"56625","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANTEPARTUM WITHOUT O.R. PROCEDURE","code_information":[{"code":"5663","type":"APR-DRG"}],"standard_charges":[{"minimum":14875,"maximum":14875,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14875,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE VULVA SURGERY","code_information":[{"code":"56630","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANTEPARTUM WITHOUT O.R. PROCEDURE","code_information":[{"code":"5664","type":"APR-DRG"}],"standard_charges":[{"minimum":22826,"maximum":22826,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22826,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL REMOVAL OF HYMEN","code_information":[{"code":"56700","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE VAGINA GLAND LESION","code_information":[{"code":"56740","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF VAGINA","code_information":[{"code":"56800","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR CLITORIS","code_information":[{"code":"56805","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF PERINEUM","code_information":[{"code":"56810","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXAM OF VULVA W/SCOPE","code_information":[{"code":"56820","type":"CPT"}],"standard_charges":[{"minimum":273.74,"maximum":273.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":273.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXAM/BIOPSY OF VULVA W/SCOPE","code_information":[{"code":"56821","type":"CPT"}],"standard_charges":[{"minimum":452.4,"maximum":452.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":452.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORATION OF VAGINA","code_information":[{"code":"57000","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF PELVIC ABSCESS","code_information":[{"code":"57010","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF PELVIC FLUID","code_information":[{"code":"57020","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"I  D VAGINAL HEMATOMA PP","code_information":[{"code":"57022","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"I  D VAG HEMATOMA NON-OB","code_information":[{"code":"57023","type":"CPT"}],"standard_charges":[{"minimum":3809.1,"maximum":3809.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3809.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTROY VAG LESIONS SIMPLE","code_information":[{"code":"57061","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTROY VAG LESIONS COMPLEX","code_information":[{"code":"57065","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF VAGINA","code_information":[{"code":"57100","type":"CPT"}],"standard_charges":[{"minimum":1018.01,"maximum":1018.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF VAGINA","code_information":[{"code":"57105","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE VAGINA WALL PARTIAL","code_information":[{"code":"57106","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE VAGINA TISSUE PART","code_information":[{"code":"57107","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAGINECTOMY PARTIAL W/NODES","code_information":[{"code":"57109","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLOSURE OF VAGINA","code_information":[{"code":"57120","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE VAGINA LESION","code_information":[{"code":"57130","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE VAGINA LESION","code_information":[{"code":"57135","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT VAGINA INFECTION","code_information":[{"code":"57150","type":"CPT"}],"standard_charges":[{"minimum":89.46,"maximum":89.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT UTERI TANDEM/OVOIDS","code_information":[{"code":"57155","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INS VAG BRACHYTX DEVICE","code_information":[{"code":"57156","type":"CPT"}],"standard_charges":[{"minimum":452.4,"maximum":452.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":452.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT PESSARY/OTHER DEVICE","code_information":[{"code":"57160","type":"CPT"}],"standard_charges":[{"minimum":273.74,"maximum":273.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":273.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FITTING OF DIAPHRAGM/CAP","code_information":[{"code":"57170","type":"CPT"}],"standard_charges":[{"minimum":273.74,"maximum":273.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":273.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT VAGINAL BLEEDING","code_information":[{"code":"57180","type":"CPT"}],"standard_charges":[{"minimum":273.74,"maximum":273.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":273.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF VAGINA","code_information":[{"code":"57200","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR VAGINA/PERINEUM","code_information":[{"code":"57210","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF URETHRA","code_information":[{"code":"57220","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF URETHRAL LESION","code_information":[{"code":"57230","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANTERIOR COLPORRHAPHY","code_information":[{"code":"57240","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR RECTUM  VAGINA","code_information":[{"code":"57250","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CMBN ANT PST COLPRHY","code_information":[{"code":"57260","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CMBN AP COLPRHY W/NTRCL RPR","code_information":[{"code":"57265","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF BOWEL BULGE","code_information":[{"code":"57268","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLPOPEXY EXTRAPERITONEAL","code_information":[{"code":"57282","type":"CPT"}],"standard_charges":[{"minimum":10919.83,"maximum":10919.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10919.83,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COLPOPEXY INTRAPERITONEAL","code_information":[{"code":"57283","type":"CPT"}],"standard_charges":[{"minimum":10919.83,"maximum":10919.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10919.83,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR PARAVAG DEFECT OPEN","code_information":[{"code":"57284","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR PARAVAG DEFECT VAG","code_information":[{"code":"57285","type":"CPT"}],"standard_charges":[{"minimum":10919.83,"maximum":10919.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10919.83,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/REMOVE SLING REPAIR","code_information":[{"code":"57287","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLADDER DEFECT","code_information":[{"code":"57288","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLADDER  VAGINA","code_information":[{"code":"57289","type":"CPT"}],"standard_charges":[{"minimum":10919.83,"maximum":10919.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10919.83,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONSTRUCTION OF VAGINA","code_information":[{"code":"57291","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONSTRUCT VAGINA WITH GRAFT","code_information":[{"code":"57292","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE VAG GRAFT VIA VAGINA","code_information":[{"code":"57295","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR RECTUM-VAGINA FISTULA","code_information":[{"code":"57300","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR URETHROVAGINAL LESION","code_information":[{"code":"57310","type":"CPT"}],"standard_charges":[{"minimum":10919.83,"maximum":10919.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10919.83,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLADDER-VAGINA LESION","code_information":[{"code":"57320","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BLADDER-VAGINA LESION","code_information":[{"code":"57330","type":"CPT"}],"standard_charges":[{"minimum":10919.83,"maximum":10919.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10919.83,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR VAGINA","code_information":[{"code":"57335","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATION OF VAGINA","code_information":[{"code":"57400","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PELVIC EXAMINATION","code_information":[{"code":"57410","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE VAGINAL FOREIGN BODY","code_information":[{"code":"57415","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXAM OF VAGINA W/SCOPE","code_information":[{"code":"57420","type":"CPT"}],"standard_charges":[{"minimum":452.4,"maximum":452.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":452.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXAM/BIOPSY OF VAG W/SCOPE","code_information":[{"code":"57421","type":"CPT"}],"standard_charges":[{"minimum":1018.01,"maximum":1018.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR PARAVAG DEFECT LAP","code_information":[{"code":"57423","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY SURG COLPOPEXY","code_information":[{"code":"57425","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE PROSTH VAG GRAFT LAP","code_information":[{"code":"57426","type":"CPT"}],"standard_charges":[{"minimum":10919.83,"maximum":10919.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10919.83,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXAM OF CERVIX W/SCOPE","code_information":[{"code":"57452","type":"CPT"}],"standard_charges":[{"minimum":273.74,"maximum":273.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":273.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BX/CURETT OF CERVIX W/SCOPE","code_information":[{"code":"57454","type":"CPT"}],"standard_charges":[{"minimum":452.4,"maximum":452.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":452.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF CERVIX W/SCOPE","code_information":[{"code":"57455","type":"CPT"}],"standard_charges":[{"minimum":452.4,"maximum":452.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":452.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOCERV CURETTAGE W/SCOPE","code_information":[{"code":"57456","type":"CPT"}],"standard_charges":[{"minimum":452.4,"maximum":452.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":452.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BX OF CERVIX W/SCOPE LEEP","code_information":[{"code":"57460","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONZ OF CERVIX W/SCOPE LEEP","code_information":[{"code":"57461","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CAM CERVIX UTERI DRG COLP","code_information":[{"code":"57465","type":"CPT"}],"standard_charges":[{"minimum":228.73,"maximum":228.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":228.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF CERVIX","code_information":[{"code":"57500","type":"CPT"}],"standard_charges":[{"minimum":1018.01,"maximum":1018.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOCERVICAL CURETTAGE","code_information":[{"code":"57505","type":"CPT"}],"standard_charges":[{"minimum":1018.01,"maximum":1018.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CAUTERIZATION OF CERVIX","code_information":[{"code":"57510","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CRYOCAUTERY OF CERVIX","code_information":[{"code":"57511","type":"CPT"}],"standard_charges":[{"minimum":452.4,"maximum":452.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":452.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LASER SURGERY OF CERVIX","code_information":[{"code":"57513","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONIZATION OF CERVIX","code_information":[{"code":"57520","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CONIZATION OF CERVIX","code_information":[{"code":"57522","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF CERVIX","code_information":[{"code":"57530","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF RESIDUAL CERVIX","code_information":[{"code":"57550","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE CERVIX/REPAIR VAGINA","code_information":[{"code":"57555","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE CERVIX REPAIR BOWEL","code_information":[{"code":"57556","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DC OF CERVICAL STUMP","code_information":[{"code":"57558","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SENSOR BIS SENSOR ADULT","code_information":[{"code":"576164","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":46.72,"maximum":61.44,"gross_charge":64,"discounted_cash":35.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"}]}]},{"description":"SENSOR BIS SENSOR ADULT","code_information":[{"code":"576164","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":30.08,"maximum":64,"gross_charge":64,"discounted_cash":35.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.08,"methodology":"fee schedule"}]}]},{"description":"REVISION OF CERVIX","code_information":[{"code":"57700","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF CERVIX","code_information":[{"code":"57720","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATION OF CERVICAL CANAL","code_information":[{"code":"57800","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE","code_information":[{"code":"5801","type":"APR-DRG"}],"standard_charges":[{"minimum":5263,"maximum":5263,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5263,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE","code_information":[{"code":"5802","type":"APR-DRG"}],"standard_charges":[{"minimum":7440,"maximum":7440,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7440,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE","code_information":[{"code":"5803","type":"APR-DRG"}],"standard_charges":[{"minimum":11828,"maximum":11828,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11828,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE","code_information":[{"code":"5804","type":"APR-DRG"}],"standard_charges":[{"minimum":18382,"maximum":18382,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18382,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY OF UTERUS LINING","code_information":[{"code":"58100","type":"CPT"}],"standard_charges":[{"minimum":273.74,"maximum":273.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":273.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE","code_information":[{"code":"5811","type":"APR-DRG"}],"standard_charges":[{"minimum":2805,"maximum":2805,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2805,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ROOM-PRIVATE","code_information":[{"code":"5811000001","type":"CDM"},{"code":"0111","type":"RC"}],"standard_charges":[{"minimum":1017.62,"maximum":1338.24,"gross_charge":1394,"discounted_cash":772.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1324.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1338.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1143.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1282.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1198.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1017.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1157.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE","code_information":[{"code":"5812","type":"APR-DRG"}],"standard_charges":[{"minimum":4242,"maximum":4242,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4242,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DILATION AND CURETTAGE","code_information":[{"code":"58120","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ROOM -SEMI PRIVATE","code_information":[{"code":"5812000001","type":"CDM"},{"code":"0120","type":"RC"}],"standard_charges":[{"minimum":984.77,"maximum":1295.04,"gross_charge":1349,"discounted_cash":747.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1295.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1106.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1241.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1160.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":984.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1119.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ROOM -SWING BED","code_information":[{"code":"5812000002","type":"CDM"},{"code":"0120","type":"RC"}],"standard_charges":[{"minimum":355.51,"maximum":467.52,"gross_charge":487,"discounted_cash":269.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":462.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":467.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":448.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":418.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":404.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE","code_information":[{"code":"5813","type":"APR-DRG"}],"standard_charges":[{"minimum":7688,"maximum":7688,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7688,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE","code_information":[{"code":"5814","type":"APR-DRG"}],"standard_charges":[{"minimum":15929,"maximum":15929,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15929,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MYOMECTOMY VAG METHOD","code_information":[{"code":"58145","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SEMI PRIVATE ROOM-NURSERY","code_information":[{"code":"5817000001","type":"CDM"},{"code":"0170","type":"RC"}],"standard_charges":[{"minimum":782.56,"maximum":1029.12,"gross_charge":1072,"discounted_cash":594,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1029.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":879.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":986.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":921.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":782.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":889.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ROOM - TELEMETRY","code_information":[{"code":"5821000001","type":"CDM"},{"code":"0214","type":"RC"}],"standard_charges":[{"minimum":1586.29,"maximum":2086.08,"gross_charge":2173,"discounted_cash":1204.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2064.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2086.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1781.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1999.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1868.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1586.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1803.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ROOM -MONITORED BED","code_information":[{"code":"5821000002","type":"CDM"},{"code":"0210","type":"RC"}],"standard_charges":[{"minimum":1673.16,"maximum":2200.32,"gross_charge":2292,"discounted_cash":1270,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2177.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2200.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1879.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2108.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1971.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1673.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1902.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VAGINAL HYSTERECTOMY","code_information":[{"code":"58260","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAG HYST INCLUDING T/O","code_information":[{"code":"58262","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAG HYST W/T/O  VAG REPAIR","code_information":[{"code":"58263","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAG HYST W/ENTEROCELE REPAIR","code_information":[{"code":"58270","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAG HYST COMPLEX","code_information":[{"code":"58290","type":"CPT"}],"standard_charges":[{"minimum":10919.83,"maximum":10919.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10919.83,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAG HYST INCL T/O COMPLEX","code_information":[{"code":"58291","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAG HYST T/O  REPAIR COMPL","code_information":[{"code":"58292","type":"CPT"}],"standard_charges":[{"minimum":10919.83,"maximum":10919.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10919.83,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VAG HYST W/ENTEROCELE COMPL","code_information":[{"code":"58294","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT INTRAUTERINE DEVICE","code_information":[{"code":"58300","type":"CPT"}],"standard_charges":[{"minimum":185.82,"maximum":185.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":185.82,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE INTRAUTERINE DEVICE","code_information":[{"code":"58301","type":"CPT"}],"standard_charges":[{"minimum":452.4,"maximum":452.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":452.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE WITH ECMO","code_information":[{"code":"5831","type":"APR-DRG"}],"standard_charges":[{"minimum":308108,"maximum":308108,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":308108,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE WITH ECMO","code_information":[{"code":"5832","type":"APR-DRG"}],"standard_charges":[{"minimum":315723,"maximum":315723,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":315723,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ARTIFICIAL INSEMINATION","code_information":[{"code":"58321","type":"CPT"}],"standard_charges":[{"minimum":452.4,"maximum":452.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":452.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ARTIFICIAL INSEMINATION","code_information":[{"code":"58322","type":"CPT"}],"standard_charges":[{"minimum":273.74,"maximum":273.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":273.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SPERM WASHING","code_information":[{"code":"58323","type":"CPT"}],"standard_charges":[{"minimum":273.74,"maximum":273.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":273.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE WITH ECMO","code_information":[{"code":"5833","type":"APR-DRG"}],"standard_charges":[{"minimum":621539,"maximum":621539,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":621539,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE WITH ECMO","code_information":[{"code":"5834","type":"APR-DRG"}],"standard_charges":[{"minimum":741323,"maximum":741323,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":741323,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REOPEN FALLOPIAN TUBE","code_information":[{"code":"58345","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT HEYMAN UTERI CAPSULE","code_information":[{"code":"58346","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REOPEN FALLOPIAN TUBE","code_information":[{"code":"58350","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOMETR ABLATE THERMAL","code_information":[{"code":"58353","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOMETRIAL CRYOABLATION","code_information":[{"code":"58356","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROCEDURE LEVEL 1 ER","code_information":[{"code":"5845000010","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":98.55,"maximum":129.6,"gross_charge":135,"discounted_cash":74.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.05,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 1 ER","code_information":[{"code":"5845000010","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":63.45,"maximum":129.6,"gross_charge":135,"discounted_cash":74.81,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":63.45,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 2 ER","code_information":[{"code":"5845000011","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":192.72,"maximum":253.44,"gross_charge":264,"discounted_cash":146.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":242.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":219.12,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 2 ER","code_information":[{"code":"5845000011","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":124.08,"maximum":253.44,"gross_charge":264,"discounted_cash":146.29,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":242.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":219.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":182.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":124.08,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 4 ER","code_information":[{"code":"5845000013","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":765.04,"maximum":1006.08,"gross_charge":1048,"discounted_cash":580.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":995.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":859.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":964.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":901.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":765.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":869.84,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 4 ER","code_information":[{"code":"5845000013","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":492.56,"maximum":1006.08,"gross_charge":1048,"discounted_cash":580.7,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":995.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1006.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":859.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":964.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":901.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":765.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":869.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":723.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":492.56,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 5 ER","code_information":[{"code":"5845000015","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1021.27,"maximum":1343.04,"gross_charge":1399,"discounted_cash":775.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1329.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1343.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1147.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1287.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1203.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1021.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1161.17,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 5 ER","code_information":[{"code":"5845000015","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":657.53,"maximum":1343.04,"gross_charge":1399,"discounted_cash":775.19,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1329.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1343.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1147.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1287.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1203.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1021.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1161.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":965.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":657.53,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 6 ER","code_information":[{"code":"5845000016","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1273.12,"maximum":1674.24,"gross_charge":1744,"discounted_cash":966.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1656.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1674.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1430.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1604.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1499.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1273.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1447.52,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 6 ER","code_information":[{"code":"5845000016","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":819.68,"maximum":1674.24,"gross_charge":1744,"discounted_cash":966.36,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1656.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1674.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1430.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1604.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1499.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1273.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1447.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1203.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":819.68,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 7 ER","code_information":[{"code":"5845000017","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1527.89,"maximum":2009.28,"gross_charge":2093,"discounted_cash":1159.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1988.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2009.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1716.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1925.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1799.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1527.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1737.19,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 7 ER","code_information":[{"code":"5845000017","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":983.71,"maximum":2009.28,"gross_charge":2093,"discounted_cash":1159.74,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1988.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2009.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1716.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1925.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1799.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1527.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1737.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1444.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":983.71,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 8 ER","code_information":[{"code":"5845000018","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1854.93,"maximum":2439.36,"gross_charge":2541,"discounted_cash":1407.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2413.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2439.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2083.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2337.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2185.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1854.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2109.03,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 8 ER","code_information":[{"code":"5845000018","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1194.27,"maximum":2439.36,"gross_charge":2541,"discounted_cash":1407.97,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2413.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2439.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2083.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2337.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2185.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1854.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2109.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1753.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1194.27,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 9 ER","code_information":[{"code":"5845000019","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2235.26,"maximum":2939.52,"gross_charge":3062,"discounted_cash":1696.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2908.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2939.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2510.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2817.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2633.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2235.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2541.46,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE LEVEL 9 ER","code_information":[{"code":"5845000019","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1439.14,"maximum":2939.52,"gross_charge":3062,"discounted_cash":1696.66,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2908.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2939.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2510.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2817.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2633.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2235.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2541.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2112.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1439.14,"methodology":"fee schedule"}]}]},{"description":"INJECTION OR ASPIRATION ER","code_information":[{"code":"5845000021","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":281.78,"maximum":370.56,"gross_charge":386,"discounted_cash":213.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":370.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":355.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":320.38,"methodology":"fee schedule"}]}]},{"description":"INJECTION OR ASPIRATION ER","code_information":[{"code":"5845000021","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":181.42,"maximum":370.56,"gross_charge":386,"discounted_cash":213.89,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":366.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":370.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":355.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":320.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":266.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":181.42,"methodology":"fee schedule"}]}]},{"description":"CLOSED REDUCTION ARM/LEG ER","code_information":[{"code":"5845000022","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":236.52,"maximum":311.04,"gross_charge":324,"discounted_cash":179.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":311.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":298.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":278.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":236.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":268.92,"methodology":"fee schedule"}]}]},{"description":"CLOSED REDUCTION ARM/LEG ER","code_information":[{"code":"5845000022","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":152.28,"maximum":311.04,"gross_charge":324,"discounted_cash":179.53,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":307.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":311.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":298.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":278.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":236.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":268.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":223.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":152.28,"methodology":"fee schedule"}]}]},{"description":"DEBRIDEMENT PARTIAL/FULL ER","code_information":[{"code":"5845000023","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":224.11,"maximum":294.72,"gross_charge":307,"discounted_cash":170.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":294.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":251.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":282.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":264.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":254.81,"methodology":"fee schedule"}]}]},{"description":"DEBRIDEMENT PARTIAL/FULL ER","code_information":[{"code":"5845000023","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":144.29,"maximum":294.72,"gross_charge":307,"discounted_cash":170.11,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":291.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":294.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":251.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":282.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":264.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":254.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":211.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":144.29,"methodology":"fee schedule"}]}]},{"description":"DEBRIDEMENT SKIN/TISSUE ER","code_information":[{"code":"5845000024","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":366.46,"maximum":481.92,"gross_charge":502,"discounted_cash":278.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":481.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":411.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":461.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":431.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":366.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":416.66,"methodology":"fee schedule"}]}]},{"description":"DEBRIDEMENT SKIN/TISSUE ER","code_information":[{"code":"5845000024","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":235.94,"maximum":481.92,"gross_charge":502,"discounted_cash":278.16,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":476.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":481.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":411.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":461.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":431.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":366.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":416.66,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":346.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":235.94,"methodology":"fee schedule"}]}]},{"description":"EXCISION LESION UP TO 2CM ER","code_information":[{"code":"5845000026","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":545.31,"maximum":717.12,"gross_charge":747,"discounted_cash":413.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":709.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":717.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":612.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":687.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":642.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":545.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":620.01,"methodology":"fee schedule"}]}]},{"description":"EXCISION LESION UP TO 2CM ER","code_information":[{"code":"5845000026","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":351.09,"maximum":717.12,"gross_charge":747,"discounted_cash":413.92,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":709.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":717.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":612.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":687.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":642.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":545.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":620.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":515.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":351.09,"methodology":"fee schedule"}]}]},{"description":"HEMORRHOID DESTROY E OR I ER","code_information":[{"code":"5845000028","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1688.49,"maximum":2220.48,"gross_charge":2313,"discounted_cash":1281.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2197.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2220.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1896.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2127.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1989.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1688.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1919.79,"methodology":"fee schedule"}]}]},{"description":"HEMORRHOID DESTROY E OR I ER","code_information":[{"code":"5845000028","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1087.11,"maximum":2220.48,"gross_charge":2313,"discounted_cash":1281.64,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2197.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2220.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1896.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2127.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1989.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1688.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1919.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1595.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1087.11,"methodology":"fee schedule"}]}]},{"description":"CAST APPLICATION ER","code_information":[{"code":"5845000029","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":259.15,"maximum":340.8,"gross_charge":355,"discounted_cash":196.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":337.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":340.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":326.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":305.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":294.65,"methodology":"fee schedule"}]}]},{"description":"CAST APPLICATION ER","code_information":[{"code":"5845000029","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":166.85,"maximum":340.8,"gross_charge":355,"discounted_cash":196.71,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":337.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":340.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":326.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":305.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":294.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":244.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":166.85,"methodology":"fee schedule"}]}]},{"description":"INCISION/DRAINAGE ABSCESS ER","code_information":[{"code":"5845000030","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":219.73,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"}]}]},{"description":"INCISION/DRAINAGE ABSCESS ER","code_information":[{"code":"5845000030","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":141.47,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141.47,"methodology":"fee schedule"}]}]},{"description":"PARACENTESIS ER","code_information":[{"code":"5845000033","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":428.51,"maximum":563.52,"gross_charge":587,"discounted_cash":325.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":563.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":481.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":540.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":504.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":428.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":487.21,"methodology":"fee schedule"}]}]},{"description":"PARACENTESIS ER","code_information":[{"code":"5845000033","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":275.89,"maximum":563.52,"gross_charge":587,"discounted_cash":325.26,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":557.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":563.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":481.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":540.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":504.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":428.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":487.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":405.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":275.89,"methodology":"fee schedule"}]}]},{"description":"TEMPORAL ARTERY BIOPSY ER","code_information":[{"code":"5845000035","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1911.14,"maximum":2513.28,"gross_charge":2618,"discounted_cash":1450.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2487.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2513.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2146.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2408.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2251.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1911.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2172.94,"methodology":"fee schedule"}]}]},{"description":"TEMPORAL ARTERY BIOPSY ER","code_information":[{"code":"5845000035","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1230.46,"maximum":2513.28,"gross_charge":2618,"discounted_cash":1450.64,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2487.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2513.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2146.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2408.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2251.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1911.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2172.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1806.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1230.46,"methodology":"fee schedule"}]}]},{"description":"GASTRIC LAVAGE ER","code_information":[{"code":"5845000042","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":52.56,"maximum":69.12,"gross_charge":72,"discounted_cash":39.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":69.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":59.76,"methodology":"fee schedule"}]}]},{"description":"GASTRIC LAVAGE ER","code_information":[{"code":"5845000042","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":33.84,"maximum":69.12,"gross_charge":72,"discounted_cash":39.9,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":69.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":59.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":33.84,"methodology":"fee schedule"}]}]},{"description":"EMTALA SCREEN AND FME ER","code_information":[{"code":"5845000155","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":521.22,"maximum":685.44,"gross_charge":714,"discounted_cash":395.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":685.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":585.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":656.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":614.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":521.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":592.62,"methodology":"fee schedule"}]}]},{"description":"EMTALA SCREEN AND FME ER","code_information":[{"code":"5845000155","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":335.58,"maximum":685.44,"gross_charge":714,"discounted_cash":395.63,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":685.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":585.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":656.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":614.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":521.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":592.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":492.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":335.58,"methodology":"fee schedule"}]}]},{"description":"EMTALA SCREEN ONLY ER","code_information":[{"code":"5845000166","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":107.31,"maximum":141.12,"gross_charge":147,"discounted_cash":81.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":141.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":135.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.01,"methodology":"fee schedule"}]}]},{"description":"EMTALA SCREEN ONLY ER","code_information":[{"code":"5845000166","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":69.09,"maximum":141.12,"gross_charge":147,"discounted_cash":81.46,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":141.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":135.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":69.09,"methodology":"fee schedule"}]}]},{"description":"EMTALA, FME W COLPOSCOPE ER","code_information":[{"code":"5845000167","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":833.66,"maximum":1096.32,"gross_charge":1142,"discounted_cash":632.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1096.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":936.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1050.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":982.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":833.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":947.86,"methodology":"fee schedule"}]}]},{"description":"EMTALA, FME W COLPOSCOPE ER","code_information":[{"code":"5845000167","type":"CDM"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":536.74,"maximum":1096.32,"gross_charge":1142,"discounted_cash":632.79,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1084.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1096.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":936.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1050.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":982.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":833.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":947.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":787.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":536.74,"methodology":"fee schedule"}]}]},{"description":"LSH UTERUS 250 G OR LESS","code_information":[{"code":"58541","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LSH W/T/O UT 250 G OR LESS","code_information":[{"code":"58542","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LSH UTERUS ABOVE 250 G","code_information":[{"code":"58543","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LSH W/T/O UTERUS ABOVE 250 G","code_information":[{"code":"58544","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPIC MYOMECTOMY","code_information":[{"code":"58545","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO-MYOMECTOMY COMPLEX","code_information":[{"code":"58546","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO-ASST VAG HYSTERECTOMY","code_information":[{"code":"58550","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO-VAG HYST INCL T/O","code_information":[{"code":"58552","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO-VAG HYST COMPLEX","code_information":[{"code":"58553","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO-VAG HYST W/T/O COMPL","code_information":[{"code":"58554","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYSTEROSCOPY DX SEP PROC","code_information":[{"code":"58555","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYSTEROSCOPY BIOPSY","code_information":[{"code":"58558","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYSTEROSCOPY LYSIS","code_information":[{"code":"58559","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYSTEROSCOPY RESECT SEPTUM","code_information":[{"code":"58560","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYSTEROSCOPY REMOVE MYOMA","code_information":[{"code":"58561","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYSTEROSCOPY REMOVE FB","code_information":[{"code":"58562","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYSTEROSCOPY ABLATION","code_information":[{"code":"58563","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYSTEROSCOPY STERILIZATION","code_information":[{"code":"58565","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TLH UTERUS 250 G OR LESS","code_information":[{"code":"58570","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TLH W/T/O 250 G OR LESS","code_information":[{"code":"58571","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TLH UTERUS OVER 250 G","code_information":[{"code":"58572","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TLH W/T/O UTERUS OVER 250 G","code_information":[{"code":"58573","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO PROC UTERUS","code_information":[{"code":"58578","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HYSTEROSCOPE PROCEDURE","code_information":[{"code":"58579","type":"CPT"}],"standard_charges":[{"minimum":273.74,"maximum":273.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":273.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIVISION OF FALLOPIAN TUBE","code_information":[{"code":"58600","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DIVISION OF FALLOPIAN TUBE","code_information":[{"code":"58605","type":"CPT"}],"standard_charges":[{"minimum":3359.39,"maximum":3359.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3359.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OCCLUDE FALLOPIAN TUBE(S)","code_information":[{"code":"58615","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY LYSIS","code_information":[{"code":"58660","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY REMOVE ADNEXA","code_information":[{"code":"58661","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY EXCISE LESIONS","code_information":[{"code":"58662","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY TUBAL CAUTERY","code_information":[{"code":"58670","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY TUBAL BLOCK","code_information":[{"code":"58671","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY FIMBRIOPLASTY","code_information":[{"code":"58672","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY SALPINGOSTOMY","code_information":[{"code":"58673","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPS ABLTJ UTERINE FIBROIDS","code_information":[{"code":"58674","type":"CPT"}],"standard_charges":[{"minimum":14316.45,"maximum":14316.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14316.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO PROC OVIDUCT-OVARY","code_information":[{"code":"58679","type":"CPT"}],"standard_charges":[{"minimum":8133.15,"maximum":8133.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8133.15,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF FALLOPIAN TUBE","code_information":[{"code":"58700","type":"CPT"}],"standard_charges":[{"minimum":7221.97,"maximum":7221.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7221.97,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF OVARY/TUBE(S)","code_information":[{"code":"58720","type":"CPT"}],"standard_charges":[{"minimum":7221.97,"maximum":7221.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7221.97,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FIMBRIOPLASTY","code_information":[{"code":"58760","type":"CPT"}],"standard_charges":[{"minimum":7221.97,"maximum":7221.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7221.97,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CREATE NEW TUBAL OPENING","code_information":[{"code":"58770","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF OVARIAN CYST(S)","code_information":[{"code":"58800","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF OVARIAN CYST(S)","code_information":[{"code":"58805","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE","code_information":[{"code":"5881","type":"APR-DRG"}],"standard_charges":[{"minimum":205510,"maximum":205510,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":205510,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE","code_information":[{"code":"5882","type":"APR-DRG"}],"standard_charges":[{"minimum":228345,"maximum":228345,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":228345,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAIN OVARY ABSCESS OPEN","code_information":[{"code":"58820","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN OVARY ABSCESS PERCUT","code_information":[{"code":"58822","type":"CPT"}],"standard_charges":[{"minimum":3359.39,"maximum":3359.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3359.39,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSPOSITION OVARY(S)","code_information":[{"code":"58825","type":"CPT"}],"standard_charges":[{"minimum":5428.3,"maximum":5428.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5428.3,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE","code_information":[{"code":"5883","type":"APR-DRG"}],"standard_charges":[{"minimum":339560,"maximum":339560,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":339560,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE","code_information":[{"code":"5884","type":"APR-DRG"}],"standard_charges":[{"minimum":515775,"maximum":515775,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":515775,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY OF OVARY(S)","code_information":[{"code":"58900","type":"CPT"}],"standard_charges":[{"minimum":4216.02,"maximum":4216.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4216.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION","code_information":[{"code":"5891","type":"APR-DRG"}],"standard_charges":[{"minimum":186787,"maximum":186787,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186787,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION","code_information":[{"code":"5892","type":"APR-DRG"}],"standard_charges":[{"minimum":169807,"maximum":169807,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":169807,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL REMOVAL OF OVARY(S)","code_information":[{"code":"58920","type":"CPT"}],"standard_charges":[{"minimum":10919.83,"maximum":10919.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10919.83,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF OVARIAN CYST(S)","code_information":[{"code":"58925","type":"CPT"}],"standard_charges":[{"minimum":7087.02,"maximum":7087.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7087.02,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION","code_information":[{"code":"5893","type":"APR-DRG"}],"standard_charges":[{"minimum":154369,"maximum":154369,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":154369,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION","code_information":[{"code":"5894","type":"APR-DRG"}],"standard_charges":[{"minimum":2576,"maximum":2576,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2576,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF OVARY(S)","code_information":[{"code":"58940","type":"CPT"}],"standard_charges":[{"minimum":10286.46,"maximum":10286.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10286.46,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RETRIEVAL OF OOCYTE","code_information":[{"code":"58970","type":"CPT"}],"standard_charges":[{"minimum":1018.01,"maximum":1018.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSFER OF EMBRYO","code_information":[{"code":"58974","type":"CPT"}],"standard_charges":[{"minimum":1018.01,"maximum":1018.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1018.01,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSFER OF EMBRYO","code_information":[{"code":"58976","type":"CPT"}],"standard_charges":[{"minimum":452.4,"maximum":452.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":452.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GENITAL SURGERY PROCEDURE","code_information":[{"code":"58999","type":"CPT"}],"standard_charges":[{"minimum":273.74,"maximum":273.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":273.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMNIOCENTESIS DIAGNOSTIC","code_information":[{"code":"59000","type":"CPT"}],"standard_charges":[{"minimum":1041.97,"maximum":1041.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1041.97,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AMNIOCENTESIS THERAPEUTIC","code_information":[{"code":"59001","type":"CPT"}],"standard_charges":[{"minimum":463.05,"maximum":463.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":463.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FETAL CORD PUNCTURE PRENATAL","code_information":[{"code":"59012","type":"CPT"}],"standard_charges":[{"minimum":463.05,"maximum":463.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":463.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHORION BIOPSY","code_information":[{"code":"59015","type":"CPT"}],"standard_charges":[{"minimum":1041.97,"maximum":1041.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1041.97,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FETAL CONTRACT STRESS TEST","code_information":[{"code":"59020","type":"CPT"}],"standard_charges":[{"minimum":280.19,"maximum":280.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":280.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TEST NON STRESS FETAL ER","code_information":[{"code":"59025","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":260.61,"maximum":342.72,"gross_charge":357,"discounted_cash":197.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":342.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":328.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":296.31,"methodology":"fee schedule"}]}]},{"description":"TEST NON STRESS FETAL ER","code_information":[{"code":"59025","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":167.79,"maximum":342.72,"gross_charge":357,"discounted_cash":197.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":280.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":342.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":328.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":296.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":246.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":167.79,"methodology":"fee schedule"}]}]},{"description":"FETAL SCALP BLOOD SAMPLE","code_information":[{"code":"59030","type":"CPT"}],"standard_charges":[{"minimum":463.05,"maximum":463.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":463.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSABDOM AMNIOINFUS W/US","code_information":[{"code":"59070","type":"CPT"}],"standard_charges":[{"minimum":463.05,"maximum":463.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":463.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"UMBILICAL CORD OCCLUD W/US","code_information":[{"code":"59072","type":"CPT"}],"standard_charges":[{"minimum":463.05,"maximum":463.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":463.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FETAL FLUID DRAINAGE W/US","code_information":[{"code":"59074","type":"CPT"}],"standard_charges":[{"minimum":463.05,"maximum":463.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":463.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FETAL SHUNT PLACEMENT W/US","code_information":[{"code":"59076","type":"CPT"}],"standard_charges":[{"minimum":463.05,"maximum":463.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":463.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE UTERUS LESION","code_information":[{"code":"59100","type":"CPT"}],"standard_charges":[{"minimum":7253.79,"maximum":7253.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7253.79,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE","code_information":[{"code":"5911","type":"APR-DRG"}],"standard_charges":[{"minimum":6000,"maximum":6000,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6000,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE","code_information":[{"code":"5912","type":"APR-DRG"}],"standard_charges":[{"minimum":133415,"maximum":133415,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":133415,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE","code_information":[{"code":"5913","type":"APR-DRG"}],"standard_charges":[{"minimum":245348,"maximum":245348,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":245348,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE","code_information":[{"code":"5914","type":"APR-DRG"}],"standard_charges":[{"minimum":479390,"maximum":479390,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":479390,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREAT ECTOPIC PREGNANCY","code_information":[{"code":"59150","type":"CPT"}],"standard_charges":[{"minimum":8324.54,"maximum":8324.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8324.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT ECTOPIC PREGNANCY","code_information":[{"code":"59151","type":"CPT"}],"standard_charges":[{"minimum":8324.54,"maximum":8324.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8324.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"D  C AFTER DELIVERY","code_information":[{"code":"59160","type":"CPT"}],"standard_charges":[{"minimum":4315.24,"maximum":4315.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"POUCH DRN 2.75IN FLNG 12IN","code_information":[{"code":"591998","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":0.584,"maximum":0.768,"gross_charge":0.8,"discounted_cash":0.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":0.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":0.77,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":0.74,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.67,"methodology":"fee schedule"}]}]},{"description":"POUCH DRN 2.75IN FLNG 12IN","code_information":[{"code":"591998","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":0.376,"maximum":0.768,"gross_charge":0.8,"discounted_cash":0.45,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":0.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":0.77,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":0.74,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":0.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.38,"methodology":"fee schedule"}]}]},{"description":"INSERT CERVICAL DILATOR","code_information":[{"code":"59200","type":"CPT"}],"standard_charges":[{"minimum":463.05,"maximum":463.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":463.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN WND PENROSE SIL .50X12","code_information":[{"code":"592036","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":15.2716,"maximum":20.0832,"gross_charge":20.92,"discounted_cash":11.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.25,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.37,"methodology":"fee schedule"}]}]},{"description":"DRAIN WND PENROSE SIL .50X12","code_information":[{"code":"592036","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":9.8324,"maximum":20.0832,"gross_charge":20.92,"discounted_cash":11.6,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.25,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.84,"methodology":"fee schedule"}]}]},{"description":"EPISIOTOMY OR VAGINAL REPAIR","code_information":[{"code":"59300","type":"CPT"}],"standard_charges":[{"minimum":4315.24,"maximum":4315.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE","code_information":[{"code":"5931","type":"APR-DRG"}],"standard_charges":[{"minimum":172637,"maximum":172637,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":172637,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE","code_information":[{"code":"5932","type":"APR-DRG"}],"standard_charges":[{"minimum":191819,"maximum":191819,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":191819,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISION OF CERVIX","code_information":[{"code":"59320","type":"CPT"}],"standard_charges":[{"minimum":4315.24,"maximum":4315.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF CERVIX","code_information":[{"code":"59325","type":"CPT"}],"standard_charges":[{"minimum":3438.41,"maximum":3438.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3438.41,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE","code_information":[{"code":"5933","type":"APR-DRG"}],"standard_charges":[{"minimum":237432,"maximum":237432,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":237432,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE","code_information":[{"code":"5934","type":"APR-DRG"}],"standard_charges":[{"minimum":390281,"maximum":390281,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":390281,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DELIVERY VAGINAL ONLY ER","code_information":[{"code":"59409","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":3117.1,"maximum":4099.2,"gross_charge":4270,"discounted_cash":2366.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4056.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4099.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3501.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3928.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3672.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3117.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3544.1,"methodology":"fee schedule"}]}]},{"description":"DELIVERY VAGINAL ONLY ER","code_information":[{"code":"59409","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2006.9,"maximum":4315.24,"gross_charge":4270,"discounted_cash":2366.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4056.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4099.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3501.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3928.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3672.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3117.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3544.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2946.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2006.9,"methodology":"fee schedule"}]}]},{"description":"ANTEPARTUM MANIPULATION","code_information":[{"code":"59412","type":"CPT"}],"standard_charges":[{"minimum":4315.24,"maximum":4315.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DELIVER PLACENTA","code_information":[{"code":"59414","type":"CPT"}],"standard_charges":[{"minimum":4315.24,"maximum":4315.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MARKER XR LD ENDOSCP 5ML","code_information":[{"code":"595362","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":101.47,"maximum":133.44,"gross_charge":139,"discounted_cash":77.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.37,"methodology":"fee schedule"}]}]},{"description":"MARKER XR LD ENDOSCP 5ML","code_information":[{"code":"595362","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":65.33,"maximum":133.44,"gross_charge":139,"discounted_cash":77.02,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":65.33,"methodology":"fee schedule"}]}]},{"description":"DEL VAGINAL ONLY S/P C-SECT ER","code_information":[{"code":"59612","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":3117.1,"maximum":4099.2,"gross_charge":4270,"discounted_cash":2366.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4056.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4099.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3501.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3928.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3672.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3117.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3544.1,"methodology":"fee schedule"}]}]},{"description":"DEL VAGINAL ONLY S/P C-SECT ER","code_information":[{"code":"59612","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2006.9,"maximum":4315.24,"gross_charge":4270,"discounted_cash":2366.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4056.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4099.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3501.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3928.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3672.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3117.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3544.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2946.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2006.9,"methodology":"fee schedule"}]}]},{"description":"SURG TX ABORTION INCMPL ER","code_information":[{"code":"59812","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":3451.44,"maximum":4538.88,"gross_charge":4728,"discounted_cash":2619.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4491.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4538.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3876.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4349.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4066.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3451.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3924.24,"methodology":"fee schedule"}]}]},{"description":"SURG TX ABORTION INCMPL ER","code_information":[{"code":"59812","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":2222.16,"maximum":4538.88,"gross_charge":4728,"discounted_cash":2619.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4491.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4538.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3876.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4349.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4066.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3451.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3924.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3262.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2222.16,"methodology":"fee schedule"}]}]},{"description":"CARE OF MISCARRIAGE","code_information":[{"code":"59820","type":"CPT"}],"standard_charges":[{"minimum":4315.24,"maximum":4315.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF MISCARRIAGE","code_information":[{"code":"59821","type":"CPT"}],"standard_charges":[{"minimum":4315.24,"maximum":4315.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT UTERUS INFECTION","code_information":[{"code":"59830","type":"CPT"}],"standard_charges":[{"minimum":3438.41,"maximum":3438.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3438.41,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABORTION","code_information":[{"code":"59840","type":"CPT"}],"standard_charges":[{"minimum":4315.24,"maximum":4315.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABORTION","code_information":[{"code":"59841","type":"CPT"}],"standard_charges":[{"minimum":4315.24,"maximum":4315.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ABORTION (MPR)","code_information":[{"code":"59866","type":"CPT"}],"standard_charges":[{"minimum":463.05,"maximum":463.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":463.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EVACUATE MOLE OF UTERUS","code_information":[{"code":"59870","type":"CPT"}],"standard_charges":[{"minimum":4315.24,"maximum":4315.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE CERCLAGE SUTURE","code_information":[{"code":"59871","type":"CPT"}],"standard_charges":[{"minimum":4315.24,"maximum":4315.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4315.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"FETAL INVAS PX W/US","code_information":[{"code":"59897","type":"CPT"}],"standard_charges":[{"minimum":280.19,"maximum":280.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":280.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO PROC OB CARE/DELIVER","code_information":[{"code":"59898","type":"CPT"}],"standard_charges":[{"minimum":8324.54,"maximum":8324.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8324.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MATERNITY CARE PROCEDURE","code_information":[{"code":"59899","type":"CPT"}],"standard_charges":[{"minimum":280.19,"maximum":280.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":280.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN THYROID/TONGUE CYST","code_information":[{"code":"60000","type":"CPT"}],"standard_charges":[{"minimum":2327.67,"maximum":2327.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2327.67,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRSNG ALLEVYN QUADRILOBE 5X5IN","code_information":[{"code":"600517","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":2.92,"maximum":3.84,"gross_charge":4,"discounted_cash":2.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.32,"methodology":"fee schedule"}]}]},{"description":"DRSNG ALLEVYN QUADRILOBE 5X5IN","code_information":[{"code":"600517","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1.88,"maximum":3.84,"gross_charge":4,"discounted_cash":2.22,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.88,"methodology":"fee schedule"}]}]},{"description":"BIOPSY OF THYROID","code_information":[{"code":"60100","type":"CPT"}],"standard_charges":[{"minimum":1070.2,"maximum":1070.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1070.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE THYROID LESION","code_information":[{"code":"60200","type":"CPT"}],"standard_charges":[{"minimum":8707.26,"maximum":8707.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8707.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY","code_information":[{"code":"6021","type":"APR-DRG"}],"standard_charges":[{"minimum":150205,"maximum":150205,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":150205,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL THYROID EXCISION","code_information":[{"code":"60210","type":"CPT"}],"standard_charges":[{"minimum":8707.26,"maximum":8707.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8707.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL THYROID EXCISION","code_information":[{"code":"60212","type":"CPT"}],"standard_charges":[{"minimum":8707.26,"maximum":8707.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8707.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY","code_information":[{"code":"6022","type":"APR-DRG"}],"standard_charges":[{"minimum":166894,"maximum":166894,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":166894,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL REMOVAL OF THYROID","code_information":[{"code":"60220","type":"CPT"}],"standard_charges":[{"minimum":8707.26,"maximum":8707.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8707.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF THYROID","code_information":[{"code":"60225","type":"CPT"}],"standard_charges":[{"minimum":8707.26,"maximum":8707.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8707.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY","code_information":[{"code":"6023","type":"APR-DRG"}],"standard_charges":[{"minimum":213210,"maximum":213210,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":213210,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY","code_information":[{"code":"6024","type":"APR-DRG"}],"standard_charges":[{"minimum":326503,"maximum":326503,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":326503,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF THYROID","code_information":[{"code":"60240","type":"CPT"}],"standard_charges":[{"minimum":8707.26,"maximum":8707.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8707.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF THYROID","code_information":[{"code":"60252","type":"CPT"}],"standard_charges":[{"minimum":8751.35,"maximum":8751.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8751.35,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPEAT THYROID SURGERY","code_information":[{"code":"60260","type":"CPT"}],"standard_charges":[{"minimum":8751.35,"maximum":8751.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8751.35,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF THYROID","code_information":[{"code":"60271","type":"CPT"}],"standard_charges":[{"minimum":8751.35,"maximum":8751.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8751.35,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE THYROID DUCT LESION","code_information":[{"code":"60280","type":"CPT"}],"standard_charges":[{"minimum":8707.26,"maximum":8707.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8707.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE THYROID DUCT LESION","code_information":[{"code":"60281","type":"CPT"}],"standard_charges":[{"minimum":8707.26,"maximum":8707.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8707.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ASPIR/INJ THYROID CYST","code_information":[{"code":"60300","type":"CPT"}],"standard_charges":[{"minimum":1070.2,"maximum":1070.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1070.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NON-FORMULARY MEDICATION 1 EA","code_information":[{"code":"603004518","type":"CDM"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":25.55,"maximum":33.6,"gross_charge":35,"discounted_cash":19.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":33.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":32.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.05,"methodology":"fee schedule"}]}]},{"description":"NON-FORMULARY MEDICATION 1 EA","code_information":[{"code":"603004518","type":"CDM"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":16.45,"maximum":35,"gross_charge":35,"discounted_cash":19.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":33.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":33.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":32.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.45,"methodology":"fee schedule"}]}]},{"description":"CYCL1%-TROP1%-PE 2.5% SDV DROP","code_information":[{"code":"603006290","type":"CDM"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":79.57,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"}]}]},{"description":"CYCL1%-TROP1%-PE 2.5% SDV DROP","code_information":[{"code":"603006290","type":"CDM"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":51.23,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":51.23,"methodology":"fee schedule"}]}]},{"description":"NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION","code_information":[{"code":"6031","type":"APR-DRG"}],"standard_charges":[{"minimum":72751,"maximum":72751,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72751,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION","code_information":[{"code":"6032","type":"APR-DRG"}],"standard_charges":[{"minimum":80833,"maximum":80833,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":80833,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION","code_information":[{"code":"6033","type":"APR-DRG"}],"standard_charges":[{"minimum":137254,"maximum":137254,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":137254,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION","code_information":[{"code":"6034","type":"APR-DRG"}],"standard_charges":[{"minimum":270856,"maximum":270856,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":270856,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXPLORE PARATHYROID GLANDS","code_information":[{"code":"60500","type":"CPT"}],"standard_charges":[{"minimum":8751.35,"maximum":8751.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8751.35,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RE-EXPLORE PARATHYROIDS","code_information":[{"code":"60502","type":"CPT"}],"standard_charges":[{"minimum":8751.35,"maximum":8751.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8751.35,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF THYMUS GLAND","code_information":[{"code":"60520","type":"CPT"}],"standard_charges":[{"minimum":8751.35,"maximum":8751.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8751.35,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPAROSCOPY ADRENALECTOMY","code_information":[{"code":"60650","type":"CPT"}],"standard_charges":[{"minimum":7731.77,"maximum":7731.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7731.77,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAPARO PROC ENDOCRINE","code_information":[{"code":"60659","type":"CPT"}],"standard_charges":[{"minimum":8707.26,"maximum":8707.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8707.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ENDOCRINE SURGERY PROCEDURE","code_information":[{"code":"60699","type":"CPT"}],"standard_charges":[{"minimum":8707.26,"maximum":8707.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8707.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY","code_information":[{"code":"6071","type":"APR-DRG"}],"standard_charges":[{"minimum":66166,"maximum":66166,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66166,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY","code_information":[{"code":"6072","type":"APR-DRG"}],"standard_charges":[{"minimum":114960,"maximum":114960,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":114960,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY","code_information":[{"code":"6073","type":"APR-DRG"}],"standard_charges":[{"minimum":193538,"maximum":193538,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":193538,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY","code_information":[{"code":"6074","type":"APR-DRG"}],"standard_charges":[{"minimum":203837,"maximum":203837,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":203837,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION","code_information":[{"code":"6081","type":"APR-DRG"}],"standard_charges":[{"minimum":22467,"maximum":22467,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22467,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION","code_information":[{"code":"6082","type":"APR-DRG"}],"standard_charges":[{"minimum":91062,"maximum":91062,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91062,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION","code_information":[{"code":"6083","type":"APR-DRG"}],"standard_charges":[{"minimum":118868,"maximum":118868,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":118868,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION","code_information":[{"code":"6084","type":"APR-DRG"}],"standard_charges":[{"minimum":145925,"maximum":145925,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":145925,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE","code_information":[{"code":"6091","type":"APR-DRG"}],"standard_charges":[{"minimum":91198,"maximum":91198,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91198,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE","code_information":[{"code":"6092","type":"APR-DRG"}],"standard_charges":[{"minimum":101329,"maximum":101329,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":101329,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE","code_information":[{"code":"6093","type":"APR-DRG"}],"standard_charges":[{"minimum":176670,"maximum":176670,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":176670,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE","code_information":[{"code":"6094","type":"APR-DRG"}],"standard_charges":[{"minimum":337952,"maximum":337952,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":337952,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE CRANIAL CAVITY FLUID","code_information":[{"code":"61000","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE CRANIAL CAVITY FLUID","code_information":[{"code":"61001","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE BRAIN CAVITY FLUID","code_information":[{"code":"61020","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION INTO BRAIN CANAL","code_information":[{"code":"61026","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE BRAIN CANAL FLUID","code_information":[{"code":"61050","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION INTO BRAIN CANAL","code_information":[{"code":"61055","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BRAIN CANAL SHUNT PROCEDURE","code_information":[{"code":"61070","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6111","type":"APR-DRG"}],"standard_charges":[{"minimum":24443,"maximum":24443,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24443,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6112","type":"APR-DRG"}],"standard_charges":[{"minimum":57937,"maximum":57937,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57937,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6113","type":"APR-DRG"}],"standard_charges":[{"minimum":130386,"maximum":130386,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":130386,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6114","type":"APR-DRG"}],"standard_charges":[{"minimum":151571,"maximum":151571,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":151571,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6121","type":"APR-DRG"}],"standard_charges":[{"minimum":66244,"maximum":66244,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66244,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INSERT BRAIN-FLUID DEVICE","code_information":[{"code":"61215","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6122","type":"APR-DRG"}],"standard_charges":[{"minimum":73353,"maximum":73353,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":73353,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6123","type":"APR-DRG"}],"standard_charges":[{"minimum":96216,"maximum":96216,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":96216,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6124","type":"APR-DRG"}],"standard_charges":[{"minimum":147860,"maximum":147860,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":147860,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6131","type":"APR-DRG"}],"standard_charges":[{"minimum":31846,"maximum":31846,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31846,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6132","type":"APR-DRG"}],"standard_charges":[{"minimum":57903,"maximum":57903,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57903,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6133","type":"APR-DRG"}],"standard_charges":[{"minimum":95945,"maximum":95945,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95945,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DECOMPRESS EYE SOCKET","code_information":[{"code":"61330","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6134","type":"APR-DRG"}],"standard_charges":[{"minimum":142922,"maximum":142922,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":142922,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6141","type":"APR-DRG"}],"standard_charges":[{"minimum":47125,"maximum":47125,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47125,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6142","type":"APR-DRG"}],"standard_charges":[{"minimum":73122,"maximum":73122,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":73122,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6143","type":"APR-DRG"}],"standard_charges":[{"minimum":84900,"maximum":84900,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":84900,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6144","type":"APR-DRG"}],"standard_charges":[{"minimum":97818,"maximum":97818,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":97818,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ENDOVASC TEMPORY VESSEL OCCL","code_information":[{"code":"61623","type":"CPT"}],"standard_charges":[{"minimum":19369.29,"maximum":19369.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19369.29,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSCATH OCCLUSION CNS","code_information":[{"code":"61624","type":"CPT"}],"standard_charges":[{"minimum":30981.76,"maximum":30981.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30981.76,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSCATH OCCLUSION NON-CNS","code_information":[{"code":"61626","type":"CPT"}],"standard_charges":[{"minimum":19369.29,"maximum":19369.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19369.29,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTRACRANIAL ANGIOPLASTY","code_information":[{"code":"61630","type":"CPT"}],"standard_charges":[{"minimum":1896.63,"maximum":1896.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1896.63,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTRACRAN ANGIOPLSTY W/STENT","code_information":[{"code":"61635","type":"CPT"}],"standard_charges":[{"minimum":1896.63,"maximum":1896.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1896.63,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATE IC VASOSPASM INIT","code_information":[{"code":"61640","type":"CPT"}],"standard_charges":[{"minimum":1896.63,"maximum":1896.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1896.63,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILAT IC VSPSM EA VSL SM TER","code_information":[{"code":"61641","type":"CPT"}],"standard_charges":[{"minimum":1896.63,"maximum":1896.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1896.63,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILAT IC VSPSM EA DIFF TER","code_information":[{"code":"61642","type":"CPT"}],"standard_charges":[{"minimum":1896.63,"maximum":1896.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1896.63,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE SKULL/BRAIN SURGERY","code_information":[{"code":"61720","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE SKULL FOR TREATMENT","code_information":[{"code":"61770","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT TRIGEMINAL NERVE","code_information":[{"code":"61790","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT TRIGEMINAL TRACT","code_information":[{"code":"61791","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/REMOVE NEUROELECTRODE","code_information":[{"code":"61880","type":"CPT"}],"standard_charges":[{"minimum":6316.91,"maximum":6316.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6316.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSRT/REDO NEUROSTIM 1 ARRAY","code_information":[{"code":"61885","type":"CPT"}],"standard_charges":[{"minimum":39498.25,"maximum":39498.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39498.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT NEUROSTIM ARRAYS","code_information":[{"code":"61886","type":"CPT"}],"standard_charges":[{"minimum":56788.05,"maximum":56788.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56788.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/REMOVE NEURORECEIVER","code_information":[{"code":"61888","type":"CPT"}],"standard_charges":[{"minimum":21670.67,"maximum":21670.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21670.67,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SKULL FRACTURE","code_information":[{"code":"62000","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6211","type":"APR-DRG"}],"standard_charges":[{"minimum":17119,"maximum":17119,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17119,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6212","type":"APR-DRG"}],"standard_charges":[{"minimum":52089,"maximum":52089,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52089,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6213","type":"APR-DRG"}],"standard_charges":[{"minimum":76227,"maximum":76227,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76227,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6214","type":"APR-DRG"}],"standard_charges":[{"minimum":106040,"maximum":106040,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":106040,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPLACE/IRRIGATE CATHETER","code_information":[{"code":"62194","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6221","type":"APR-DRG"}],"standard_charges":[{"minimum":52090,"maximum":52090,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52090,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6222","type":"APR-DRG"}],"standard_charges":[{"minimum":59359,"maximum":59359,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":59359,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPLACE/IRRIGATE CATHETER","code_information":[{"code":"62225","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6223","type":"APR-DRG"}],"standard_charges":[{"minimum":70767,"maximum":70767,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70767,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPLACE/REVISE BRAIN SHUNT","code_information":[{"code":"62230","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6224","type":"APR-DRG"}],"standard_charges":[{"minimum":100676,"maximum":100676,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100676,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CSF SHUNT REPROGRAM","code_information":[{"code":"62252","type":"CPT"}],"standard_charges":[{"minimum":525.48,"maximum":525.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":525.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EPIDURAL LYSIS MULT SESSIONS","code_information":[{"code":"62263","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EPIDURAL LYSIS ON SINGLE DAY","code_information":[{"code":"62264","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INTERDISCAL PERQ ASPIR DX","code_information":[{"code":"62267","type":"CPT"}],"standard_charges":[{"minimum":1199.56,"maximum":1199.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1199.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAIN SPINAL CORD CYST","code_information":[{"code":"62268","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEEDLE BIOPSY SPINAL CORD","code_information":[{"code":"62269","type":"CPT"}],"standard_charges":[{"minimum":2713.61,"maximum":2713.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2713.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DX LMBR SPI PNXR","code_information":[{"code":"62270","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THER SPI PNXR DRG CSF","code_information":[{"code":"62272","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECT EPIDURAL PATCH","code_information":[{"code":"62273","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SPINAL CORD LESION","code_information":[{"code":"62280","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SPINAL CORD LESION","code_information":[{"code":"62281","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT SPINAL CANAL LESION","code_information":[{"code":"62282","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PERCUTANEOUS DISKECTOMY","code_information":[{"code":"62287","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX CHEMONUCLEOLYSIS LMBR","code_information":[{"code":"62292","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION INTO SPINAL ARTERY","code_information":[{"code":"62294","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MYELOGRAPHY LUMBAR INJECTION","code_information":[{"code":"62302","type":"CPT"}],"standard_charges":[{"minimum":1379.33,"maximum":1379.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1379.33,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MYELOGRAPHY LUMBAR INJECTION","code_information":[{"code":"62303","type":"CPT"}],"standard_charges":[{"minimum":1379.33,"maximum":1379.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1379.33,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MYELOGRAPHY LUMBAR INJECTION","code_information":[{"code":"62304","type":"CPT"}],"standard_charges":[{"minimum":1379.33,"maximum":1379.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1379.33,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MYELOGRAPHY LUMBAR INJECTION","code_information":[{"code":"62305","type":"CPT"}],"standard_charges":[{"minimum":1379.33,"maximum":1379.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1379.33,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6231","type":"APR-DRG"}],"standard_charges":[{"minimum":18990,"maximum":18990,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18990,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6232","type":"APR-DRG"}],"standard_charges":[{"minimum":30795,"maximum":30795,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30795,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NJX INTERLAMINAR CRV/THRC","code_information":[{"code":"62320","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX INTERLAMINAR CRV/THRC","code_information":[{"code":"62321","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX INTERLAMINAR LMBR/SAC","code_information":[{"code":"62322","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX INTERLAMINAR LMBR/SAC","code_information":[{"code":"62323","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX INTERLAMINAR CRV/THRC","code_information":[{"code":"62324","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX INTERLAMINAR CRV/THRC","code_information":[{"code":"62325","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX INTERLAMINAR LMBR/SAC","code_information":[{"code":"62326","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX INTERLAMINAR LMBR/SAC","code_information":[{"code":"62327","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DX LMBR SPI PNXR W/FLUOR/CT","code_information":[{"code":"62328","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"THER SPI PNXR CSF FLUOR/CT","code_information":[{"code":"62329","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6233","type":"APR-DRG"}],"standard_charges":[{"minimum":68410,"maximum":68410,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68410,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6234","type":"APR-DRG"}],"standard_charges":[{"minimum":82189,"maximum":82189,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":82189,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"IMPLANT SPINAL CANAL CATH","code_information":[{"code":"62350","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT SPINAL CANAL CATH","code_information":[{"code":"62351","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINAL CANAL CATHETER","code_information":[{"code":"62355","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT SPINE INFUSION DEVICE","code_information":[{"code":"62360","type":"CPT"}],"standard_charges":[{"minimum":32848.49,"maximum":32848.49,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32848.49,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT SPINE INFUSION PUMP","code_information":[{"code":"62361","type":"CPT"}],"standard_charges":[{"minimum":32848.49,"maximum":32848.49,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32848.49,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT SPINE INFUSION PUMP","code_information":[{"code":"62362","type":"CPT"}],"standard_charges":[{"minimum":32848.49,"maximum":32848.49,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32848.49,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE INFUSION DEVICE","code_information":[{"code":"62365","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANALYZE SPINE INFUS PUMP","code_information":[{"code":"62367","type":"CPT"}],"standard_charges":[{"minimum":525.48,"maximum":525.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":525.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANALYZE SP INF PUMP W/REPROG","code_information":[{"code":"62368","type":"CPT"}],"standard_charges":[{"minimum":525.48,"maximum":525.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":525.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANAL SP INF PMP W/REPRGFILL","code_information":[{"code":"62369","type":"CPT"}],"standard_charges":[{"minimum":525.48,"maximum":525.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":525.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ANL SP INF PMP W/MDREPRGFIL","code_information":[{"code":"62370","type":"CPT"}],"standard_charges":[{"minimum":525.48,"maximum":525.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":525.48,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NDSC DCMPRN 1 NTRSPC LUMBAR","code_information":[{"code":"62380","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6251","type":"APR-DRG"}],"standard_charges":[{"minimum":32799,"maximum":32799,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32799,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6252","type":"APR-DRG"}],"standard_charges":[{"minimum":49493,"maximum":49493,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49493,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6253","type":"APR-DRG"}],"standard_charges":[{"minimum":61675,"maximum":61675,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61675,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6254","type":"APR-DRG"}],"standard_charges":[{"minimum":108006,"maximum":108006,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":108006,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM","code_information":[{"code":"6261","type":"APR-DRG"}],"standard_charges":[{"minimum":5498,"maximum":5498,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5498,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM","code_information":[{"code":"6262","type":"APR-DRG"}],"standard_charges":[{"minimum":9778,"maximum":9778,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9778,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM","code_information":[{"code":"6263","type":"APR-DRG"}],"standard_charges":[{"minimum":20656,"maximum":20656,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20656,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM","code_information":[{"code":"6264","type":"APR-DRG"}],"standard_charges":[{"minimum":52596,"maximum":52596,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52596,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE SPINE LAMINA 1/2 CRVL","code_information":[{"code":"63001","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE LAMINA 1/2 THRC","code_information":[{"code":"63003","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE LAMINA 1/2 LMBR","code_information":[{"code":"63005","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE","code_information":[{"code":"6301","type":"APR-DRG"}],"standard_charges":[{"minimum":42721,"maximum":42721,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42721,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE SPINE LAMINA 1/2 SCRL","code_information":[{"code":"63011","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE LAMINA/FACETS LUMBAR","code_information":[{"code":"63012","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE LAMINA >2 CRVCL","code_information":[{"code":"63015","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE LAMINA >2 THRC","code_information":[{"code":"63016","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE LAMINA >2 LMBR","code_information":[{"code":"63017","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE","code_information":[{"code":"6302","type":"APR-DRG"}],"standard_charges":[{"minimum":96517,"maximum":96517,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":96517,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NECK SPINE DISK SURGERY","code_information":[{"code":"63020","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE","code_information":[{"code":"6303","type":"APR-DRG"}],"standard_charges":[{"minimum":174518,"maximum":174518,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":174518,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LOW BACK DISK SURGERY","code_information":[{"code":"63030","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE","code_information":[{"code":"6304","type":"APR-DRG"}],"standard_charges":[{"minimum":347096,"maximum":347096,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":347096,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LAMINOTOMY SINGLE CERVICAL","code_information":[{"code":"63040","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LAMINOTOMY SINGLE LUMBAR","code_information":[{"code":"63042","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE LAMINA 1 CRVL","code_information":[{"code":"63045","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE LAMINA 1 THRC","code_information":[{"code":"63046","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE LAMINA 1 LMBR","code_information":[{"code":"63047","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESS SPINAL CORD THRC","code_information":[{"code":"63055","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESS SPINAL CORD LMBR","code_information":[{"code":"63056","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESS SPINAL CORD THRC","code_information":[{"code":"63064","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NECK SPINE DISK SURGERY","code_information":[{"code":"63075","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE","code_information":[{"code":"6311","type":"APR-DRG"}],"standard_charges":[{"minimum":20582,"maximum":20582,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20582,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE","code_information":[{"code":"6312","type":"APR-DRG"}],"standard_charges":[{"minimum":63388,"maximum":63388,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63388,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE","code_information":[{"code":"6313","type":"APR-DRG"}],"standard_charges":[{"minimum":95685,"maximum":95685,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95685,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE","code_information":[{"code":"6314","type":"APR-DRG"}],"standard_charges":[{"minimum":329519,"maximum":329519,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":329519,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXCISE INTRASPINL LESION CRV","code_information":[{"code":"63265","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE INTRSPINL LESION THRC","code_information":[{"code":"63266","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE INTRSPINL LESION LMBR","code_information":[{"code":"63267","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCISE INTRSPINL LESION SCRL","code_information":[{"code":"63268","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6331","type":"APR-DRG"}],"standard_charges":[{"minimum":7404,"maximum":7404,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7404,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6332","type":"APR-DRG"}],"standard_charges":[{"minimum":25091,"maximum":25091,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25091,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6333","type":"APR-DRG"}],"standard_charges":[{"minimum":84180,"maximum":84180,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":84180,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY","code_information":[{"code":"6334","type":"APR-DRG"}],"standard_charges":[{"minimum":131859,"maximum":131859,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":131859,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6341","type":"APR-DRG"}],"standard_charges":[{"minimum":17734,"maximum":17734,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17734,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6342","type":"APR-DRG"}],"standard_charges":[{"minimum":27959,"maximum":27959,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27959,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6343","type":"APR-DRG"}],"standard_charges":[{"minimum":34441,"maximum":34441,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34441,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION","code_information":[{"code":"6344","type":"APR-DRG"}],"standard_charges":[{"minimum":98465,"maximum":98465,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":98465,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE SPINAL CORD LESION","code_information":[{"code":"63600","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6361","type":"APR-DRG"}],"standard_charges":[{"minimum":15315,"maximum":15315,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15315,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"STIMULATION OF SPINAL CORD","code_information":[{"code":"63610","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6362","type":"APR-DRG"}],"standard_charges":[{"minimum":28427,"maximum":28427,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28427,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6363","type":"APR-DRG"}],"standard_charges":[{"minimum":38504,"maximum":38504,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38504,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION","code_information":[{"code":"6364","type":"APR-DRG"}],"standard_charges":[{"minimum":70447,"maximum":70447,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70447,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"IMPLANT NEUROELECTRODES","code_information":[{"code":"63650","type":"CPT"}],"standard_charges":[{"minimum":11881.78,"maximum":11881.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11881.78,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT NEUROELECTRODES","code_information":[{"code":"63655","type":"CPT"}],"standard_charges":[{"minimum":39498.25,"maximum":39498.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39498.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE ELTRD PERQ ARAY","code_information":[{"code":"63661","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SPINE ELTRD PLATE","code_information":[{"code":"63662","type":"CPT"}],"standard_charges":[{"minimum":6316.91,"maximum":6316.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6316.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE SPINE ELTRD PERQ ARAY","code_information":[{"code":"63663","type":"CPT"}],"standard_charges":[{"minimum":11881.78,"maximum":11881.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11881.78,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE SPINE ELTRD PLATE","code_information":[{"code":"63664","type":"CPT"}],"standard_charges":[{"minimum":21670.67,"maximum":21670.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21670.67,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSRT/REDO SPINE N GENERATOR","code_information":[{"code":"63685","type":"CPT"}],"standard_charges":[{"minimum":56788.05,"maximum":56788.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56788.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/REMOVE NEURORECEIVER","code_information":[{"code":"63688","type":"CPT"}],"standard_charges":[{"minimum":6316.91,"maximum":6316.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6316.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSTALL SPINAL SHUNT","code_information":[{"code":"63741","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF SPINAL SHUNT","code_information":[{"code":"63744","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF SPINAL SHUNT","code_information":[{"code":"63746","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6391","type":"APR-DRG"}],"standard_charges":[{"minimum":12068,"maximum":12068,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12068,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6392","type":"APR-DRG"}],"standard_charges":[{"minimum":27692,"maximum":27692,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27692,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6393","type":"APR-DRG"}],"standard_charges":[{"minimum":30965,"maximum":30965,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30965,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION","code_information":[{"code":"6394","type":"APR-DRG"}],"standard_charges":[{"minimum":36246,"maximum":36246,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36246,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM","code_information":[{"code":"6401","type":"APR-DRG"}],"standard_charges":[{"minimum":2778,"maximum":2778,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2778,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM","code_information":[{"code":"6402","type":"APR-DRG"}],"standard_charges":[{"minimum":4386,"maximum":4386,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4386,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM","code_information":[{"code":"6403","type":"APR-DRG"}],"standard_charges":[{"minimum":10790,"maximum":10790,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10790,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM","code_information":[{"code":"6404","type":"APR-DRG"}],"standard_charges":[{"minimum":52323,"maximum":52323,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52323,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INJ ANES NRV TRIGEMINAL ER","code_information":[{"code":"64400","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":489.83,"maximum":644.16,"gross_charge":671,"discounted_cash":371.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":637.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":644.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":550.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":617.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":577.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":489.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":556.93,"methodology":"fee schedule"}]}]},{"description":"INJ ANES NRV TRIGEMINAL ER","code_information":[{"code":"64400","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":315.37,"maximum":644.16,"gross_charge":671,"discounted_cash":371.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":637.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":644.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":550.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":617.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":577.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":489.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":556.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":462.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":315.37,"methodology":"fee schedule"}]}]},{"description":"NJX AA/STRD GR OCPL NRV","code_information":[{"code":"64405","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD VAGUS NRV","code_information":[{"code":"64408","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD BRACH PLEXUS","code_information":[{"code":"64415","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD BRACH PLEX NFS","code_information":[{"code":"64416","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD AXILLARY NRV","code_information":[{"code":"64417","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD SPRSCAP NRV","code_information":[{"code":"64418","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD NTRCOST NRV 1","code_information":[{"code":"64420","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD NTRCOST NRV EA","code_information":[{"code":"64421","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD II IH NERVES","code_information":[{"code":"64425","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD PUDENDAL NERVE","code_information":[{"code":"64430","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD PARACRV NRV","code_information":[{"code":"64435","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD SCIATIC NERVE","code_information":[{"code":"64445","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD SCIATIC NRV NFS","code_information":[{"code":"64446","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD FEMORAL NERVE","code_information":[{"code":"64447","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD FEM NERVE NFS","code_information":[{"code":"64448","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD LMBR PLEX NFS","code_information":[{"code":"64449","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJ ANES NERVE PERIP BL ER","code_information":[{"code":"64450","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1075.29,"maximum":1414.08,"gross_charge":1473,"discounted_cash":816.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1399.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1207.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1355.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1266.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1075.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1222.59,"methodology":"fee schedule"}]}]},{"description":"INJ ANES NERVE PERIP BL ER","code_information":[{"code":"64450","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":692.31,"maximum":1414.08,"gross_charge":1473,"discounted_cash":816.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1399.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1414.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1207.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1355.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1266.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1075.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1222.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1016.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":692.31,"methodology":"fee schedule"}]}]},{"description":"NJX AA/STRD NRV NRVTG SI JT","code_information":[{"code":"64451","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NJX AA/STRD GNCLR NRV BRNCH","code_information":[{"code":"64454","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"N BLOCK INJ PLANTAR DIGIT","code_information":[{"code":"64455","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PVB THORACIC SINGLE INJ SITE","code_information":[{"code":"64461","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PVB THORACIC CONT INFUSION","code_information":[{"code":"64463","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJ FORAMEN EPIDURAL C/T","code_information":[{"code":"64479","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJ FORAMEN EPIDURAL L/S","code_information":[{"code":"64483","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJ PARASPINAL CERV/THORAC","code_information":[{"code":"64490","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1804.56,"maximum":2373.12,"gross_charge":2472,"discounted_cash":1369.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2373.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2027.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2274.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2125.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1804.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2051.76,"methodology":"fee schedule"}]}]},{"description":"INJ PARASPINAL CERV/THORAC","code_information":[{"code":"64490","type":"CPT"},{"code":"0361","type":"RC"}],"standard_charges":[{"minimum":1161.84,"maximum":2373.12,"gross_charge":2472,"discounted_cash":1369.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2348.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2373.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2027.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2274.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2125.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1804.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2051.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1705.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1161.84,"methodology":"fee schedule"}]}]},{"description":"INJ PARAVERT F JNT L/S 1 LEV","code_information":[{"code":"64493","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"N BLOCK SPENOPALATINE GANGL","code_information":[{"code":"64505","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"N BLOCK STELLATE GANGLION","code_information":[{"code":"64510","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"N BLOCK INJ HYPOGAS PLXS","code_information":[{"code":"64517","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"N BLOCK LUMBAR/THORACIC","code_information":[{"code":"64520","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"N BLOCK INJ CELIAC PELUS","code_information":[{"code":"64530","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT NEUROELECTRODES","code_information":[{"code":"64553","type":"CPT"}],"standard_charges":[{"minimum":21670.67,"maximum":21670.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21670.67,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT NEUROELECTRODES","code_information":[{"code":"64555","type":"CPT"}],"standard_charges":[{"minimum":11881.78,"maximum":11881.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11881.78,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT NEUROELECTRODES","code_information":[{"code":"64561","type":"CPT"}],"standard_charges":[{"minimum":11881.78,"maximum":11881.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11881.78,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEUROELTRD STIM POST TIBIAL","code_information":[{"code":"64566","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INC FOR VAGUS N ELECT IMPL","code_information":[{"code":"64568","type":"CPT"}],"standard_charges":[{"minimum":56788.05,"maximum":56788.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56788.05,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/REPL VAGUS N ELTRD","code_information":[{"code":"64569","type":"CPT"}],"standard_charges":[{"minimum":21670.67,"maximum":21670.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21670.67,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE VAGUS N ELTRD","code_information":[{"code":"64570","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT NEUROELECTRODES","code_information":[{"code":"64575","type":"CPT"}],"standard_charges":[{"minimum":21670.67,"maximum":21670.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21670.67,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT NEUROELECTRODES","code_information":[{"code":"64580","type":"CPT"}],"standard_charges":[{"minimum":39498.25,"maximum":39498.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39498.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT NEUROELECTRODES","code_information":[{"code":"64581","type":"CPT"}],"standard_charges":[{"minimum":11881.78,"maximum":11881.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11881.78,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/REMOVE NEUROELECTRODE","code_information":[{"code":"64585","type":"CPT"}],"standard_charges":[{"minimum":6316.91,"maximum":6316.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6316.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSRT/REDO PN/GASTR STIMUL","code_information":[{"code":"64590","type":"CPT"}],"standard_charges":[{"minimum":39498.25,"maximum":39498.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39498.25,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/RMV PN/GASTR STIMUL","code_information":[{"code":"64595","type":"CPT"}],"standard_charges":[{"minimum":6316.91,"maximum":6316.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6316.91,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION TREATMENT OF NERVE","code_information":[{"code":"64600","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION TREATMENT OF NERVE","code_information":[{"code":"64605","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION TREATMENT OF NERVE","code_information":[{"code":"64610","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMODENERV SALIV GLANDS","code_information":[{"code":"64611","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTROY NERVE FACE MUSCLE","code_information":[{"code":"64612","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMODENERV MUSC MIGRAINE","code_information":[{"code":"64615","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMODENERV MUSC NECK DYSTON","code_information":[{"code":"64616","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMODENER MUSCLE LARYNX EMG","code_information":[{"code":"64617","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION TREATMENT OF NERVE","code_information":[{"code":"64620","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DSTRJ NULYT AGT GNCLR NRV","code_information":[{"code":"64624","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RF ABLTJ NRV NRVTG SI JT","code_information":[{"code":"64625","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION TREATMENT OF NERVE","code_information":[{"code":"64630","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"N BLOCK INJ COMMON DIGIT","code_information":[{"code":"64632","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTROY CERV/THOR FACET JNT","code_information":[{"code":"64633","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTROY LUMB/SAC FACET JNT","code_information":[{"code":"64635","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION TREATMENT OF NERVE","code_information":[{"code":"64640","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMODENERV 1 EXTREMITY 1-4","code_information":[{"code":"64642","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMODENERV 1 EXTREM 5/> MUS","code_information":[{"code":"64644","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMODENERV TRUNK MUSC 1-5","code_information":[{"code":"64646","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMODENERV TRUNK MUSC 6/>","code_information":[{"code":"64647","type":"CPT"}],"standard_charges":[{"minimum":1223.9,"maximum":1223.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1223.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMODENERV ECCRINE GLANDS","code_information":[{"code":"64650","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMODENERV ECCRINE GLANDS","code_information":[{"code":"64653","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION TREATMENT OF NERVE","code_information":[{"code":"64680","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION TREATMENT OF NERVE","code_information":[{"code":"64681","type":"CPT"}],"standard_charges":[{"minimum":1586.23,"maximum":1586.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.23,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE FINGER/TOE NERVE","code_information":[{"code":"64702","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE HAND/FOOT NERVE","code_information":[{"code":"64704","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE ARM/LEG NERVE","code_information":[{"code":"64708","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF SCIATIC NERVE","code_information":[{"code":"64712","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF ARM NERVE(S)","code_information":[{"code":"64713","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE LOW BACK NERVE(S)","code_information":[{"code":"64714","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF CRANIAL NERVE","code_information":[{"code":"64716","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE ULNAR NERVE AT ELBOW","code_information":[{"code":"64718","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE ULNAR NERVE AT WRIST","code_information":[{"code":"64719","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CARPAL TUNNEL SURGERY","code_information":[{"code":"64721","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELIEVE PRESSURE ON NERVE(S)","code_information":[{"code":"64722","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE FOOT/TOE NERVE","code_information":[{"code":"64726","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF BROW NERVE","code_information":[{"code":"64732","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF CHEEK NERVE","code_information":[{"code":"64734","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF CHIN NERVE","code_information":[{"code":"64736","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF JAW NERVE","code_information":[{"code":"64738","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF TONGUE NERVE","code_information":[{"code":"64740","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF FACIAL NERVE","code_information":[{"code":"64742","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE NERVE BACK OF HEAD","code_information":[{"code":"64744","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE DIAPHRAGM NERVE","code_information":[{"code":"64746","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE HIP/THIGH NERVE","code_information":[{"code":"64763","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE HIP/THIGH NERVE","code_information":[{"code":"64766","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SEVER CRANIAL NERVE","code_information":[{"code":"64771","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF SPINAL NERVE","code_information":[{"code":"64772","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SKIN NERVE LESION","code_information":[{"code":"64774","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE DIGIT NERVE LESION","code_information":[{"code":"64776","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE LIMB NERVE LESION","code_information":[{"code":"64782","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE NERVE LESION","code_information":[{"code":"64784","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SCIATIC NERVE LESION","code_information":[{"code":"64786","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SKIN NERVE LESION","code_information":[{"code":"64788","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF NERVE LESION","code_information":[{"code":"64790","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF NERVE LESION","code_information":[{"code":"64792","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF NERVE","code_information":[{"code":"64795","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SYMPATHECTOMY CERVICAL","code_information":[{"code":"64802","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SYMPATHETIC NERVES","code_information":[{"code":"64804","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SYMPATHECTOMY DIGITAL ARTERY","code_information":[{"code":"64820","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SYMPATHETIC NERVES","code_information":[{"code":"64821","type":"CPT"}],"standard_charges":[{"minimum":5458.84,"maximum":5458.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5458.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE SYMPATHETIC NERVES","code_information":[{"code":"64822","type":"CPT"}],"standard_charges":[{"minimum":5458.84,"maximum":5458.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5458.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SYMPATHECTOMY SUPFC PALMAR","code_information":[{"code":"64823","type":"CPT"}],"standard_charges":[{"minimum":5458.84,"maximum":5458.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5458.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF DIGIT NERVE","code_information":[{"code":"64831","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF HAND OR FOOT NERVE","code_information":[{"code":"64834","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF HAND OR FOOT NERVE","code_information":[{"code":"64835","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF HAND OR FOOT NERVE","code_information":[{"code":"64836","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF LEG NERVE","code_information":[{"code":"64840","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR/TRANSPOSE NERVE","code_information":[{"code":"64856","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR ARM/LEG NERVE","code_information":[{"code":"64857","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR SCIATIC NERVE","code_information":[{"code":"64858","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"STPLR INTERNAL TRISTAPLE THICK","code_information":[{"code":"648589","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":218.27,"maximum":287.04,"gross_charge":299,"discounted_cash":165.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":287.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":275.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":257.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":248.17,"methodology":"fee schedule"}]}]},{"description":"STPLR INTERNAL TRISTAPLE THICK","code_information":[{"code":"648589","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":140.53,"maximum":287.04,"gross_charge":299,"discounted_cash":165.68,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":287.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":275.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":257.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":248.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":206.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":140.53,"methodology":"fee schedule"}]}]},{"description":"CARTRG MEDTHK TRISTP","code_information":[{"code":"648590","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":101.2291,"maximum":133.1232,"gross_charge":138.67,"discounted_cash":76.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":131.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.58,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.1,"methodology":"fee schedule"}]}]},{"description":"CARTRG MEDTHK TRISTP","code_information":[{"code":"648590","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":65.1749,"maximum":133.1232,"gross_charge":138.67,"discounted_cash":76.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":131.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.58,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":65.18,"methodology":"fee schedule"}]}]},{"description":"REPAIR OF ARM NERVES","code_information":[{"code":"64861","type":"CPT"}],"standard_charges":[{"minimum":3383.59,"maximum":3383.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3383.59,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF LOW BACK NERVES","code_information":[{"code":"64862","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF FACIAL NERVE","code_information":[{"code":"64864","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF FACIAL NERVE","code_information":[{"code":"64865","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE GRAFT HEAD/NECK </4 CM","code_information":[{"code":"64885","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE GRAFT HEAD/NECK >4 CM","code_information":[{"code":"64886","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE GRAFT HAND/FOOT </4 CM","code_information":[{"code":"64890","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE GRAFT HAND/FOOT >4 CM","code_information":[{"code":"64891","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE GRAFT ARM/LEG <4 CM","code_information":[{"code":"64892","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE GRAFT ARM/LEG >4 CM","code_information":[{"code":"64893","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE GRAFT HAND/FOOT </4 CM","code_information":[{"code":"64895","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE GRAFT HAND/FOOT >4 CM","code_information":[{"code":"64896","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE GRAFT ARM/LEG </4 CM","code_information":[{"code":"64897","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE GRAFT ARM/LEG >4 CM","code_information":[{"code":"64898","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE PEDICLE TRANSFER","code_information":[{"code":"64905","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE PEDICLE TRANSFER","code_information":[{"code":"64907","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NERVE REPAIR W/ALLOGRAFT","code_information":[{"code":"64910","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NEURORRAPHY W/VEIN AUTOGRAFT","code_information":[{"code":"64911","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NRV RPR W/NRV ALGRFT 1ST","code_information":[{"code":"64912","type":"CPT"}],"standard_charges":[{"minimum":10993.84,"maximum":10993.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10993.84,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATH FOLEY SILICONE URIN 14FR","code_information":[{"code":"649143","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":30.6892,"maximum":40.3584,"gross_charge":42.04,"discounted_cash":23.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.9,"methodology":"fee schedule"}]}]},{"description":"CATH FOLEY SILICONE URIN 14FR","code_information":[{"code":"649143","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":19.7588,"maximum":40.3584,"gross_charge":42.04,"discounted_cash":23.3,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.76,"methodology":"fee schedule"}]}]},{"description":"NERVOUS SYSTEM SURGERY","code_information":[{"code":"64999","type":"CPT"}],"standard_charges":[{"minimum":503.71,"maximum":503.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.71,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SPLENECTOMY","code_information":[{"code":"6501","type":"APR-DRG"}],"standard_charges":[{"minimum":26772,"maximum":26772,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26772,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPLENECTOMY","code_information":[{"code":"6502","type":"APR-DRG"}],"standard_charges":[{"minimum":39255,"maximum":39255,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39255,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPLENECTOMY","code_information":[{"code":"6503","type":"APR-DRG"}],"standard_charges":[{"minimum":57843,"maximum":57843,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57843,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SPLENECTOMY","code_information":[{"code":"6504","type":"APR-DRG"}],"standard_charges":[{"minimum":82588,"maximum":82588,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":82588,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISE EYE","code_information":[{"code":"65091","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYE WITH IMPLANT","code_information":[{"code":"65093","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF EYE","code_information":[{"code":"65101","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYE/INSERT IMPLANT","code_information":[{"code":"65103","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYE/ATTACH IMPLANT","code_information":[{"code":"65105","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS","code_information":[{"code":"6511","type":"APR-DRG"}],"standard_charges":[{"minimum":21100,"maximum":21100,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21100,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF EYE","code_information":[{"code":"65110","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYE/REVISE SOCKET","code_information":[{"code":"65112","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYE/REVISE SOCKET","code_information":[{"code":"65114","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS","code_information":[{"code":"6512","type":"APR-DRG"}],"standard_charges":[{"minimum":30692,"maximum":30692,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30692,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISE OCULAR IMPLANT","code_information":[{"code":"65125","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS","code_information":[{"code":"6513","type":"APR-DRG"}],"standard_charges":[{"minimum":43298,"maximum":43298,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43298,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INSERT OCULAR IMPLANT","code_information":[{"code":"65130","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT OCULAR IMPLANT","code_information":[{"code":"65135","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS","code_information":[{"code":"6514","type":"APR-DRG"}],"standard_charges":[{"minimum":111600,"maximum":111600,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":111600,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ATTACH OCULAR IMPLANT","code_information":[{"code":"65140","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE OCULAR IMPLANT","code_information":[{"code":"65150","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINSERT OCULAR IMPLANT","code_information":[{"code":"65155","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF OCULAR IMPLANT","code_information":[{"code":"65175","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REM FB CONJUNCT SUPERFIC ER","code_information":[{"code":"65205","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":215.35,"maximum":283.2,"gross_charge":295,"discounted_cash":163.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":280.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":283.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":271.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.85,"methodology":"fee schedule"}]}]},{"description":"REM FB CONJUNCT SUPERFIC ER","code_information":[{"code":"65205","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":138.65,"maximum":283.2,"gross_charge":295,"discounted_cash":163.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":222.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":280.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":283.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":271.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":138.65,"methodology":"fee schedule"}]}]},{"description":"REM FB CONJUCT EMBED ER","code_information":[{"code":"65210","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":251.85,"maximum":331.2,"gross_charge":345,"discounted_cash":191.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":327.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":331.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":317.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":296.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":251.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":286.35,"methodology":"fee schedule"}]}]},{"description":"REM FB CONJUCT EMBED ER","code_information":[{"code":"65210","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":162.15,"maximum":536.51,"gross_charge":345,"discounted_cash":191.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":536.51,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":327.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":331.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":317.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":296.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":251.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":286.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":238.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":162.15,"methodology":"fee schedule"}]}]},{"description":"REM FB CORNL WO SLIT ER","code_information":[{"code":"65220","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":296.38,"maximum":389.76,"gross_charge":406,"discounted_cash":224.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":389.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":373.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":349.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":336.98,"methodology":"fee schedule"}]}]},{"description":"REM FB CORNL WO SLIT ER","code_information":[{"code":"65220","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":190.82,"maximum":536.51,"gross_charge":406,"discounted_cash":224.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":536.51,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":385.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":389.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":373.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":349.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":296.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":336.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":280.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":190.82,"methodology":"fee schedule"}]}]},{"description":"REM FB CORNEAL SLIT LAMP ER","code_information":[{"code":"65222","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":215.35,"maximum":283.2,"gross_charge":295,"discounted_cash":163.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":280.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":283.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":271.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.85,"methodology":"fee schedule"}]}]},{"description":"REM FB CORNEAL SLIT LAMP ER","code_information":[{"code":"65222","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":138.65,"maximum":283.2,"gross_charge":295,"discounted_cash":163.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":222.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":280.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":283.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":271.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":138.65,"methodology":"fee schedule"}]}]},{"description":"REMOVE FOREIGN BODY FROM EYE","code_information":[{"code":"65235","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE FOREIGN BODY FROM EYE","code_information":[{"code":"65260","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE FOREIGN BODY FROM EYE","code_information":[{"code":"65265","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF EYE WOUND","code_information":[{"code":"65270","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF EYE WOUND","code_information":[{"code":"65272","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF EYE WOUND","code_information":[{"code":"65273","type":"CPT"}],"standard_charges":[{"minimum":3110.67,"maximum":3110.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3110.67,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF EYE WOUND","code_information":[{"code":"65275","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF EYE WOUND","code_information":[{"code":"65280","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF EYE WOUND","code_information":[{"code":"65285","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF EYE WOUND","code_information":[{"code":"65286","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR OF EYE SOCKET WOUND","code_information":[{"code":"65290","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ADH EXOFIN PRECISION PEN 1ML","code_information":[{"code":"653261","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":31.3024,"maximum":41.1648,"gross_charge":42.88,"discounted_cash":23.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.6,"methodology":"fee schedule"}]}]},{"description":"ADH EXOFIN PRECISION PEN 1ML","code_information":[{"code":"653261","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":20.1536,"maximum":41.1648,"gross_charge":42.88,"discounted_cash":23.76,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.16,"methodology":"fee schedule"}]}]},{"description":"CATH INTER URIN PED 10FR RED","code_information":[{"code":"653984","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1.8104,"maximum":2.3808,"gross_charge":2.48,"discounted_cash":1.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.06,"methodology":"fee schedule"}]}]},{"description":"CATH INTER URIN PED 10FR RED","code_information":[{"code":"653984","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":1.1656,"maximum":2.3808,"gross_charge":2.48,"discounted_cash":1.38,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.17,"methodology":"fee schedule"}]}]},{"description":"REMOVAL OF EYE LESION","code_information":[{"code":"65400","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF CORNEA","code_information":[{"code":"65410","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF EYE LESION","code_information":[{"code":"65420","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF EYE LESION","code_information":[{"code":"65426","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORNEAL SMEAR","code_information":[{"code":"65430","type":"CPT"}],"standard_charges":[{"minimum":536.51,"maximum":536.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":536.51,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CURETTE/TREAT CORNEA","code_information":[{"code":"65435","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CURETTE/TREAT CORNEA","code_information":[{"code":"65436","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF CORNEAL LESION","code_information":[{"code":"65450","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF CORNEA","code_information":[{"code":"65600","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORNEAL TRANSPLANT","code_information":[{"code":"65710","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORNEAL TRANSPLANT","code_information":[{"code":"65730","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORNEAL TRANSPLANT","code_information":[{"code":"65750","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORNEAL TRANSPLANT","code_information":[{"code":"65755","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORNEAL TRNSPL ENDOTHELIAL","code_information":[{"code":"65756","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE CORNEA WITH IMPLANT","code_information":[{"code":"65770","type":"CPT"}],"standard_charges":[{"minimum":14564.4,"maximum":14564.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14564.4,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECTION OF ASTIGMATISM","code_information":[{"code":"65772","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECTION OF ASTIGMATISM","code_information":[{"code":"65775","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COVER EYE W/MEMBRANE","code_information":[{"code":"65778","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COVER EYE W/MEMBRANE SUTURE","code_information":[{"code":"65779","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OCULAR RECONST TRANSPLANT","code_information":[{"code":"65780","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OCULAR RECONST TRANSPLANT","code_information":[{"code":"65781","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OCULAR RECONST TRANSPLANT","code_information":[{"code":"65782","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLTJ NTRSTRML CRNL RNG SEG","code_information":[{"code":"65785","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF EYE","code_information":[{"code":"65800","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF EYE","code_information":[{"code":"65810","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF EYE","code_information":[{"code":"65815","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELIEVE INNER EYE PRESSURE","code_information":[{"code":"65820","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF EYE","code_information":[{"code":"65850","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRABECULOPLASTY LASER SURG","code_information":[{"code":"65855","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE INNER EYE ADHESIONS","code_information":[{"code":"65860","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE INNER EYE ADHESIONS","code_information":[{"code":"65865","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE INNER EYE ADHESIONS","code_information":[{"code":"65870","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE INNER EYE ADHESIONS","code_information":[{"code":"65875","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE INNER EYE ADHESIONS","code_information":[{"code":"65880","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYE LESION","code_information":[{"code":"65900","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE IMPLANT OF EYE","code_information":[{"code":"65920","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE BLOOD CLOT FROM EYE","code_information":[{"code":"65930","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION","code_information":[{"code":"6601","type":"APR-DRG"}],"standard_charges":[{"minimum":14920,"maximum":14920,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14920,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION","code_information":[{"code":"6602","type":"APR-DRG"}],"standard_charges":[{"minimum":17889,"maximum":17889,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17889,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INJECTION TREATMENT OF EYE","code_information":[{"code":"66020","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION","code_information":[{"code":"6603","type":"APR-DRG"}],"standard_charges":[{"minimum":23272,"maximum":23272,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23272,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INJECTION TREATMENT OF EYE","code_information":[{"code":"66030","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION","code_information":[{"code":"6604","type":"APR-DRG"}],"standard_charges":[{"minimum":43753,"maximum":43753,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43753,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ELECTRD 1STP CPR COMP PED","code_information":[{"code":"660410","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":83.0448,"maximum":109.2096,"gross_charge":113.76,"discounted_cash":63.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.66,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.43,"methodology":"fee schedule"}]}]},{"description":"ELECTRD 1STP CPR COMP PED","code_information":[{"code":"660410","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":53.4672,"maximum":109.2096,"gross_charge":113.76,"discounted_cash":63.04,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.66,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":53.47,"methodology":"fee schedule"}]}]},{"description":"ELECTRD QUIK-COMB PED","code_information":[{"code":"660966","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":57.378,"maximum":75.456,"gross_charge":78.6,"discounted_cash":43.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":74.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.24,"methodology":"fee schedule"}]}]},{"description":"ELECTRD QUIK-COMB PED","code_information":[{"code":"660966","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":36.942,"maximum":78.6,"gross_charge":78.6,"discounted_cash":43.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78.6,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":74.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":36.95,"methodology":"fee schedule"}]}]},{"description":"COAGULATION AND PLATELET DISORDERS","code_information":[{"code":"6611","type":"APR-DRG"}],"standard_charges":[{"minimum":66585,"maximum":66585,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66585,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"COAGULATION AND PLATELET DISORDERS","code_information":[{"code":"6612","type":"APR-DRG"}],"standard_charges":[{"minimum":89369,"maximum":89369,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89369,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"COAGULATION AND PLATELET DISORDERS","code_information":[{"code":"6613","type":"APR-DRG"}],"standard_charges":[{"minimum":117921,"maximum":117921,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":117921,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE EYE LESION","code_information":[{"code":"66130","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"COAGULATION AND PLATELET DISORDERS","code_information":[{"code":"6614","type":"APR-DRG"}],"standard_charges":[{"minimum":209485,"maximum":209485,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":209485,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"GLAUCOMA SURGERY","code_information":[{"code":"66150","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GLAUCOMA SURGERY","code_information":[{"code":"66155","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GLAUCOMA SURGERY","code_information":[{"code":"66160","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"GLAUCOMA SURGERY","code_information":[{"code":"66170","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF EYE","code_information":[{"code":"66172","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRANSLUM DIL EYE CANAL","code_information":[{"code":"66174","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TRNSLUM DIL EYE CANAL W/STNT","code_information":[{"code":"66175","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AQUEOUS SHUNT EYE W/O GRAFT","code_information":[{"code":"66179","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AQUEOUS SHUNT EYE W/GRAFT","code_information":[{"code":"66180","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT ANT DRAINAGE DEVICE","code_information":[{"code":"66183","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF AQUEOUS SHUNT","code_information":[{"code":"66184","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE AQUEOUS SHUNT EYE","code_information":[{"code":"66185","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SICKLE CELL ANEMIA CRISIS","code_information":[{"code":"6621","type":"APR-DRG"}],"standard_charges":[{"minimum":11976,"maximum":11976,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11976,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SICKLE CELL ANEMIA CRISIS","code_information":[{"code":"6622","type":"APR-DRG"}],"standard_charges":[{"minimum":20759,"maximum":20759,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20759,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR/GRAFT EYE LESION","code_information":[{"code":"66225","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SICKLE CELL ANEMIA CRISIS","code_information":[{"code":"6623","type":"APR-DRG"}],"standard_charges":[{"minimum":25386,"maximum":25386,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25386,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SICKLE CELL ANEMIA CRISIS","code_information":[{"code":"6624","type":"APR-DRG"}],"standard_charges":[{"minimum":40957,"maximum":40957,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40957,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FOLLOW-UP SURGERY OF EYE","code_information":[{"code":"66250","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS","code_information":[{"code":"6631","type":"APR-DRG"}],"standard_charges":[{"minimum":11218,"maximum":11218,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11218,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS","code_information":[{"code":"6632","type":"APR-DRG"}],"standard_charges":[{"minimum":11698,"maximum":11698,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11698,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS","code_information":[{"code":"6633","type":"APR-DRG"}],"standard_charges":[{"minimum":18878,"maximum":18878,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18878,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS","code_information":[{"code":"6634","type":"APR-DRG"}],"standard_charges":[{"minimum":38008,"maximum":38008,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38008,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CATH PUREWK MALE EXTRNL","code_information":[{"code":"664985","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":40.0405,"maximum":52.656,"gross_charge":54.85,"discounted_cash":30.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.47,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.53,"methodology":"fee schedule"}]}]},{"description":"CATH PUREWK MALE EXTRNL","code_information":[{"code":"664985","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":25.7795,"maximum":52.656,"gross_charge":54.85,"discounted_cash":30.4,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.47,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.78,"methodology":"fee schedule"}]}]},{"description":"INCISION OF IRIS","code_information":[{"code":"66500","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF IRIS","code_information":[{"code":"66505","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE IRIS AND LESION","code_information":[{"code":"66600","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF IRIS","code_information":[{"code":"66605","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF IRIS","code_information":[{"code":"66625","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF IRIS","code_information":[{"code":"66630","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF IRIS","code_information":[{"code":"66635","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR IRIS  CILIARY BODY","code_information":[{"code":"66680","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR IRIS  CILIARY BODY","code_information":[{"code":"66682","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION CILIARY BODY","code_information":[{"code":"66700","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CILIARY TRANSSLERAL THERAPY","code_information":[{"code":"66710","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ECP CILIARY BODY DESTRUCTION","code_information":[{"code":"66711","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION CILIARY BODY","code_information":[{"code":"66720","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTRUCTION CILIARY BODY","code_information":[{"code":"66740","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF IRIS","code_information":[{"code":"66761","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF IRIS","code_information":[{"code":"66762","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF INNER EYE LESION","code_information":[{"code":"66770","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION SECONDARY CATARACT","code_information":[{"code":"66820","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"AFTER CATARACT LASER SURGERY","code_information":[{"code":"66821","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPOSITION INTRAOCULAR LENS","code_information":[{"code":"66825","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF LENS LESION","code_information":[{"code":"66830","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF LENS MATERIAL","code_information":[{"code":"66840","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF LENS MATERIAL","code_information":[{"code":"66850","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF LENS MATERIAL","code_information":[{"code":"66852","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXTRACTION OF LENS","code_information":[{"code":"66920","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXTRACTION OF LENS","code_information":[{"code":"66930","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXTRACTION OF LENS","code_information":[{"code":"66940","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"XCAPSL CTRC RMVL CPLX WO ECP","code_information":[{"code":"66982","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CATARACT SURG W/IOL 1 STAGE","code_information":[{"code":"66983","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"XCAPSL CTRC RMVL W/O ECP","code_information":[{"code":"66984","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT LENS PROSTHESIS","code_information":[{"code":"66985","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXCHANGE LENS PROSTHESIS","code_information":[{"code":"66986","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"XCAPSL CTRC RMVL CPLX W/ECP","code_information":[{"code":"66987","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"XCAPSL CTRC RMVL W/ECP","code_information":[{"code":"66988","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EYE SURGERY PROCEDURE","code_information":[{"code":"66999","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF EYE FLUID","code_information":[{"code":"67005","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL OF EYE FLUID","code_information":[{"code":"67010","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE OF EYE FLUID","code_information":[{"code":"67015","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPLACE EYE FLUID","code_information":[{"code":"67025","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT EYE DRUG SYSTEM","code_information":[{"code":"67027","type":"CPT"}],"standard_charges":[{"minimum":29799.19,"maximum":29799.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29799.19,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECTION EYE DRUG","code_information":[{"code":"67028","type":"CPT"}],"standard_charges":[{"minimum":616.97,"maximum":616.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":616.97,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE INNER EYE STRANDS","code_information":[{"code":"67030","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LASER SURGERY EYE STRANDS","code_information":[{"code":"67031","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF INNER EYE FLUID","code_information":[{"code":"67036","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LASER TREATMENT OF RETINA","code_information":[{"code":"67039","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LASER TREATMENT OF RETINA","code_information":[{"code":"67040","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VIT FOR MACULAR PUCKER","code_information":[{"code":"67041","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VIT FOR MACULAR HOLE","code_information":[{"code":"67042","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"VIT FOR MEMBRANE DISSECT","code_information":[{"code":"67043","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR DETACHED RETINA CRTX","code_information":[{"code":"67101","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR DETACHED RETINA PC","code_information":[{"code":"67105","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR DETACHED RETINA","code_information":[{"code":"67107","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR DETACHED RETINA","code_information":[{"code":"67108","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR DETACHED RETINA","code_information":[{"code":"67110","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR RETINAL DETACH CPLX","code_information":[{"code":"67113","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE ENCIRCLING MATERIAL","code_information":[{"code":"67115","type":"CPT"}],"standard_charges":[{"minimum":7778.17,"maximum":7778.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7778.17,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYE IMPLANT MATERIAL","code_information":[{"code":"67120","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYE IMPLANT MATERIAL","code_information":[{"code":"67121","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF RETINA","code_information":[{"code":"67141","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF RETINA","code_information":[{"code":"67145","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF RETINAL LESION","code_information":[{"code":"67208","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF RETINAL LESION","code_information":[{"code":"67210","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF RETINAL LESION","code_information":[{"code":"67218","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT OF CHOROID LESION","code_information":[{"code":"67220","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OCULAR PHOTODYNAMIC THER","code_information":[{"code":"67221","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DSTRJ EXTENSIVE RETINOPATHY","code_information":[{"code":"67227","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREATMENT X10SV RETINOPATHY","code_information":[{"code":"67228","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TR RETINAL LES PRETERM INF","code_information":[{"code":"67229","type":"CPT"}],"standard_charges":[{"minimum":1000.36,"maximum":1000.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1000.36,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINFORCE EYE WALL","code_information":[{"code":"67250","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REINFORCE/GRAFT EYE WALL","code_information":[{"code":"67255","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EYE SURGERY PROCEDURE","code_information":[{"code":"67299","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYE MUSCLE","code_information":[{"code":"67311","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE TWO EYE MUSCLES","code_information":[{"code":"67312","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYE MUSCLE","code_information":[{"code":"67314","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE TWO EYE MUSCLES","code_information":[{"code":"67316","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYE MUSCLE(S)","code_information":[{"code":"67318","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE EYE TISSUE","code_information":[{"code":"67343","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DESTROY NERVE OF EYE MUSCLE","code_information":[{"code":"67345","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY EYE MUSCLE","code_information":[{"code":"67346","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLNR WND SKINTEGRITY 8OZ","code_information":[{"code":"673846","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":10.8624,"maximum":14.2848,"gross_charge":14.88,"discounted_cash":8.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.36,"methodology":"fee schedule"}]}]},{"description":"CLNR WND SKINTEGRITY 8OZ","code_information":[{"code":"673846","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.9936,"maximum":14.2848,"gross_charge":14.88,"discounted_cash":8.25,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7,"methodology":"fee schedule"}]}]},{"description":"UNLISTED PX EXTRAOCULAR MUSC","code_information":[{"code":"67399","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/BIOPSY EYE SOCKET","code_information":[{"code":"67400","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/DRAIN EYE SOCKET","code_information":[{"code":"67405","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT EYE SOCKET","code_information":[{"code":"67412","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT EYE SOCKET","code_information":[{"code":"67413","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLR/DECOMPRESS EYE SOCKET","code_information":[{"code":"67414","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ASPIRATION ORBITAL CONTENTS","code_information":[{"code":"67415","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT EYE SOCKET","code_information":[{"code":"67420","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/TREAT EYE SOCKET","code_information":[{"code":"67430","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/DRAIN EYE SOCKET","code_information":[{"code":"67440","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLR/DECOMPRESS EYE SOCKET","code_information":[{"code":"67445","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/BIOPSY EYE SOCKET","code_information":[{"code":"67450","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"KT FLX-SEAL PROTCT PLUS QC","code_information":[{"code":"674878","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":606.8855,"maximum":798.096,"gross_charge":831.35,"discounted_cash":460.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":789.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":798.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":681.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":764.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":714.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":606.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":690.03,"methodology":"fee schedule"}]}]},{"description":"KT FLX-SEAL PROTCT PLUS QC","code_information":[{"code":"674878","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":798.096,"gross_charge":831.35,"discounted_cash":460.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":789.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":798.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":681.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":764.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":714.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":606.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":690.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":573.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":390.74,"methodology":"fee schedule"}]}]},{"description":"BG COLL FLX-SEAL W FLTR","code_information":[{"code":"674879","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":21.2284,"maximum":27.9168,"gross_charge":29.08,"discounted_cash":16.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.14,"methodology":"fee schedule"}]}]},{"description":"BG COLL FLX-SEAL W FLTR","code_information":[{"code":"674879","type":"CDM"},{"code":"0270","type":"RC"}],"standard_charges":[{"minimum":13.6676,"maximum":29.08,"gross_charge":29.08,"discounted_cash":16.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.67,"methodology":"fee schedule"}]}]},{"description":"INJECT/TREAT EYE SOCKET","code_information":[{"code":"67500","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECT/TREAT EYE SOCKET","code_information":[{"code":"67505","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INJECT/TREAT EYE SOCKET","code_information":[{"code":"67515","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INSERT EYE SOCKET IMPLANT","code_information":[{"code":"67550","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYE SOCKET IMPLANT","code_information":[{"code":"67560","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DECOMPRESS OPTIC NERVE","code_information":[{"code":"67570","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ORBIT SURGERY PROCEDURE","code_information":[{"code":"67599","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DRAINAGE OF EYELID ABSCESS","code_information":[{"code":"67700","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF EYELID","code_information":[{"code":"67710","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF EYELID FOLD","code_information":[{"code":"67715","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TY CATH W DRN BG 14FR 10CC","code_information":[{"code":"677787","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":22.8636,"maximum":30.0672,"gross_charge":31.32,"discounted_cash":17.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26,"methodology":"fee schedule"}]}]},{"description":"TY CATH W DRN BG 14FR 10CC","code_information":[{"code":"677787","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":14.7204,"maximum":30.0672,"gross_charge":31.32,"discounted_cash":17.36,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.73,"methodology":"fee schedule"}]}]},{"description":"REMOVE EYELID LESION","code_information":[{"code":"67800","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYELID LESIONS","code_information":[{"code":"67801","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYELID LESIONS","code_information":[{"code":"67805","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYELID LESION(S)","code_information":[{"code":"67808","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY EYELID  LID MARGIN","code_information":[{"code":"67810","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYELASHES","code_information":[{"code":"67820","type":"CPT"}],"standard_charges":[{"minimum":222.26,"maximum":222.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":222.26,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYELASHES","code_information":[{"code":"67825","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYELASHES","code_information":[{"code":"67830","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYELASHES","code_information":[{"code":"67835","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYELID LESION","code_information":[{"code":"67840","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TREAT EYELID LESION","code_information":[{"code":"67850","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLOSURE OF EYELID BY SUTURE","code_information":[{"code":"67875","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF EYELID","code_information":[{"code":"67880","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF EYELID","code_information":[{"code":"67882","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR BROW DEFECT","code_information":[{"code":"67900","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67901","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67902","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67903","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67904","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67906","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67908","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYELID DEFECT","code_information":[{"code":"67909","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYELID DEFECT","code_information":[{"code":"67911","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CORRECTION EYELID W/IMPLANT","code_information":[{"code":"67912","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67914","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67915","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67916","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67917","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67921","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67922","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67923","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID DEFECT","code_information":[{"code":"67924","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID WOUND","code_information":[{"code":"67930","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EYELID WOUND","code_information":[{"code":"67935","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REM FB EYELID EMBEDDED ER","code_information":[{"code":"67938","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":540.2,"maximum":710.4,"gross_charge":740,"discounted_cash":410.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":703,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":710.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":606.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":680.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":636.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":540.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":614.2,"methodology":"fee schedule"}]}]},{"description":"REM FB EYELID EMBEDDED ER","code_information":[{"code":"67938","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":347.8,"maximum":710.4,"gross_charge":740,"discounted_cash":410.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":703,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":710.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":606.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":680.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":636.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":540.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":614.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":510.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":347.8,"methodology":"fee schedule"}]}]},{"description":"REVISION OF EYELID","code_information":[{"code":"67950","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF EYELID","code_information":[{"code":"67961","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF EYELID","code_information":[{"code":"67966","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF EYELID","code_information":[{"code":"67971","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF EYELID","code_information":[{"code":"67973","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF EYELID","code_information":[{"code":"67974","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RECONSTRUCTION OF EYELID","code_information":[{"code":"67975","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISION OF EYELID","code_information":[{"code":"67999","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS","code_information":[{"code":"6801","type":"APR-DRG"}],"standard_charges":[{"minimum":32717,"maximum":32717,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32717,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS","code_information":[{"code":"6802","type":"APR-DRG"}],"standard_charges":[{"minimum":32883,"maximum":32883,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32883,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCISE/DRAIN EYELID LINING","code_information":[{"code":"68020","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS","code_information":[{"code":"6803","type":"APR-DRG"}],"standard_charges":[{"minimum":81259,"maximum":81259,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":81259,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS","code_information":[{"code":"6804","type":"APR-DRG"}],"standard_charges":[{"minimum":155436,"maximum":155436,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":155436,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREATMENT OF EYELID LESIONS","code_information":[{"code":"68040","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF EYELID LINING","code_information":[{"code":"68100","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS","code_information":[{"code":"6811","type":"APR-DRG"}],"standard_charges":[{"minimum":18839,"maximum":18839,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18839,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE EYELID LINING LESION","code_information":[{"code":"68110","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYELID LINING LESION","code_information":[{"code":"68115","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS","code_information":[{"code":"6812","type":"APR-DRG"}],"standard_charges":[{"minimum":30958,"maximum":30958,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30958,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS","code_information":[{"code":"6813","type":"APR-DRG"}],"standard_charges":[{"minimum":55314,"maximum":55314,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55314,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE EYELID LINING LESION","code_information":[{"code":"68130","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EYELID LINING LESION","code_information":[{"code":"68135","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS","code_information":[{"code":"6814","type":"APR-DRG"}],"standard_charges":[{"minimum":142315,"maximum":142315,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":142315,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TREAT EYELID BY INJECTION","code_information":[{"code":"68200","type":"CPT"}],"standard_charges":[{"minimum":536.51,"maximum":536.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":536.51,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/GRAFT EYELID LINING","code_information":[{"code":"68320","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/GRAFT EYELID LINING","code_information":[{"code":"68325","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/GRAFT EYELID LINING","code_information":[{"code":"68326","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/GRAFT EYELID LINING","code_information":[{"code":"68328","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYELID LINING","code_information":[{"code":"68330","type":"CPT"}],"standard_charges":[{"minimum":4127.9,"maximum":4127.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4127.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE/GRAFT EYELID LINING","code_information":[{"code":"68335","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"SEPARATE EYELID ADHESIONS","code_information":[{"code":"68340","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYELID LINING","code_information":[{"code":"68360","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE EYELID LINING","code_information":[{"code":"68362","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"HARVEST EYE TISSUE ALOGRAFT","code_information":[{"code":"68371","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EYELID LINING SURGERY","code_information":[{"code":"68399","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE/DRAIN TEAR GLAND","code_information":[{"code":"68400","type":"CPT"}],"standard_charges":[{"minimum":1607.24,"maximum":1607.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1607.24,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE/DRAIN TEAR SAC","code_information":[{"code":"68420","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE TEAR DUCT OPENING","code_information":[{"code":"68440","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TEAR GLAND","code_information":[{"code":"68500","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PARTIAL REMOVAL TEAR GLAND","code_information":[{"code":"68505","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF TEAR GLAND","code_information":[{"code":"68510","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVAL OF TEAR SAC","code_information":[{"code":"68520","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF TEAR SAC","code_information":[{"code":"68525","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLEARANCE OF TEAR DUCT","code_information":[{"code":"68530","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE TEAR GLAND LESION","code_information":[{"code":"68540","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE TEAR GLAND LESION","code_information":[{"code":"68550","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR TEAR DUCTS","code_information":[{"code":"68700","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE TEAR DUCT OPENING","code_information":[{"code":"68705","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CREATE TEAR SAC DRAIN","code_information":[{"code":"68720","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CREATE TEAR DUCT DRAIN","code_information":[{"code":"68745","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CREATE TEAR DUCT DRAIN","code_information":[{"code":"68750","type":"CPT"}],"standard_charges":[{"minimum":6562.54,"maximum":6562.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6562.54,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLOSE TEAR DUCT OPENING","code_information":[{"code":"68760","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLOSE TEAR DUCT OPENING","code_information":[{"code":"68761","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLOSE TEAR SYSTEM FISTULA","code_information":[{"code":"68770","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"DILATE TEAR DUCT OPENING","code_information":[{"code":"68801","type":"CPT"}],"standard_charges":[{"minimum":536.51,"maximum":536.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":536.51,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROBE NASOLACRIMAL DUCT","code_information":[{"code":"68810","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROBE NASOLACRIMAL DUCT","code_information":[{"code":"68811","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROBE NASOLACRIMAL DUCT","code_information":[{"code":"68815","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"PROBE NL DUCT W/BALLOON","code_information":[{"code":"68816","type":"CPT"}],"standard_charges":[{"minimum":3975.42,"maximum":3975.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3975.42,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE/IRRIGATE TEAR DUCTS","code_information":[{"code":"68840","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TEAR DUCT SYSTEM SURGERY","code_information":[{"code":"68899","type":"CPT"}],"standard_charges":[{"minimum":518.74,"maximum":518.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":518.74,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"I&D EAR ABSC/HEMA SIMPLE ER","code_information":[{"code":"69000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1182.6,"maximum":1555.2,"gross_charge":1620,"discounted_cash":897.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1555.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1328.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1490.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1393.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1182.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1344.6,"methodology":"fee schedule"}]}]},{"description":"I&D EAR ABSC/HEMA SIMPLE ER","code_information":[{"code":"69000","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":761.4,"maximum":1555.2,"gross_charge":1620,"discounted_cash":897.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1199.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1539,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1555.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1328.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1490.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1393.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1182.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1344.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1117.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":761.4,"methodology":"fee schedule"}]}]},{"description":"DRAIN EXTERNAL EAR LESION","code_information":[{"code":"69005","type":"CPT"}],"standard_charges":[{"minimum":2713.61,"maximum":2713.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2713.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE LEUKEMIA","code_information":[{"code":"6901","type":"APR-DRG"}],"standard_charges":[{"minimum":18124,"maximum":18124,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18124,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ACUTE LEUKEMIA","code_information":[{"code":"6902","type":"APR-DRG"}],"standard_charges":[{"minimum":64307,"maximum":64307,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64307,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAIN OUTER EAR CANAL LESION","code_information":[{"code":"69020","type":"CPT"}],"standard_charges":[{"minimum":1199.56,"maximum":1199.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1199.56,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"ACUTE LEUKEMIA","code_information":[{"code":"6903","type":"APR-DRG"}],"standard_charges":[{"minimum":95981,"maximum":95981,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95981,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ACUTE LEUKEMIA","code_information":[{"code":"6904","type":"APR-DRG"}],"standard_charges":[{"minimum":114327,"maximum":114327,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":114327,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIOPSY OF EXTERNAL EAR","code_information":[{"code":"69100","type":"CPT"}],"standard_charges":[{"minimum":408.1,"maximum":408.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":408.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"BIOPSY OF EXTERNAL EAR CANAL","code_information":[{"code":"69105","type":"CPT"}],"standard_charges":[{"minimum":2609.06,"maximum":2609.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2609.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA","code_information":[{"code":"6911","type":"APR-DRG"}],"standard_charges":[{"minimum":21389,"maximum":21389,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21389,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE EXTERNAL EAR PARTIAL","code_information":[{"code":"69110","type":"CPT"}],"standard_charges":[{"minimum":4570.9,"maximum":4570.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4570.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA","code_information":[{"code":"6912","type":"APR-DRG"}],"standard_charges":[{"minimum":25911,"maximum":25911,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25911,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL OF EXTERNAL EAR","code_information":[{"code":"69120","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA","code_information":[{"code":"6913","type":"APR-DRG"}],"standard_charges":[{"minimum":50188,"maximum":50188,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50188,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA","code_information":[{"code":"6914","type":"APR-DRG"}],"standard_charges":[{"minimum":92012,"maximum":92012,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":92012,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE EAR CANAL LESION(S)","code_information":[{"code":"69140","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EAR CANAL LESION(S)","code_information":[{"code":"69145","type":"CPT"}],"standard_charges":[{"minimum":4570.9,"maximum":4570.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4570.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXTENSIVE EAR CANAL SURGERY","code_information":[{"code":"69150","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REM FB CANAL AUD WO ER","code_information":[{"code":"69200","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":120.45,"maximum":158.4,"gross_charge":165,"discounted_cash":91.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"}]}]},{"description":"REM FB CANAL AUD WO ER","code_information":[{"code":"69200","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":77.55,"maximum":215.9,"gross_charge":165,"discounted_cash":91.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":215.9,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":77.55,"methodology":"fee schedule"}]}]},{"description":"CLEAR OUTER EAR CANAL","code_information":[{"code":"69205","type":"CPT"}],"standard_charges":[{"minimum":2713.61,"maximum":2713.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2713.61,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE CERUMEN IMPACTED UNI ER","code_information":[{"code":"69209","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":100.01,"maximum":131.52,"gross_charge":137,"discounted_cash":75.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":131.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":117.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":113.71,"methodology":"fee schedule"}]}]},{"description":"REMOVE CERUMEN IMPACTED UNI ER","code_information":[{"code":"69209","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":64.39,"maximum":131.52,"gross_charge":137,"discounted_cash":75.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":107.33,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":131.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":117.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":113.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":94.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":64.39,"methodology":"fee schedule"}]}]},{"description":"RADIOTHERAPY","code_information":[{"code":"6921","type":"APR-DRG"}],"standard_charges":[{"minimum":12969,"maximum":12969,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12969,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVAL CERUMEN IMPACTED ER","code_information":[{"code":"69210","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":113.88,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"}]}]},{"description":"REMOVAL CERUMEN IMPACTED ER","code_information":[{"code":"69210","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":73.32,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":107.33,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":73.32,"methodology":"fee schedule"}]}]},{"description":"RADIOTHERAPY","code_information":[{"code":"6922","type":"APR-DRG"}],"standard_charges":[{"minimum":19288,"maximum":19288,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19288,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CLEAN OUT MASTOID CAVITY","code_information":[{"code":"69220","type":"CPT"}],"standard_charges":[{"minimum":346.29,"maximum":346.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":346.29,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLEAN OUT MASTOID CAVITY","code_information":[{"code":"69222","type":"CPT"}],"standard_charges":[{"minimum":872.45,"maximum":872.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":872.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RADIOTHERAPY","code_information":[{"code":"6923","type":"APR-DRG"}],"standard_charges":[{"minimum":42663,"maximum":42663,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42663,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RADIOTHERAPY","code_information":[{"code":"6924","type":"APR-DRG"}],"standard_charges":[{"minimum":65298,"maximum":65298,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65298,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISE EXTERNAL EAR","code_information":[{"code":"69300","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REBUILD OUTER EAR CANAL","code_information":[{"code":"69310","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REBUILD OUTER EAR CANAL","code_information":[{"code":"69320","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OUTER EAR SURGERY PROCEDURE","code_information":[{"code":"69399","type":"CPT"}],"standard_charges":[{"minimum":408.1,"maximum":408.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":408.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR","code_information":[{"code":"6941","type":"APR-DRG"}],"standard_charges":[{"minimum":13911,"maximum":13911,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13911,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR","code_information":[{"code":"6942","type":"APR-DRG"}],"standard_charges":[{"minimum":15839,"maximum":15839,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15839,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INCISION OF EARDRUM","code_information":[{"code":"69420","type":"CPT"}],"standard_charges":[{"minimum":408.1,"maximum":408.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":408.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISION OF EARDRUM","code_information":[{"code":"69421","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE VENTILATING TUBE","code_information":[{"code":"69424","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR","code_information":[{"code":"6943","type":"APR-DRG"}],"standard_charges":[{"minimum":28270,"maximum":28270,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28270,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CREATE EARDRUM OPENING","code_information":[{"code":"69433","type":"CPT"}],"standard_charges":[{"minimum":872.45,"maximum":872.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":872.45,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CREATE EARDRUM OPENING","code_information":[{"code":"69436","type":"CPT"}],"standard_charges":[{"minimum":2609.06,"maximum":2609.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2609.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR","code_information":[{"code":"6944","type":"APR-DRG"}],"standard_charges":[{"minimum":60307,"maximum":60307,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60307,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXPLORATION OF MIDDLE EAR","code_information":[{"code":"69440","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EARDRUM REVISION","code_information":[{"code":"69450","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MASTOIDECTOMY","code_information":[{"code":"69501","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MASTOIDECTOMY","code_information":[{"code":"69502","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE MASTOID STRUCTURES","code_information":[{"code":"69505","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMOTHERAPY FOR ACUTE LEUKEMIA","code_information":[{"code":"6951","type":"APR-DRG"}],"standard_charges":[{"minimum":13770,"maximum":13770,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13770,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE MASTOID SURGERY","code_information":[{"code":"69511","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMOTHERAPY FOR ACUTE LEUKEMIA","code_information":[{"code":"6952","type":"APR-DRG"}],"standard_charges":[{"minimum":16232,"maximum":16232,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16232,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHEMOTHERAPY FOR ACUTE LEUKEMIA","code_information":[{"code":"6953","type":"APR-DRG"}],"standard_charges":[{"minimum":32600,"maximum":32600,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32600,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE MASTOID SURGERY","code_information":[{"code":"69530","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE PART OF TEMPORAL BONE","code_information":[{"code":"69535","type":"CPT"}],"standard_charges":[{"minimum":11353.97,"maximum":11353.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11353.97,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CHEMOTHERAPY FOR ACUTE LEUKEMIA","code_information":[{"code":"6954","type":"APR-DRG"}],"standard_charges":[{"minimum":113314,"maximum":113314,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":113314,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REMOVE EAR LESION","code_information":[{"code":"69540","type":"CPT"}],"standard_charges":[{"minimum":2609.06,"maximum":2609.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2609.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EAR LESION","code_information":[{"code":"69550","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE EAR LESION","code_information":[{"code":"69552","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MASTOID SURGERY REVISION","code_information":[{"code":"69601","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MASTOID SURGERY REVISION","code_information":[{"code":"69602","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MASTOID SURGERY REVISION","code_information":[{"code":"69603","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MASTOID SURGERY REVISION","code_information":[{"code":"69604","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER CHEMOTHERAPY","code_information":[{"code":"6961","type":"APR-DRG"}],"standard_charges":[{"minimum":14139,"maximum":14139,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14139,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR OF EARDRUM","code_information":[{"code":"69610","type":"CPT"}],"standard_charges":[{"minimum":2609.06,"maximum":2609.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2609.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER CHEMOTHERAPY","code_information":[{"code":"6962","type":"APR-DRG"}],"standard_charges":[{"minimum":16906,"maximum":16906,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16906,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR OF EARDRUM","code_information":[{"code":"69620","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER CHEMOTHERAPY","code_information":[{"code":"6963","type":"APR-DRG"}],"standard_charges":[{"minimum":25687,"maximum":25687,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25687,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REPAIR EARDRUM STRUCTURES","code_information":[{"code":"69631","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REBUILD EARDRUM STRUCTURES","code_information":[{"code":"69632","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REBUILD EARDRUM STRUCTURES","code_information":[{"code":"69633","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR EARDRUM STRUCTURES","code_information":[{"code":"69635","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REBUILD EARDRUM STRUCTURES","code_information":[{"code":"69636","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REBUILD EARDRUM STRUCTURES","code_information":[{"code":"69637","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"OTHER CHEMOTHERAPY","code_information":[{"code":"6964","type":"APR-DRG"}],"standard_charges":[{"minimum":60482,"maximum":60482,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60482,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REVISE MIDDLE EAR  MASTOID","code_information":[{"code":"69641","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE MIDDLE EAR  MASTOID","code_information":[{"code":"69642","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE MIDDLE EAR  MASTOID","code_information":[{"code":"69643","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE MIDDLE EAR  MASTOID","code_information":[{"code":"69644","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE MIDDLE EAR  MASTOID","code_information":[{"code":"69645","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE MIDDLE EAR  MASTOID","code_information":[{"code":"69646","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE MIDDLE EAR BONE","code_information":[{"code":"69650","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE MIDDLE EAR BONE","code_information":[{"code":"69660","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE MIDDLE EAR BONE","code_information":[{"code":"69661","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE MIDDLE EAR BONE","code_information":[{"code":"69662","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR MIDDLE EAR STRUCTURES","code_information":[{"code":"69666","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR MIDDLE EAR STRUCTURES","code_information":[{"code":"69667","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE MASTOID AIR CELLS","code_information":[{"code":"69670","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE MIDDLE EAR NERVE","code_information":[{"code":"69676","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"CLOSE MASTOID FISTULA","code_information":[{"code":"69700","type":"CPT"}],"standard_charges":[{"minimum":2609.06,"maximum":2609.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2609.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NPS SURG DILAT EUST TUBE UNI","code_information":[{"code":"69705","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"NPS SURG DILAT EUST TUBE BI","code_information":[{"code":"69706","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE/REPAIR HEARING AID","code_information":[{"code":"69711","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT TEMPLE BONE W/STIMUL","code_information":[{"code":"69714","type":"CPT"}],"standard_charges":[{"minimum":23750.81,"maximum":23750.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23750.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TEMPLE BNE IMPLNT W/STIMULAT","code_information":[{"code":"69715","type":"CPT"}],"standard_charges":[{"minimum":30603.99,"maximum":30603.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30603.99,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TEMPLE BONE IMPLANT REVISION","code_information":[{"code":"69717","type":"CPT"}],"standard_charges":[{"minimum":12082.88,"maximum":12082.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12082.88,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REVISE TEMPLE BONE IMPLANT","code_information":[{"code":"69718","type":"CPT"}],"standard_charges":[{"minimum":23750.81,"maximum":23750.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23750.81,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE FACIAL NERVE","code_information":[{"code":"69720","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE FACIAL NERVE","code_information":[{"code":"69725","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FACIAL NERVE","code_information":[{"code":"69740","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REPAIR FACIAL NERVE","code_information":[{"code":"69745","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MIDDLE EAR SURGERY PROCEDURE","code_information":[{"code":"69799","type":"CPT"}],"standard_charges":[{"minimum":408.1,"maximum":408.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":408.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE INNER EAR","code_information":[{"code":"69801","type":"CPT"}],"standard_charges":[{"minimum":2609.06,"maximum":2609.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2609.06,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE INNER EAR","code_information":[{"code":"69805","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"EXPLORE INNER EAR","code_information":[{"code":"69806","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE INNER EAR","code_information":[{"code":"69905","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE INNER EAR  MASTOID","code_information":[{"code":"69910","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INCISE INNER EAR NERVE","code_information":[{"code":"69915","type":"CPT"}],"standard_charges":[{"minimum":5277.53,"maximum":5277.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5277.53,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"IMPLANT COCHLEAR DEVICE","code_information":[{"code":"69930","type":"CPT"}],"standard_charges":[{"minimum":66398.57,"maximum":66398.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66398.57,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"INNER EAR SURGERY PROCEDURE","code_information":[{"code":"69949","type":"CPT"}],"standard_charges":[{"minimum":408.1,"maximum":408.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":408.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE FACIAL NERVE","code_information":[{"code":"69955","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"RELEASE INNER EAR CANAL","code_information":[{"code":"69960","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"REMOVE INNER EAR LESION","code_information":[{"code":"69970","type":"CPT"}],"standard_charges":[{"minimum":9809.2,"maximum":9809.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9809.2,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"TEMPORAL BONE SURGERY","code_information":[{"code":"69979","type":"CPT"}],"standard_charges":[{"minimum":408.1,"maximum":408.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":408.1,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}]}]},{"description":"MANDIBLE LESS 4V","code_information":[{"code":"70100","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":132.86,"maximum":174.72,"gross_charge":182,"discounted_cash":100.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":167.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.06,"methodology":"fee schedule"}]}]},{"description":"MANDIBLE LESS 4V","code_information":[{"code":"70100","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":85.54,"maximum":174.72,"gross_charge":182,"discounted_cash":100.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":128.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":167.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":85.54,"methodology":"fee schedule"}]}]},{"description":"MANDIBLE COMP MIN 4V","code_information":[{"code":"70110","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":214.62,"maximum":282.24,"gross_charge":294,"discounted_cash":162.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":279.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":282.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":270.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":252.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.02,"methodology":"fee schedule"}]}]},{"description":"MANDIBLE COMP MIN 4V","code_information":[{"code":"70110","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":137.12,"maximum":282.24,"gross_charge":294,"discounted_cash":162.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":137.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":279.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":282.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":270.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":252.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":138.18,"methodology":"fee schedule"}]}]},{"description":"FACIAL BONES LESS 3V","code_information":[{"code":"70140","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":208.78,"maximum":274.56,"gross_charge":286,"discounted_cash":158.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":274.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":234.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":263.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":245.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":237.38,"methodology":"fee schedule"}]}]},{"description":"FACIAL BONES LESS 3V","code_information":[{"code":"70140","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":96.87,"maximum":274.56,"gross_charge":286,"discounted_cash":158.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":96.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":274.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":234.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":263.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":245.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":237.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":134.42,"methodology":"fee schedule"}]}]},{"description":"FACIAL BONES COMP MIN 3V","code_information":[{"code":"70150","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":225.57,"maximum":296.64,"gross_charge":309,"discounted_cash":171.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":296.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":284.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":265.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":256.47,"methodology":"fee schedule"}]}]},{"description":"FACIAL BONES COMP MIN 3V","code_information":[{"code":"70150","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":145.23,"maximum":296.64,"gross_charge":309,"discounted_cash":171.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":150.53,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":293.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":296.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":284.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":265.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":256.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":213.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":145.23,"methodology":"fee schedule"}]}]},{"description":"NASAL BONE MIN 3V","code_information":[{"code":"70160","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":149.65,"maximum":196.8,"gross_charge":205,"discounted_cash":113.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":176.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":170.15,"methodology":"fee schedule"}]}]},{"description":"NASAL BONE MIN 3V","code_information":[{"code":"70160","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":96.35,"maximum":196.8,"gross_charge":205,"discounted_cash":113.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":128.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":176.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":170.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":141.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":96.35,"methodology":"fee schedule"}]}]},{"description":"SELLA TURCICA","code_information":[{"code":"70240","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":179.58,"maximum":236.16,"gross_charge":246,"discounted_cash":136.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":236.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":226.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":211.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":204.18,"methodology":"fee schedule"}]}]},{"description":"SELLA TURCICA","code_information":[{"code":"70240","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":104.33,"maximum":236.16,"gross_charge":246,"discounted_cash":136.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":104.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":233.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":236.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":226.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":211.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":204.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":115.62,"methodology":"fee schedule"}]}]},{"description":"SKULL LESS 4V","code_information":[{"code":"70250","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":197.83,"maximum":260.16,"gross_charge":271,"discounted_cash":150.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":260.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":249.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":233.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":197.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":224.93,"methodology":"fee schedule"}]}]},{"description":"SKULL LESS 4V","code_information":[{"code":"70250","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":116.26,"maximum":260.16,"gross_charge":271,"discounted_cash":150.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":116.26,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":260.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":249.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":233.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":197.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":224.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":186.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":127.37,"methodology":"fee schedule"}]}]},{"description":"SKULL COMP MIN 4V","code_information":[{"code":"70260","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":264.99,"maximum":348.48,"gross_charge":363,"discounted_cash":201.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":348.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":297.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":333.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":312.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":301.29,"methodology":"fee schedule"}]}]},{"description":"SKULL COMP MIN 4V","code_information":[{"code":"70260","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":135.62,"maximum":348.48,"gross_charge":363,"discounted_cash":201.14,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":135.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":344.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":348.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":297.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":333.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":312.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":301.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":250.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":170.61,"methodology":"fee schedule"}]}]},{"description":"TMJ OPEN AND CLOSED BI","code_information":[{"code":"70330","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":242.36,"maximum":318.72,"gross_charge":332,"discounted_cash":183.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":315.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":318.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":305.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":285.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":242.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":275.56,"methodology":"fee schedule"}]}]},{"description":"TMJ OPEN AND CLOSED BI","code_information":[{"code":"70330","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":156.04,"maximum":318.72,"gross_charge":332,"discounted_cash":183.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":181.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":315.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":318.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":305.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":285.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":242.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":275.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":229.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":156.04,"methodology":"fee schedule"}]}]},{"description":"TMJ JOINTS","code_information":[{"code":"70336","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2524.34,"maximum":3319.68,"gross_charge":3458,"discounted_cash":1916.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3285.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3319.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2835.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3181.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2973.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2524.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2870.14,"methodology":"fee schedule"}]}]},{"description":"TMJ JOINTS","code_information":[{"code":"70336","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1625.26,"maximum":3319.68,"gross_charge":3458,"discounted_cash":1916.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1906.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3285.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3319.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2835.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3181.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2973.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2524.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2870.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2386.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1625.26,"methodology":"fee schedule"}]}]},{"description":"NECK SOFT TISSUE","code_information":[{"code":"70360","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":135.05,"maximum":177.6,"gross_charge":185,"discounted_cash":102.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":177.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":170.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":153.55,"methodology":"fee schedule"}]}]},{"description":"NECK SOFT TISSUE","code_information":[{"code":"70360","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":86.95,"maximum":177.6,"gross_charge":185,"discounted_cash":102.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":98.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":177.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":170.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":153.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":127.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":86.95,"methodology":"fee schedule"}]}]},{"description":"HEAD WO CONT","code_information":[{"code":"70450","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1162.89,"maximum":1529.28,"gross_charge":1593,"discounted_cash":882.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1513.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1529.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1306.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1465.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1369.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1162.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1322.19,"methodology":"fee schedule"}]}]},{"description":"HEAD WO CONT","code_information":[{"code":"70450","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":601.52,"maximum":1529.28,"gross_charge":1593,"discounted_cash":882.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":601.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1513.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1529.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1306.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1465.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1369.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1162.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1322.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1099.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":748.71,"methodology":"fee schedule"}]}]},{"description":"HEAD W CONT","code_information":[{"code":"70460","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1569.5,"maximum":2064,"gross_charge":2150,"discounted_cash":1191.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2042.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2064,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1763,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1978,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1849,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1569.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1784.5,"methodology":"fee schedule"}]}]},{"description":"HEAD W CONT","code_information":[{"code":"70460","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":872.61,"maximum":2064,"gross_charge":2150,"discounted_cash":1191.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":872.61,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2042.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2064,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1763,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1978,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1849,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1569.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1784.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1483.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1010.5,"methodology":"fee schedule"}]}]},{"description":"HEAD W WO CONT","code_information":[{"code":"70470","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1743.97,"maximum":2293.44,"gross_charge":2389,"discounted_cash":1323.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2269.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2293.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1958.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2197.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2054.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1743.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1982.87,"methodology":"fee schedule"}]}]},{"description":"HEAD W WO CONT","code_information":[{"code":"70470","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1050.53,"maximum":2293.44,"gross_charge":2389,"discounted_cash":1323.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1050.53,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2269.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2293.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1958.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2197.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2054.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1743.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1982.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1648.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1122.83,"methodology":"fee schedule"}]}]},{"description":"ORBIT SELLA PF IAC WO CONT","code_information":[{"code":"70480","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1593.59,"maximum":2095.68,"gross_charge":2183,"discounted_cash":1209.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2073.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2095.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1790.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2008.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1593.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1811.89,"methodology":"fee schedule"}]}]},{"description":"ORBIT SELLA PF IAC WO CONT","code_information":[{"code":"70480","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":900.84,"maximum":2095.68,"gross_charge":2183,"discounted_cash":1209.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":900.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2073.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2095.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1790.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2008.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1877.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1593.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1811.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1506.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1026.01,"methodology":"fee schedule"}]}]},{"description":"ORBIT SELLA PF IAC W CONT","code_information":[{"code":"70481","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1512.56,"maximum":1989.12,"gross_charge":2072,"discounted_cash":1148.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1968.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1989.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1699.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1906.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1781.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1512.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1719.76,"methodology":"fee schedule"}]}]},{"description":"ORBIT SELLA PF IAC W CONT","code_information":[{"code":"70481","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":973.84,"maximum":1989.12,"gross_charge":2072,"discounted_cash":1148.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1174.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1968.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1989.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1699.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1906.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1781.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1512.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1719.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1429.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":973.84,"methodology":"fee schedule"}]}]},{"description":"ORBIT SELLA PF IAC W WO CONT","code_information":[{"code":"70482","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1699.44,"maximum":2234.88,"gross_charge":2328,"discounted_cash":1289.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2211.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2234.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1908.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2141.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1699.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1932.24,"methodology":"fee schedule"}]}]},{"description":"ORBIT SELLA PF IAC W WO CONT","code_information":[{"code":"70482","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1094.16,"maximum":2234.88,"gross_charge":2328,"discounted_cash":1289.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1409.2,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2211.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2234.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1908.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2141.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1699.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1932.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1606.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1094.16,"methodology":"fee schedule"}]}]},{"description":"MAX FACIAL SINUS WO CONT","code_information":[{"code":"70486","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1398.68,"maximum":1839.36,"gross_charge":1916,"discounted_cash":1061.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1820.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1839.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1571.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1762.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1647.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1398.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1590.28,"methodology":"fee schedule"}]}]},{"description":"MAX FACIAL SINUS WO CONT","code_information":[{"code":"70486","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":799.2,"maximum":1839.36,"gross_charge":1916,"discounted_cash":1061.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":799.2,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1820.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1839.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1571.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1762.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1647.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1398.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1590.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1322.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":900.52,"methodology":"fee schedule"}]}]},{"description":"MAX FACIAL SINUS W CONT","code_information":[{"code":"70487","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1412.55,"maximum":1857.6,"gross_charge":1935,"discounted_cash":1072.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1838.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1857.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1586.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1780.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1664.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1412.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1606.05,"methodology":"fee schedule"}]}]},{"description":"MAX FACIAL SINUS W CONT","code_information":[{"code":"70487","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":909.45,"maximum":1857.6,"gross_charge":1935,"discounted_cash":1072.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":912.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1838.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1857.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1586.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1780.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1664.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1412.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1606.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1335.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":909.45,"methodology":"fee schedule"}]}]},{"description":"MAX FACIAL SINUS W WO CONT","code_information":[{"code":"70488","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1803.83,"maximum":2372.16,"gross_charge":2471,"discounted_cash":1369.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2347.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2372.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2026.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2273.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2125.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1803.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2050.93,"methodology":"fee schedule"}]}]},{"description":"MAX FACIAL SINUS W WO CONT","code_information":[{"code":"70488","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1160.65,"maximum":2372.16,"gross_charge":2471,"discounted_cash":1369.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1160.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2347.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2372.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2026.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2273.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2125.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1803.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2050.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1704.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1161.37,"methodology":"fee schedule"}]}]},{"description":"SOFT TISSUE NECK WO CONT","code_information":[{"code":"70490","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1321.3,"maximum":1737.6,"gross_charge":1810,"discounted_cash":1002.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1737.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1484.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1665.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1556.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1321.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1502.3,"methodology":"fee schedule"}]}]},{"description":"SOFT TISSUE NECK WO CONT","code_information":[{"code":"70490","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":827.44,"maximum":1737.6,"gross_charge":1810,"discounted_cash":1002.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":827.44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1719.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1737.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1484.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1665.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1556.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1321.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1502.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1248.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":850.7,"methodology":"fee schedule"}]}]},{"description":"SOFT TISSUE NECK CT W CONT","code_information":[{"code":"70491","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1536.65,"maximum":2020.8,"gross_charge":2105,"discounted_cash":1166.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2020.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1726.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1936.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1810.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1536.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1747.15,"methodology":"fee schedule"}]}]},{"description":"SOFT TISSUE NECK CT W CONT","code_information":[{"code":"70491","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":989.35,"maximum":2020.8,"gross_charge":2105,"discounted_cash":1166.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1107.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2020.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1726.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1936.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1810.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1536.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1747.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1452.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":989.35,"methodology":"fee schedule"}]}]},{"description":"SOFT TISSUE NECK W WO CONT","code_information":[{"code":"70492","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2165.91,"maximum":2848.32,"gross_charge":2967,"discounted_cash":1644.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2848.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2432.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2729.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2551.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2165.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2462.61,"methodology":"fee schedule"}]}]},{"description":"SOFT TISSUE NECK W WO CONT","code_information":[{"code":"70492","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1355.52,"maximum":2848.32,"gross_charge":2967,"discounted_cash":1644.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1355.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2818.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2848.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2432.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2729.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2551.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2165.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2462.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2047.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1394.49,"methodology":"fee schedule"}]}]},{"description":"ANG HEAD CT","code_information":[{"code":"70496","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":2225.77,"maximum":2927.04,"gross_charge":3049,"discounted_cash":1689.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2896.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2927.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2500.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2805.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2622.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2225.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2530.67,"methodology":"fee schedule"}]}]},{"description":"ANG HEAD CT","code_information":[{"code":"70496","type":"CPT"},{"code":"0351","type":"RC"}],"standard_charges":[{"minimum":1433.03,"maximum":2927.04,"gross_charge":3049,"discounted_cash":1689.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1750.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2896.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2927.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2500.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2805.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2622.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2225.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2530.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2103.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1433.03,"methodology":"fee schedule"}]}]},{"description":"ANG NECK CT","code_information":[{"code":"70498","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2242.56,"maximum":2949.12,"gross_charge":3072,"discounted_cash":1702.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2918.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2949.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2519.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2826.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2641.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2242.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2549.76,"methodology":"fee schedule"}]}]},{"description":"ANG NECK CT","code_information":[{"code":"70498","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1443.84,"maximum":2949.12,"gross_charge":3072,"discounted_cash":1702.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1748.05,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2918.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2949.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2519.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2826.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2641.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2242.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2549.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2119.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1443.84,"methodology":"fee schedule"}]}]},{"description":"FACE NECK ORBIT WO CONT","code_information":[{"code":"70540","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2227.23,"maximum":2928.96,"gross_charge":3051,"discounted_cash":1690.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2898.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2928.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2501.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2806.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2623.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2227.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2532.33,"methodology":"fee schedule"}]}]},{"description":"FACE NECK ORBIT WO CONT","code_information":[{"code":"70540","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1433.97,"maximum":2928.96,"gross_charge":3051,"discounted_cash":1690.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1570.15,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2898.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2928.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2501.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2806.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2623.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2227.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2532.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2105.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1433.97,"methodology":"fee schedule"}]}]},{"description":"FACE NECK ORBIT W CONT","code_information":[{"code":"70542","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2433.82,"maximum":3200.64,"gross_charge":3334,"discounted_cash":1847.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3167.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3200.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2733.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3067.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2867.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2433.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2767.22,"methodology":"fee schedule"}]}]},{"description":"FACE NECK ORBIT W CONT","code_information":[{"code":"70542","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1566.98,"maximum":3200.64,"gross_charge":3334,"discounted_cash":1847.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1855.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3167.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3200.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2733.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3067.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2867.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2433.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2767.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2300.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1566.98,"methodology":"fee schedule"}]}]},{"description":"FACE NECK ORBIT W WO CONT","code_information":[{"code":"70543","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":4130.34,"maximum":5431.68,"gross_charge":5658,"discounted_cash":3135.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5375.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5431.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4639.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5205.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4865.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4130.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4696.14,"methodology":"fee schedule"}]}]},{"description":"FACE NECK ORBIT W WO CONT","code_information":[{"code":"70543","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2295.92,"maximum":5431.68,"gross_charge":5658,"discounted_cash":3135.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2295.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5375.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5431.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4639.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5205.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4865.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4130.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4696.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3904.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2659.26,"methodology":"fee schedule"}]}]},{"description":"ANG HEAD WO CONT","code_information":[{"code":"70544","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":2380.53,"maximum":3130.56,"gross_charge":3261,"discounted_cash":1806.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3097.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3130.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2674.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3000.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2804.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2380.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2706.63,"methodology":"fee schedule"}]}]},{"description":"ANG HEAD WO CONT","code_information":[{"code":"70544","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":1496.72,"maximum":3130.56,"gross_charge":3261,"discounted_cash":1806.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1496.72,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3097.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3130.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2674.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3000.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2804.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2380.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2706.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2250.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1532.67,"methodology":"fee schedule"}]}]},{"description":"ANG HEAD W CONT","code_information":[{"code":"70545","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":2338.19,"maximum":3074.88,"gross_charge":3203,"discounted_cash":1774.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3042.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3074.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2626.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2946.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2754.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2338.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2658.49,"methodology":"fee schedule"}]}]},{"description":"ANG HEAD W CONT","code_information":[{"code":"70545","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":1505.41,"maximum":3074.88,"gross_charge":3203,"discounted_cash":1774.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1601.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3042.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3074.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2626.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2946.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2754.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2338.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2658.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2210.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1505.41,"methodology":"fee schedule"}]}]},{"description":"ANG HEAD W WO CONT","code_information":[{"code":"70546","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":3599.63,"maximum":4733.76,"gross_charge":4931,"discounted_cash":2732.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4684.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4733.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4043.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4536.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4240.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3599.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4092.73,"methodology":"fee schedule"}]}]},{"description":"ANG HEAD W WO CONT","code_information":[{"code":"70546","type":"CPT"},{"code":"0615","type":"RC"}],"standard_charges":[{"minimum":2317.57,"maximum":4733.76,"gross_charge":4931,"discounted_cash":2732.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2428.66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4684.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4733.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4043.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4536.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4240.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3599.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4092.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3402.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2317.57,"methodology":"fee schedule"}]}]},{"description":"ANG NECK WO CONT","code_information":[{"code":"70547","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2383.45,"maximum":3134.4,"gross_charge":3265,"discounted_cash":1809.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3101.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2677.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3003.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2807.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2383.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2709.95,"methodology":"fee schedule"}]}]},{"description":"ANG NECK WO CONT","code_information":[{"code":"70547","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1502.37,"maximum":3134.4,"gross_charge":3265,"discounted_cash":1809.14,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1502.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3101.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2677.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3003.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2807.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2383.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2709.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2252.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1534.55,"methodology":"fee schedule"}]}]},{"description":"ANG NECK W CONT","code_information":[{"code":"70548","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2540.4,"maximum":3340.8,"gross_charge":3480,"discounted_cash":1928.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3306,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3340.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2853.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3201.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2992.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2540.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2888.4,"methodology":"fee schedule"}]}]},{"description":"ANG NECK W CONT","code_information":[{"code":"70548","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1635.6,"maximum":3340.8,"gross_charge":3480,"discounted_cash":1928.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1637.91,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3306,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3340.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2853.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3201.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2992.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2540.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2888.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2401.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1635.6,"methodology":"fee schedule"}]}]},{"description":"ANG NECK W WO CONT","code_information":[{"code":"70549","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":4123.04,"maximum":5422.08,"gross_charge":5648,"discounted_cash":3129.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5365.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5422.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4631.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5196.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4857.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4123.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4687.84,"methodology":"fee schedule"}]}]},{"description":"ANG NECK W WO CONT","code_information":[{"code":"70549","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2445.6,"maximum":5422.08,"gross_charge":5648,"discounted_cash":3129.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2445.6,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5365.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5422.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4631.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5196.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4857.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4123.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4687.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3897.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2654.56,"methodology":"fee schedule"}]}]},{"description":"BRAIN WO CONT","code_information":[{"code":"70551","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":2146.2,"maximum":2822.4,"gross_charge":2940,"discounted_cash":1629.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2793,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2822.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2410.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2704.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2528.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2146.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2440.2,"methodology":"fee schedule"}]}]},{"description":"BRAIN WO CONT","code_information":[{"code":"70551","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":1200.19,"maximum":2822.4,"gross_charge":2940,"discounted_cash":1629.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1200.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2793,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2822.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2410.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2704.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2528.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2146.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2440.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2028.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1381.8,"methodology":"fee schedule"}]}]},{"description":"BRAIN W CONT","code_information":[{"code":"70552","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":2674.72,"maximum":3517.44,"gross_charge":3664,"discounted_cash":2030.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3480.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3517.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3004.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3370.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3151.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2674.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3041.12,"methodology":"fee schedule"}]}]},{"description":"BRAIN W CONT","code_information":[{"code":"70552","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":1722.08,"maximum":3517.44,"gross_charge":3664,"discounted_cash":2030.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1776.3,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3480.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3517.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3004.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3370.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3151.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2674.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3041.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2528.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1722.08,"methodology":"fee schedule"}]}]},{"description":"BRAIN W WO CONT","code_information":[{"code":"70553","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":3109.8,"maximum":4089.6,"gross_charge":4260,"discounted_cash":2360.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4047,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4089.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3493.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3919.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3663.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3109.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3535.8,"methodology":"fee schedule"}]}]},{"description":"BRAIN W WO CONT","code_information":[{"code":"70553","type":"CPT"},{"code":"0611","type":"RC"}],"standard_charges":[{"minimum":2002.2,"maximum":4089.6,"gross_charge":4260,"discounted_cash":2360.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2022,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4047,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4089.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3493.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3919.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3663.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3109.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3535.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2939.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2002.2,"methodology":"fee schedule"}]}]},{"description":"INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE","code_information":[{"code":"7101","type":"APR-DRG"}],"standard_charges":[{"minimum":14667,"maximum":14667,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14667,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE","code_information":[{"code":"7102","type":"APR-DRG"}],"standard_charges":[{"minimum":28203,"maximum":28203,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28203,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE","code_information":[{"code":"7103","type":"APR-DRG"}],"standard_charges":[{"minimum":47192,"maximum":47192,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47192,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE","code_information":[{"code":"7104","type":"APR-DRG"}],"standard_charges":[{"minimum":92021,"maximum":92021,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":92021,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHEST 1V FRONTAL","code_information":[{"code":"71045","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":114.61,"maximum":150.72,"gross_charge":157,"discounted_cash":87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":150.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":144.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":130.31,"methodology":"fee schedule"}]}]},{"description":"CHEST 1V FRONTAL","code_information":[{"code":"71045","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":73.04,"maximum":150.72,"gross_charge":157,"discounted_cash":87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":149.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":150.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":144.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":130.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":73.79,"methodology":"fee schedule"}]}]},{"description":"CHEST 2V","code_information":[{"code":"71046","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":148.92,"maximum":195.84,"gross_charge":204,"discounted_cash":113.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":169.32,"methodology":"fee schedule"}]}]},{"description":"CHEST 2V","code_information":[{"code":"71046","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":95.88,"maximum":195.84,"gross_charge":204,"discounted_cash":113.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":99.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":169.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":95.88,"methodology":"fee schedule"}]}]},{"description":"CHEST 2V W APICAL LORDOTIC","code_information":[{"code":"71047","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":184.69,"maximum":242.88,"gross_charge":253,"discounted_cash":140.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":240.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":242.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":232.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":217.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":209.99,"methodology":"fee schedule"}]}]},{"description":"CHEST 2V W APICAL LORDOTIC","code_information":[{"code":"71047","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":118.91,"maximum":242.88,"gross_charge":253,"discounted_cash":140.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":126.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":240.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":242.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":232.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":217.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":209.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":174.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":118.91,"methodology":"fee schedule"}]}]},{"description":"CHEST 2V W OBLIQUES","code_information":[{"code":"71048","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":245.28,"maximum":322.56,"gross_charge":336,"discounted_cash":186.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.88,"methodology":"fee schedule"}]}]},{"description":"CHEST 2V W OBLIQUES","code_information":[{"code":"71048","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":131.15,"maximum":322.56,"gross_charge":336,"discounted_cash":186.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":131.15,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":157.92,"methodology":"fee schedule"}]}]},{"description":"CHEST MIN 4V","code_information":[{"code":"71048","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":245.28,"maximum":322.56,"gross_charge":336,"discounted_cash":186.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.88,"methodology":"fee schedule"}]}]},{"description":"CHEST MIN 4V","code_information":[{"code":"71048","type":"CPT"},{"code":"0324","type":"RC"}],"standard_charges":[{"minimum":131.15,"maximum":322.56,"gross_charge":336,"discounted_cash":186.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":131.15,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":157.92,"methodology":"fee schedule"}]}]},{"description":"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE","code_information":[{"code":"7111","type":"APR-DRG"}],"standard_charges":[{"minimum":16626,"maximum":16626,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16626,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RIBS 3V WO CHEST BI","code_information":[{"code":"71110","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":189.8,"maximum":249.6,"gross_charge":260,"discounted_cash":144.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":223.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":215.8,"methodology":"fee schedule"}]}]},{"description":"RIBS 3V WO CHEST BI","code_information":[{"code":"71110","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":122.2,"maximum":249.6,"gross_charge":260,"discounted_cash":144.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":129.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":223.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":215.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":122.2,"methodology":"fee schedule"}]}]},{"description":"RIBS 3V W CHEST BI","code_information":[{"code":"71111","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":232.14,"maximum":305.28,"gross_charge":318,"discounted_cash":176.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":302.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":305.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":292.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":273.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":263.94,"methodology":"fee schedule"}]}]},{"description":"RIBS 3V W CHEST BI","code_information":[{"code":"71111","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":149.46,"maximum":305.28,"gross_charge":318,"discounted_cash":176.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":160.97,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":302.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":305.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":292.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":273.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":263.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":219.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":149.46,"methodology":"fee schedule"}]}]},{"description":"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE","code_information":[{"code":"7112","type":"APR-DRG"}],"standard_charges":[{"minimum":29862,"maximum":29862,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29862,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"STERNUM MIN 2V","code_information":[{"code":"71120","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":189.07,"maximum":248.64,"gross_charge":259,"discounted_cash":143.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":246.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":248.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":238.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":222.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":214.97,"methodology":"fee schedule"}]}]},{"description":"STERNUM MIN 2V","code_information":[{"code":"71120","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":104.33,"maximum":248.64,"gross_charge":259,"discounted_cash":143.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":104.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":246.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":248.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":238.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":222.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":214.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":121.73,"methodology":"fee schedule"}]}]},{"description":"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE","code_information":[{"code":"7113","type":"APR-DRG"}],"standard_charges":[{"minimum":42964,"maximum":42964,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42964,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"STENOCLAVICULAR JOINT","code_information":[{"code":"71130","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":214.62,"maximum":282.24,"gross_charge":294,"discounted_cash":162.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":279.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":282.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":270.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":252.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.02,"methodology":"fee schedule"}]}]},{"description":"STENOCLAVICULAR JOINT","code_information":[{"code":"71130","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":134.14,"maximum":282.24,"gross_charge":294,"discounted_cash":162.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":134.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":279.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":282.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":270.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":252.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":138.18,"methodology":"fee schedule"}]}]},{"description":"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE","code_information":[{"code":"7114","type":"APR-DRG"}],"standard_charges":[{"minimum":78305,"maximum":78305,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78305,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHEST WO CONT","code_information":[{"code":"71250","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1327.14,"maximum":1745.28,"gross_charge":1818,"discounted_cash":1007.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1727.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1490.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1672.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1563.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1327.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1508.94,"methodology":"fee schedule"}]}]},{"description":"CHEST WO CONT","code_information":[{"code":"71250","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":751.19,"maximum":1745.28,"gross_charge":1818,"discounted_cash":1007.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":751.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1727.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1490.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1672.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1563.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1327.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1508.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1254.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":854.46,"methodology":"fee schedule"}]}]},{"description":"CHEST CT W CONT","code_information":[{"code":"71260","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1778.28,"maximum":2338.56,"gross_charge":2436,"discounted_cash":1349.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2338.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1997.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2241.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2094.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1778.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2021.88,"methodology":"fee schedule"}]}]},{"description":"CHEST CT W CONT","code_information":[{"code":"71260","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1030.75,"maximum":2338.56,"gross_charge":2436,"discounted_cash":1349.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2314.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2338.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1997.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2241.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2094.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1778.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2021.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1680.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1144.92,"methodology":"fee schedule"}]}]},{"description":"CHEST W WO CONT","code_information":[{"code":"71270","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2163.72,"maximum":2845.44,"gross_charge":2964,"discounted_cash":1642.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2815.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2845.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2430.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2726.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2549.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2163.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2460.12,"methodology":"fee schedule"}]}]},{"description":"CHEST W WO CONT","code_information":[{"code":"71270","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1276.45,"maximum":2845.44,"gross_charge":2964,"discounted_cash":1642.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1276.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2815.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2845.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2430.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2726.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2549.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2163.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2460.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2045.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1393.08,"methodology":"fee schedule"}]}]},{"description":"LUNG SCREEN PROTOCOL","code_information":[{"code":"71271","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":703.72,"maximum":925.44,"gross_charge":964,"discounted_cash":534.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":925.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":790.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":886.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":829.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":703.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":800.12,"methodology":"fee schedule"}]}]},{"description":"LUNG SCREEN PROTOCOL","code_information":[{"code":"71271","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":453.08,"maximum":925.44,"gross_charge":964,"discounted_cash":534.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":790.71,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":915.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":925.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":790.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":886.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":829.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":703.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":800.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":665.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":453.08,"methodology":"fee schedule"}]}]},{"description":"ANG CHEST","code_information":[{"code":"71275","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2427.25,"maximum":3192,"gross_charge":3325,"discounted_cash":1842.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3158.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2726.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3059,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2859.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2427.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2759.75,"methodology":"fee schedule"}]}]},{"description":"ANG CHEST","code_information":[{"code":"71275","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1562.75,"maximum":3192,"gross_charge":3325,"discounted_cash":1842.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1773.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3158.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3192,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2726.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3059,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2859.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2427.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2759.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2294.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1562.75,"methodology":"fee schedule"}]}]},{"description":"CHEST WO CONT","code_information":[{"code":"71550","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2373.96,"maximum":3121.92,"gross_charge":3252,"discounted_cash":1801.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3089.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3121.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2666.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2991.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2796.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2373.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2699.16,"methodology":"fee schedule"}]}]},{"description":"CHEST WO CONT","code_information":[{"code":"71550","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1528.44,"maximum":3121.92,"gross_charge":3252,"discounted_cash":1801.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2620.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3089.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3121.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2666.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2991.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2796.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2373.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2699.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2243.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1528.44,"methodology":"fee schedule"}]}]},{"description":"CHEST W CONT","code_information":[{"code":"71551","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2603.18,"maximum":3423.36,"gross_charge":3566,"discounted_cash":1975.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3387.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3423.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2924.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3280.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3066.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2603.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2959.78,"methodology":"fee schedule"}]}]},{"description":"CHEST W CONT","code_information":[{"code":"71551","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1676.02,"maximum":3423.36,"gross_charge":3566,"discounted_cash":1975.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2840.96,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3387.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3423.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2924.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3280.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3066.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2603.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2959.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2460.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1676.02,"methodology":"fee schedule"}]}]},{"description":"CHEST W WO CONT","code_information":[{"code":"71552","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":3301.06,"maximum":4341.12,"gross_charge":4522,"discounted_cash":2505.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4295.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4341.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3708.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4160.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3888.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3301.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3753.26,"methodology":"fee schedule"}]}]},{"description":"CHEST W WO CONT","code_information":[{"code":"71552","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2125.34,"maximum":4341.12,"gross_charge":4522,"discounted_cash":2505.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3578.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4295.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4341.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3708.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4160.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3888.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3301.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3753.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3120.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2125.34,"methodology":"fee schedule"}]}]},{"description":"ANG CHEST W WO CONT","code_information":[{"code":"71555","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2232.34,"maximum":2935.68,"gross_charge":3058,"discounted_cash":1694.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2905.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2935.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2507.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2813.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2629.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2232.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2538.14,"methodology":"fee schedule"}]}]},{"description":"ANG CHEST W WO CONT","code_information":[{"code":"71555","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1437.26,"maximum":2935.68,"gross_charge":3058,"discounted_cash":1694.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2394.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2905.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2935.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2507.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2813.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2629.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2232.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2538.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2110.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1437.26,"methodology":"fee schedule"}]}]},{"description":"SEPTICEMIA AND DISSEMINATED INFECTIONS","code_information":[{"code":"7201","type":"APR-DRG"}],"standard_charges":[{"minimum":10922,"maximum":10922,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10922,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SEPTICEMIA AND DISSEMINATED INFECTIONS","code_information":[{"code":"7202","type":"APR-DRG"}],"standard_charges":[{"minimum":14933,"maximum":14933,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14933,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CERVICAL SPINE 1V","code_information":[{"code":"72020","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":131.4,"maximum":172.8,"gross_charge":180,"discounted_cash":99.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.4,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE 1V","code_information":[{"code":"72020","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":73.04,"maximum":172.8,"gross_charge":180,"discounted_cash":99.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":84.6,"methodology":"fee schedule"}]}]},{"description":"SEPTICEMIA AND DISSEMINATED INFECTIONS","code_information":[{"code":"7203","type":"APR-DRG"}],"standard_charges":[{"minimum":22637,"maximum":22637,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22637,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SEPTICEMIA AND DISSEMINATED INFECTIONS","code_information":[{"code":"7204","type":"APR-DRG"}],"standard_charges":[{"minimum":53655,"maximum":53655,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53655,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CERVICAL SPINE 2V OR 3V","code_information":[{"code":"72040","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":182.5,"maximum":240,"gross_charge":250,"discounted_cash":138.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":230,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":215,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":207.5,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE 2V OR 3V","code_information":[{"code":"72040","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":117.5,"maximum":240,"gross_charge":250,"discounted_cash":138.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":123.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":230,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":215,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":207.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":172.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":117.5,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE COMP W OBLIQUES","code_information":[{"code":"72050","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":249.66,"maximum":328.32,"gross_charge":342,"discounted_cash":189.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":324.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":328.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":280.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":314.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":294.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":249.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":283.86,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE COMP W OBLIQUES","code_information":[{"code":"72050","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":160.74,"maximum":328.32,"gross_charge":342,"discounted_cash":189.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":171.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":324.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":328.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":280.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":314.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":294.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":249.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":283.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":235.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":160.74,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE W FLEX AND EXT","code_information":[{"code":"72052","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":298.57,"maximum":392.64,"gross_charge":409,"discounted_cash":226.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":392.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":335.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":376.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":351.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":339.47,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE W FLEX AND EXT","code_information":[{"code":"72052","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":192.23,"maximum":392.64,"gross_charge":409,"discounted_cash":226.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":207.18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":392.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":335.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":376.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":351.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":339.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":282.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":192.23,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE 2V","code_information":[{"code":"72070","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":164.25,"maximum":216,"gross_charge":225,"discounted_cash":124.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":207,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":186.75,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE 2V","code_information":[{"code":"72070","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":98.36,"maximum":216,"gross_charge":225,"discounted_cash":124.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":98.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":207,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":186.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":105.75,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE 3V","code_information":[{"code":"72072","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":182.5,"maximum":240,"gross_charge":250,"discounted_cash":138.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":230,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":215,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":207.5,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE 3V","code_information":[{"code":"72072","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":117.5,"maximum":240,"gross_charge":250,"discounted_cash":138.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":122.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":230,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":215,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":207.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":172.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":117.5,"methodology":"fee schedule"}]}]},{"description":"THORACOLUMBAR 2V","code_information":[{"code":"72080","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":191.99,"maximum":252.48,"gross_charge":263,"discounted_cash":145.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":252.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":241.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":226.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":218.29,"methodology":"fee schedule"}]}]},{"description":"THORACOLUMBAR 2V","code_information":[{"code":"72080","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":105.81,"maximum":252.48,"gross_charge":263,"discounted_cash":145.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":105.81,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":252.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":241.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":226.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":218.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":123.61,"methodology":"fee schedule"}]}]},{"description":"SPINE SCOLIOSIS STAND - 1 V","code_information":[{"code":"72081","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":81.03,"maximum":106.56,"gross_charge":111,"discounted_cash":61.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"}]}]},{"description":"SPINE SCOLIOSIS STAND - 1 V","code_information":[{"code":"72081","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":52.17,"maximum":111,"gross_charge":111,"discounted_cash":61.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":111,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":52.17,"methodology":"fee schedule"}]}]},{"description":"SPINE SCOLIOSIS STAND 2-3 V","code_information":[{"code":"72082","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":133.59,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"}]}]},{"description":"SPINE SCOLIOSIS STAND 2-3 V","code_information":[{"code":"72082","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":86.01,"maximum":183,"gross_charge":183,"discounted_cash":101.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":183,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":86.01,"methodology":"fee schedule"}]}]},{"description":"SPINE SCOLIOSIS STAND 4-5 V","code_information":[{"code":"72083","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":253.31,"maximum":333.12,"gross_charge":347,"discounted_cash":192.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":333.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":319.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":298.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":288.01,"methodology":"fee schedule"}]}]},{"description":"SPINE SCOLIOSIS STAND 4-5 V","code_information":[{"code":"72083","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":163.09,"maximum":333.12,"gross_charge":347,"discounted_cash":192.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":268.27,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":333.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":319.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":298.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":288.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":239.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":163.09,"methodology":"fee schedule"}]}]},{"description":"SPINE SCOLIOSIS STAND MIN 6","code_information":[{"code":"72084","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":261.34,"maximum":343.68,"gross_charge":358,"discounted_cash":198.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":343.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":329.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":261.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":297.14,"methodology":"fee schedule"}]}]},{"description":"SPINE SCOLIOSIS STAND MIN 6","code_information":[{"code":"72084","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":168.26,"maximum":343.68,"gross_charge":358,"discounted_cash":198.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":336.83,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":340.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":343.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":293.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":329.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":261.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":297.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":247.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":168.26,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE 2 OR 3V","code_information":[{"code":"72100","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":182.5,"maximum":240,"gross_charge":250,"discounted_cash":138.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":230,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":215,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":207.5,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE 2 OR 3V","code_information":[{"code":"72100","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":117.5,"maximum":240,"gross_charge":250,"discounted_cash":138.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":125.2,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":237.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":240,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":230,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":215,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":207.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":172.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":117.5,"methodology":"fee schedule"}]}]},{"description":"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS","code_information":[{"code":"7211","type":"APR-DRG"}],"standard_charges":[{"minimum":12426,"maximum":12426,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12426,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LUMBAR SPINE MIN 4V","code_information":[{"code":"72110","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":253.31,"maximum":333.12,"gross_charge":347,"discounted_cash":192.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":333.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":319.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":298.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":288.01,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE MIN 4V","code_information":[{"code":"72110","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":163.09,"maximum":333.12,"gross_charge":347,"discounted_cash":192.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":165.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":329.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":333.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":284.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":319.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":298.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":253.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":288.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":239.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":163.09,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE COMP W OBL BEND","code_information":[{"code":"72114","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":473.04,"maximum":622.08,"gross_charge":648,"discounted_cash":359.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":622.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":531.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":596.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":557.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":473.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":537.84,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE COMP W OBL BEND","code_information":[{"code":"72114","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":205.66,"maximum":622.08,"gross_charge":648,"discounted_cash":359.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":205.66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":615.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":622.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":531.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":596.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":557.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":473.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":537.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":447.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":304.56,"methodology":"fee schedule"}]}]},{"description":"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS","code_information":[{"code":"7212","type":"APR-DRG"}],"standard_charges":[{"minimum":16184,"maximum":16184,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16184,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"LUMBAR SPINE BEND ONLY","code_information":[{"code":"72120","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":232.87,"maximum":306.24,"gross_charge":319,"discounted_cash":176.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":306.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":261.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":293.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":274.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":264.77,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE BEND ONLY","code_information":[{"code":"72120","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":129.68,"maximum":306.24,"gross_charge":319,"discounted_cash":176.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":129.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":303.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":306.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":261.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":293.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":274.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":264.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":220.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":149.93,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE WO CONT","code_information":[{"code":"72125","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1730.1,"maximum":2275.2,"gross_charge":2370,"discounted_cash":1313.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2251.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2275.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1943.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2180.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2038.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1730.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1967.1,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE WO CONT","code_information":[{"code":"72125","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":759.67,"maximum":2275.2,"gross_charge":2370,"discounted_cash":1313.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":759.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2251.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2275.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1943.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2180.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2038.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1730.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1967.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1635.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1113.9,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE W CONT","code_information":[{"code":"72126","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2196.57,"maximum":2888.64,"gross_charge":3009,"discounted_cash":1667.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2858.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2888.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2467.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2768.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2587.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2196.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2497.47,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE W CONT","code_information":[{"code":"72126","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1025.11,"maximum":2888.64,"gross_charge":3009,"discounted_cash":1667.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1025.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2858.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2888.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2467.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2768.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2587.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2196.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2497.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2076.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1414.23,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE W WO CONT","code_information":[{"code":"72127","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2006.77,"maximum":2639.04,"gross_charge":2749,"discounted_cash":1523.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2611.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2639.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2254.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2529.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2364.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2006.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2281.67,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE W WO CONT","code_information":[{"code":"72127","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1270.82,"maximum":2639.04,"gross_charge":2749,"discounted_cash":1523.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1270.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2611.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2639.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2254.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2529.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2364.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2006.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2281.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1896.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1292.03,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE WO CONT","code_information":[{"code":"72128","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1333.71,"maximum":1753.92,"gross_charge":1827,"discounted_cash":1012.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1735.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1753.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1498.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1680.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1333.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1516.41,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE WO CONT","code_information":[{"code":"72128","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":756.83,"maximum":1753.92,"gross_charge":1827,"discounted_cash":1012.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":756.83,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1735.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1753.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1498.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1680.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1571.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1333.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1516.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1260.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":858.69,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE W CONT","code_information":[{"code":"72129","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1576.07,"maximum":2072.64,"gross_charge":2159,"discounted_cash":1196.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2051.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2072.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1770.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1986.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1856.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1576.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1791.97,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE W CONT","code_information":[{"code":"72129","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1014.73,"maximum":2072.64,"gross_charge":2159,"discounted_cash":1196.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1033.6,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2051.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2072.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1770.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1986.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1856.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1576.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1791.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1489.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1014.73,"methodology":"fee schedule"}]}]},{"description":"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS","code_information":[{"code":"7213","type":"APR-DRG"}],"standard_charges":[{"minimum":23828,"maximum":23828,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23828,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"THORACIC SPINE W WO CONT","code_information":[{"code":"72130","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1970.27,"maximum":2591.04,"gross_charge":2699,"discounted_cash":1495.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2564.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2591.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2213.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2483.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2321.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1970.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2240.17,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE W WO CONT","code_information":[{"code":"72130","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1268.53,"maximum":2591.04,"gross_charge":2699,"discounted_cash":1495.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1279.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2564.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2591.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2213.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2483.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2321.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1970.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2240.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1862.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1268.53,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE WO CONT","code_information":[{"code":"72131","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1714.77,"maximum":2255.04,"gross_charge":2349,"discounted_cash":1301.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2231.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2255.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1926.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2161.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2020.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1714.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1949.67,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE WO CONT","code_information":[{"code":"72131","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":754.03,"maximum":2255.04,"gross_charge":2349,"discounted_cash":1301.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":754.03,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2231.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2255.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1926.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2161.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2020.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1714.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1949.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1620.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1104.03,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE W CONT","code_information":[{"code":"72132","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2212.63,"maximum":2909.76,"gross_charge":3031,"discounted_cash":1679.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2879.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2909.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2485.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2788.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2606.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2212.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2515.73,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE W CONT","code_information":[{"code":"72132","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1025.11,"maximum":2909.76,"gross_charge":3031,"discounted_cash":1679.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1025.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2879.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2909.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2485.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2788.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2606.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2212.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2515.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2091.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1424.57,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE W WO CONT","code_information":[{"code":"72133","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2709.76,"maximum":3563.52,"gross_charge":3712,"discounted_cash":2056.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3526.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3563.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3043.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3415.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3192.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2709.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3080.96,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE W WO CONT","code_information":[{"code":"72133","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1270.82,"maximum":3563.52,"gross_charge":3712,"discounted_cash":2056.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1270.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3526.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3563.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3043.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3415.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3192.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2709.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3080.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2561.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1744.64,"methodology":"fee schedule"}]}]},{"description":"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS","code_information":[{"code":"7214","type":"APR-DRG"}],"standard_charges":[{"minimum":41008,"maximum":41008,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":41008,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CERVICAL SPINE COMP WO CONT","code_information":[{"code":"72141","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":2016.26,"maximum":2651.52,"gross_charge":2762,"discounted_cash":1530.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2623.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2651.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2264.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2541.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2375.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2016.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2292.46,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE COMP WO CONT","code_information":[{"code":"72141","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":1157.83,"maximum":2651.52,"gross_charge":2762,"discounted_cash":1530.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.83,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2623.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2651.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2264.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2541.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2375.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2016.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2292.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1905.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1298.14,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE COMP W CONT","code_information":[{"code":"72142","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":2076.85,"maximum":2731.2,"gross_charge":2845,"discounted_cash":1576.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2702.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2731.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2332.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2617.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2446.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2076.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2361.35,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE COMP W CONT","code_information":[{"code":"72142","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":1337.15,"maximum":2731.2,"gross_charge":2845,"discounted_cash":1576.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1832.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2702.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2731.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2332.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2617.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2446.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2076.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2361.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1963.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1337.15,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE COMP WO CONT","code_information":[{"code":"72146","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":2378.34,"maximum":3127.68,"gross_charge":3258,"discounted_cash":1805.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3095.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3127.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2671.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2997.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2801.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2378.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2704.14,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE COMP WO CONT","code_information":[{"code":"72146","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":1157.83,"maximum":3127.68,"gross_charge":3258,"discounted_cash":1805.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.83,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3095.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3127.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2671.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2997.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2801.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2378.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2704.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2248.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1531.26,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE LTD WO CONT","code_information":[{"code":"72146","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2378.34,"maximum":3127.68,"gross_charge":3258,"discounted_cash":1805.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3095.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3127.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2671.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2997.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2801.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2378.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2704.14,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE LTD WO CONT","code_information":[{"code":"72146","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1157.83,"maximum":3127.68,"gross_charge":3258,"discounted_cash":1805.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.83,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3095.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3127.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2671.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2997.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2801.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2378.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2704.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2248.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1531.26,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE COMP W CONT","code_information":[{"code":"72147","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":2571.06,"maximum":3381.12,"gross_charge":3522,"discounted_cash":1951.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3345.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3381.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2888.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3240.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3028.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2571.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2923.26,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE COMP W CONT","code_information":[{"code":"72147","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":1655.34,"maximum":3381.12,"gross_charge":3522,"discounted_cash":1951.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1815.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3345.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3381.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2888.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3240.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3028.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2571.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2923.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2430.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1655.34,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE COMP WO CONT","code_information":[{"code":"72148","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":2001.66,"maximum":2632.32,"gross_charge":2742,"discounted_cash":1519.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2604.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2632.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2248.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2522.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2358.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2001.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2275.86,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE COMP WO CONT","code_information":[{"code":"72148","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":1160.65,"maximum":2632.32,"gross_charge":2742,"discounted_cash":1519.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1160.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2604.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2632.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2248.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2522.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2358.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2001.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2275.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1891.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1288.74,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE LTD","code_information":[{"code":"72148","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":2061.52,"maximum":2711.04,"gross_charge":2824,"discounted_cash":1564.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2682.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2711.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2315.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2598.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2428.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2061.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2343.92,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE LTD","code_information":[{"code":"72148","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":1160.65,"maximum":2711.04,"gross_charge":2824,"discounted_cash":1564.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1160.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2682.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2711.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2315.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2598.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2428.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2061.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2343.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1948.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1327.28,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE COMP W CONT","code_information":[{"code":"72149","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":2181.97,"maximum":2869.44,"gross_charge":2989,"discounted_cash":1656.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2869.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2450.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2749.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2570.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2181.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2480.87,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE COMP W CONT","code_information":[{"code":"72149","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":1404.83,"maximum":2869.44,"gross_charge":2989,"discounted_cash":1656.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1793.26,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2839.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2869.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2450.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2749.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2570.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2181.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2480.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2062.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1404.83,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE COMP W WO CONT","code_information":[{"code":"72156","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":3406.91,"maximum":4480.32,"gross_charge":4667,"discounted_cash":2585.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4433.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4480.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3826.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4293.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4013.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3406.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3873.61,"methodology":"fee schedule"}]}]},{"description":"CERVICAL SPINE COMP W WO CONT","code_information":[{"code":"72156","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":2050.22,"maximum":4480.32,"gross_charge":4667,"discounted_cash":2585.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2050.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4433.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4480.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3826.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4293.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4013.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3406.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3873.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3220.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2193.49,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE COMP W WO CONT","code_information":[{"code":"72157","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":4753.76,"maximum":6251.52,"gross_charge":6512,"discounted_cash":3608.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6186.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6251.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5339.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5991.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5600.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4753.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5404.96,"methodology":"fee schedule"}]}]},{"description":"THORACIC SPINE COMP W WO CONT","code_information":[{"code":"72157","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":2055.88,"maximum":6251.52,"gross_charge":6512,"discounted_cash":3608.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2055.88,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6186.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6251.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5339.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5991.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5600.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4753.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5404.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4493.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3060.64,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE COMP W WO CONT","code_information":[{"code":"72158","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":3682.85,"maximum":4843.2,"gross_charge":5045,"discounted_cash":2795.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4792.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4843.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4136.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4641.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4338.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3682.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4187.35,"methodology":"fee schedule"}]}]},{"description":"LUMBAR SPINE COMP W WO CONT","code_information":[{"code":"72158","type":"CPT"},{"code":"0612","type":"RC"}],"standard_charges":[{"minimum":2044.57,"maximum":4843.2,"gross_charge":5045,"discounted_cash":2795.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2044.57,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4792.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4843.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4136.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4641.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4338.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3682.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4187.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3481.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2371.15,"methodology":"fee schedule"}]}]},{"description":"PELVIS 1V OR 2V","code_information":[{"code":"72170","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":174.47,"maximum":229.44,"gross_charge":239,"discounted_cash":132.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":229.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":195.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":219.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":205.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":174.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":198.37,"methodology":"fee schedule"}]}]},{"description":"PELVIS 1V OR 2V","code_information":[{"code":"72170","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":83.45,"maximum":229.44,"gross_charge":239,"discounted_cash":132.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":83.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":227.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":229.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":195.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":219.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":205.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":174.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":198.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":164.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":112.33,"methodology":"fee schedule"}]}]},{"description":"PELVIS MIN 3V","code_information":[{"code":"72190","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":207.32,"maximum":272.64,"gross_charge":284,"discounted_cash":157.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":272.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":261.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":244.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":235.72,"methodology":"fee schedule"}]}]},{"description":"PELVIS MIN 3V","code_information":[{"code":"72190","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":128.16,"maximum":272.64,"gross_charge":284,"discounted_cash":157.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":128.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":269.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":272.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":232.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":261.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":244.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":207.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":235.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":195.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":133.48,"methodology":"fee schedule"}]}]},{"description":"ANG PELVIS","code_information":[{"code":"72191","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1866.61,"maximum":2454.72,"gross_charge":2557,"discounted_cash":1416.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2429.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2454.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2096.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2352.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2199.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1866.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2122.31,"methodology":"fee schedule"}]}]},{"description":"ANG PELVIS","code_information":[{"code":"72191","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1201.79,"maximum":2454.72,"gross_charge":2557,"discounted_cash":1416.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1999.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2429.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2454.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2096.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2352.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2199.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1866.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2122.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1764.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1201.79,"methodology":"fee schedule"}]}]},{"description":"PELVIS WO CONT","code_information":[{"code":"72192","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1872.45,"maximum":2462.4,"gross_charge":2565,"discounted_cash":1421.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2436.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2462.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2103.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2359.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2128.95,"methodology":"fee schedule"}]}]},{"description":"PELVIS WO CONT","code_information":[{"code":"72192","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":751.19,"maximum":2462.4,"gross_charge":2565,"discounted_cash":1421.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":751.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2436.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2462.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2103.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2359.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2205.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1872.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2128.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1769.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1205.55,"methodology":"fee schedule"}]}]},{"description":"PELVIS W CONT","code_information":[{"code":"72193","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2338.92,"maximum":3075.84,"gross_charge":3204,"discounted_cash":1775.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3043.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3075.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2627.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2947.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2755.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2338.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2659.32,"methodology":"fee schedule"}]}]},{"description":"PELVIS W CONT","code_information":[{"code":"72193","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1505.88,"maximum":3075.84,"gross_charge":3204,"discounted_cash":1775.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1592.72,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3043.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3075.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2627.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2947.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2755.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2338.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2659.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2210.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1505.88,"methodology":"fee schedule"}]}]},{"description":"PELVIS W WO CONT","code_information":[{"code":"72194","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":4140.56,"maximum":5445.12,"gross_charge":5672,"discounted_cash":3142.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5388.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5445.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4651.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5218.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4877.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4140.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4707.76,"methodology":"fee schedule"}]}]},{"description":"PELVIS W WO CONT","code_information":[{"code":"72194","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1804.53,"maximum":5445.12,"gross_charge":5672,"discounted_cash":3142.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1804.53,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5388.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5445.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4651.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5218.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4877.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4140.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4707.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3913.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2665.84,"methodology":"fee schedule"}]}]},{"description":"PELVIS WO CONT","code_information":[{"code":"72195","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2102.4,"maximum":2764.8,"gross_charge":2880,"discounted_cash":1595.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2736,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2764.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2361.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2649.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2476.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2102.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2390.4,"methodology":"fee schedule"}]}]},{"description":"PELVIS WO CONT","code_information":[{"code":"72195","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1353.6,"maximum":2764.8,"gross_charge":2880,"discounted_cash":1595.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1556.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2736,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2764.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2361.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2649.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2476.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2102.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2390.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1987.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1353.6,"methodology":"fee schedule"}]}]},{"description":"PELVIS W CONT","code_information":[{"code":"72196","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2310.45,"maximum":3038.4,"gross_charge":3165,"discounted_cash":1753.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3006.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3038.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2595.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2911.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2721.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2310.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2626.95,"methodology":"fee schedule"}]}]},{"description":"PELVIS W CONT","code_information":[{"code":"72196","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1487.55,"maximum":3038.4,"gross_charge":3165,"discounted_cash":1753.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1815.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3006.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3038.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2595.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2911.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2721.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2310.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2626.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2183.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1487.55,"methodology":"fee schedule"}]}]},{"description":"PELVIS W WO CONT","code_information":[{"code":"72197","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2781.3,"maximum":3657.6,"gross_charge":3810,"discounted_cash":2111.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3619.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3657.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3124.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3505.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3276.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2781.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3162.3,"methodology":"fee schedule"}]}]},{"description":"PELVIS W WO CONT","code_information":[{"code":"72197","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1790.7,"maximum":3657.6,"gross_charge":3810,"discounted_cash":2111.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2276.15,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3619.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3657.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3124.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3505.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3276.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2781.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3162.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2628.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1790.7,"methodology":"fee schedule"}]}]},{"description":"ANG PELVIS W WO CONT","code_information":[{"code":"72198","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2265.19,"maximum":2978.88,"gross_charge":3103,"discounted_cash":1719.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2947.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2978.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2544.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2854.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2668.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2265.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2575.49,"methodology":"fee schedule"}]}]},{"description":"ANG PELVIS W WO CONT","code_information":[{"code":"72198","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1458.41,"maximum":2978.88,"gross_charge":3103,"discounted_cash":1719.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2417.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2947.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2978.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2544.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2854.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2668.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2265.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2575.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2141.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1458.41,"methodology":"fee schedule"}]}]},{"description":"SACROILIAC JOINT 2V","code_information":[{"code":"72200","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":159.87,"maximum":210.24,"gross_charge":219,"discounted_cash":121.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":210.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":201.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":188.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":181.77,"methodology":"fee schedule"}]}]},{"description":"SACROILIAC JOINT 2V","code_information":[{"code":"72200","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":102.93,"maximum":210.24,"gross_charge":219,"discounted_cash":121.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":107.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":210.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":201.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":188.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":181.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":151.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":102.93,"methodology":"fee schedule"}]}]},{"description":"SACROILIAC JOINT MIN 3V","code_information":[{"code":"72202","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":183.23,"maximum":240.96,"gross_charge":251,"discounted_cash":139.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":240.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":230.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":215.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":208.33,"methodology":"fee schedule"}]}]},{"description":"SACROILIAC JOINT MIN 3V","code_information":[{"code":"72202","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":117.97,"maximum":240.96,"gross_charge":251,"discounted_cash":139.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":122.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":240.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":230.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":215.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":208.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":117.97,"methodology":"fee schedule"}]}]},{"description":"FEVER AND INFLAMMATORY CONDITIONS","code_information":[{"code":"7221","type":"APR-DRG"}],"standard_charges":[{"minimum":8547,"maximum":8547,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8547,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FEVER AND INFLAMMATORY CONDITIONS","code_information":[{"code":"7222","type":"APR-DRG"}],"standard_charges":[{"minimum":11467,"maximum":11467,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11467,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SACRUM","code_information":[{"code":"72220","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":154.76,"maximum":203.52,"gross_charge":212,"discounted_cash":117.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":203.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":195.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":182.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":175.96,"methodology":"fee schedule"}]}]},{"description":"SACRUM","code_information":[{"code":"72220","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":99.64,"maximum":203.52,"gross_charge":212,"discounted_cash":117.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":102.85,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":203.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":195.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":182.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":175.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":99.64,"methodology":"fee schedule"}]}]},{"description":"FEVER AND INFLAMMATORY CONDITIONS","code_information":[{"code":"7223","type":"APR-DRG"}],"standard_charges":[{"minimum":15743,"maximum":15743,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15743,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FEVER AND INFLAMMATORY CONDITIONS","code_information":[{"code":"7224","type":"APR-DRG"}],"standard_charges":[{"minimum":24216,"maximum":24216,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24216,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VIRAL ILLNESS","code_information":[{"code":"7231","type":"APR-DRG"}],"standard_charges":[{"minimum":8547,"maximum":8547,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8547,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VIRAL ILLNESS","code_information":[{"code":"7232","type":"APR-DRG"}],"standard_charges":[{"minimum":12238,"maximum":12238,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12238,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VIRAL ILLNESS","code_information":[{"code":"7233","type":"APR-DRG"}],"standard_charges":[{"minimum":18303,"maximum":18303,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18303,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VIRAL ILLNESS","code_information":[{"code":"7234","type":"APR-DRG"}],"standard_charges":[{"minimum":27945,"maximum":27945,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27945,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER INFECTIOUS AND PARASITIC DISEASES","code_information":[{"code":"7241","type":"APR-DRG"}],"standard_charges":[{"minimum":7400,"maximum":7400,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7400,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER INFECTIOUS AND PARASITIC DISEASES","code_information":[{"code":"7242","type":"APR-DRG"}],"standard_charges":[{"minimum":8902,"maximum":8902,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8902,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER INFECTIOUS AND PARASITIC DISEASES","code_information":[{"code":"7243","type":"APR-DRG"}],"standard_charges":[{"minimum":22745,"maximum":22745,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22745,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER INFECTIOUS AND PARASITIC DISEASES","code_information":[{"code":"7244","type":"APR-DRG"}],"standard_charges":[{"minimum":50246,"maximum":50246,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50246,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"AC JOINT W WEIGHT BI","code_information":[{"code":"73050","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":290.54,"maximum":382.08,"gross_charge":398,"discounted_cash":220.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":382.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":326.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":366.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":342.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":290.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":330.34,"methodology":"fee schedule"}]}]},{"description":"AC JOINT W WEIGHT BI","code_information":[{"code":"73050","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":83.45,"maximum":382.08,"gross_charge":398,"discounted_cash":220.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":83.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":378.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":382.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":326.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":366.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":342.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":290.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":330.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":274.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":187.06,"methodology":"fee schedule"}]}]},{"description":"UPPER EXTREMITY WO CONT BI","code_information":[{"code":"73200","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1710.39,"maximum":2249.28,"gross_charge":2343,"discounted_cash":1298.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2249.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1921.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2155.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2014.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1710.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1944.69,"methodology":"fee schedule"}]}]},{"description":"UPPER EXTREMITY WO CONT BI","code_information":[{"code":"73200","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1070.3,"maximum":2249.28,"gross_charge":2343,"discounted_cash":1298.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1070.3,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2225.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2249.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1921.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2155.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2014.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1710.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1944.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1616.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1101.21,"methodology":"fee schedule"}]}]},{"description":"UPPER EXTREMITY W CONT BI","code_information":[{"code":"73201","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2189.27,"maximum":2879.04,"gross_charge":2999,"discounted_cash":1661.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2849.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2879.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2459.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2759.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2189.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2489.17,"methodology":"fee schedule"}]}]},{"description":"UPPER EXTREMITY W CONT BI","code_information":[{"code":"73201","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1366.83,"maximum":2879.04,"gross_charge":2999,"discounted_cash":1661.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1366.83,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2849.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2879.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2459.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2759.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2579.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2189.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2489.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2069.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1409.53,"methodology":"fee schedule"}]}]},{"description":"UPPER EXTREMITY W WO CONT BI","code_information":[{"code":"73202","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2873.28,"maximum":3778.56,"gross_charge":3936,"discounted_cash":2180.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3739.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3778.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3227.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3621.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3384.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2873.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3266.88,"methodology":"fee schedule"}]}]},{"description":"UPPER EXTREMITY W WO CONT BI","code_information":[{"code":"73202","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1801.73,"maximum":3778.56,"gross_charge":3936,"discounted_cash":2180.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1801.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3739.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3778.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3227.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3621.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3384.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2873.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3266.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2715.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1849.92,"methodology":"fee schedule"}]}]},{"description":"UPR EXT NON JOINT W WO CONT BI","code_information":[{"code":"73220","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":3819.36,"maximum":5022.72,"gross_charge":5232,"discounted_cash":2899.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4970.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5022.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4290.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4813.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4499.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3819.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4342.56,"methodology":"fee schedule"}]}]},{"description":"UPR EXT NON JOINT W WO CONT BI","code_information":[{"code":"73220","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2459.04,"maximum":5022.72,"gross_charge":5232,"discounted_cash":2899.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3018.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4970.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5022.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4290.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4813.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4499.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3819.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4342.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3610.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2459.04,"methodology":"fee schedule"}]}]},{"description":"UPR EXT JOINT WO CONT BI","code_information":[{"code":"73221","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2076.85,"maximum":2731.2,"gross_charge":2845,"discounted_cash":1576.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2702.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2731.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2332.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2617.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2446.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2076.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2361.35,"methodology":"fee schedule"}]}]},{"description":"UPR EXT JOINT WO CONT BI","code_information":[{"code":"73221","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1310.35,"maximum":2731.2,"gross_charge":2845,"discounted_cash":1576.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.35,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2702.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2731.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2332.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2617.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2446.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2076.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2361.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1963.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1337.15,"methodology":"fee schedule"}]}]},{"description":"UPR EXT JOINT WO CONT LT","code_information":[{"code":"73221","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2327.97,"maximum":3061.44,"gross_charge":3189,"discounted_cash":1767.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3029.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3061.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2614.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2933.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2742.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2327.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2646.87,"methodology":"fee schedule"}]}]},{"description":"UPR EXT JOINT WO CONT LT","code_information":[{"code":"73221","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1310.35,"maximum":3061.44,"gross_charge":3189,"discounted_cash":1767.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1310.35,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3029.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3061.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2614.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2933.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2742.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2327.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2646.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2200.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1498.83,"methodology":"fee schedule"}]}]},{"description":"UPR EXT JOINT W WO CONT BI","code_information":[{"code":"73223","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":3668.98,"maximum":4824.96,"gross_charge":5026,"discounted_cash":2784.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4774.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4824.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4121.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4623.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4322.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3668.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4171.58,"methodology":"fee schedule"}]}]},{"description":"UPR EXT JOINT W WO CONT BI","code_information":[{"code":"73223","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2362.22,"maximum":4824.96,"gross_charge":5026,"discounted_cash":2784.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2795.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4774.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4824.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4121.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4623.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4322.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3668.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4171.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3467.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2362.22,"methodology":"fee schedule"}]}]},{"description":"KNEE STANDING AP BI","code_information":[{"code":"73565","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":203.67,"maximum":267.84,"gross_charge":279,"discounted_cash":154.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":267.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":256.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":239.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":231.57,"methodology":"fee schedule"}]}]},{"description":"KNEE STANDING AP BI","code_information":[{"code":"73565","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":131.13,"maximum":267.84,"gross_charge":279,"discounted_cash":154.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":140.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":265.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":267.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":256.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":239.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":231.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":192.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":131.13,"methodology":"fee schedule"}]}]},{"description":"ARTHROGRAM KNEE BI","code_information":[{"code":"73580","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":595.68,"maximum":783.36,"gross_charge":816,"discounted_cash":452.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"}]}]},{"description":"ARTHROGRAM KNEE BI","code_information":[{"code":"73580","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":383.52,"maximum":783.36,"gross_charge":816,"discounted_cash":452.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":515.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":563.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":383.52,"methodology":"fee schedule"}]}]},{"description":"BONE LENGTH STUDY","code_information":[{"code":"73700","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1119.09,"maximum":1471.68,"gross_charge":1533,"discounted_cash":849.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1471.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1257.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1410.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1318.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1119.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1272.39,"methodology":"fee schedule"}]}]},{"description":"BONE LENGTH STUDY","code_information":[{"code":"73700","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":720.51,"maximum":1471.68,"gross_charge":1533,"discounted_cash":849.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":754.03,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1456.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1471.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1257.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1410.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1318.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1119.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1272.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1057.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":720.51,"methodology":"fee schedule"}]}]},{"description":"LOWER EXTREMITY W CONT BI","code_information":[{"code":"73701","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2087.07,"maximum":2744.64,"gross_charge":2859,"discounted_cash":1584.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2716.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2744.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2344.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2630.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2458.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2087.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2372.97,"methodology":"fee schedule"}]}]},{"description":"LOWER EXTREMITY W CONT BI","code_information":[{"code":"73701","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1030.75,"maximum":2744.64,"gross_charge":2859,"discounted_cash":1584.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1030.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2716.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2744.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2344.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2630.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2458.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2087.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2372.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1972.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1343.73,"methodology":"fee schedule"}]}]},{"description":"LOWER EXTREMITY W WO CONT BI","code_information":[{"code":"73702","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2653.55,"maximum":3489.6,"gross_charge":3635,"discounted_cash":2014.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3453.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3489.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2980.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3344.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3126.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2653.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3017.05,"methodology":"fee schedule"}]}]},{"description":"LOWER EXTREMITY W WO CONT BI","code_information":[{"code":"73702","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1259.51,"maximum":3489.6,"gross_charge":3635,"discounted_cash":2014.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1259.51,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3453.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3489.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2980.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3344.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3126.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2653.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3017.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2508.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1708.45,"methodology":"fee schedule"}]}]},{"description":"LWR EXT NON JOINT WO CONT LT","code_information":[{"code":"73718","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2249.13,"maximum":2957.76,"gross_charge":3081,"discounted_cash":1707.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2926.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2957.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2526.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2834.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2649.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2249.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2557.23,"methodology":"fee schedule"}]}]},{"description":"LWR EXT NON JOINT WO CONT LT","code_information":[{"code":"73718","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1448.07,"maximum":2957.76,"gross_charge":3081,"discounted_cash":1707.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1541.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2926.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2957.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2526.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2834.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2649.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2249.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2557.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2125.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1448.07,"methodology":"fee schedule"}]}]},{"description":"LWR EXT NON JOINT WO CONT RT","code_information":[{"code":"73718","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2115.54,"maximum":2782.08,"gross_charge":2898,"discounted_cash":1605.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2753.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2782.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2376.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2666.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2492.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2115.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2405.34,"methodology":"fee schedule"}]}]},{"description":"LWR EXT NON JOINT WO CONT RT","code_information":[{"code":"73718","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1362.06,"maximum":2782.08,"gross_charge":2898,"discounted_cash":1605.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1541.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2753.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2782.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2376.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2666.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2492.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2115.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2405.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1999.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1362.06,"methodology":"fee schedule"}]}]},{"description":"LWR EXT NON JOINT W WO CONT RT","code_information":[{"code":"73720","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2838.24,"maximum":3732.48,"gross_charge":3888,"discounted_cash":2154.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3693.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3732.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3188.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3576.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3343.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2838.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3227.04,"methodology":"fee schedule"}]}]},{"description":"LWR EXT NON JOINT W WO CONT RT","code_information":[{"code":"73720","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1827.36,"maximum":3732.48,"gross_charge":3888,"discounted_cash":2154.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2293.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3693.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3732.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3188.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3576.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3343.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2838.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3227.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2682.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1827.36,"methodology":"fee schedule"}]}]},{"description":"LWR EXT JOINT WO CONT BI","code_information":[{"code":"73721","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2033.05,"maximum":2673.6,"gross_charge":2785,"discounted_cash":1543.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2645.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2673.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2283.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2562.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2395.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2033.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2311.55,"methodology":"fee schedule"}]}]},{"description":"LWR EXT JOINT WO CONT BI","code_information":[{"code":"73721","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1307.51,"maximum":2673.6,"gross_charge":2785,"discounted_cash":1543.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1307.51,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2645.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2673.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2283.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2562.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2395.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2033.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2311.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1921.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1308.95,"methodology":"fee schedule"}]}]},{"description":"LWR EXT JOINT WO CONT LT","code_information":[{"code":"73721","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2452.07,"maximum":3224.64,"gross_charge":3359,"discounted_cash":1861.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3191.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3224.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2754.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3090.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2888.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2452.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2787.97,"methodology":"fee schedule"}]}]},{"description":"LWR EXT JOINT WO CONT LT","code_information":[{"code":"73721","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1307.51,"maximum":3224.64,"gross_charge":3359,"discounted_cash":1861.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1307.51,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3191.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3224.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2754.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3090.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2888.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2452.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2787.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2317.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1578.73,"methodology":"fee schedule"}]}]},{"description":"ACHILLES W CONT LT","code_information":[{"code":"73722","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2711.22,"maximum":3565.44,"gross_charge":3714,"discounted_cash":2057.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3528.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3565.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3045.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3416.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3194.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2711.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3082.62,"methodology":"fee schedule"}]}]},{"description":"ACHILLES W CONT LT","code_information":[{"code":"73722","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1745.58,"maximum":3565.44,"gross_charge":3714,"discounted_cash":2057.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2315.69,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3528.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3565.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3045.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3416.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3194.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2711.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3082.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2562.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1745.58,"methodology":"fee schedule"}]}]},{"description":"ACHILLES W WO CONT LT","code_information":[{"code":"73723","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2850.65,"maximum":3748.8,"gross_charge":3905,"discounted_cash":2163.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3709.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3748.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3202.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3592.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3358.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2850.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3241.15,"methodology":"fee schedule"}]}]},{"description":"ACHILLES W WO CONT LT","code_information":[{"code":"73723","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1835.35,"maximum":3748.8,"gross_charge":3905,"discounted_cash":2163.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2787.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3709.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3748.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3202.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3592.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3358.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2850.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3241.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2694.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1835.35,"methodology":"fee schedule"}]}]},{"description":"MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE","code_information":[{"code":"7401","type":"APR-DRG"}],"standard_charges":[{"minimum":21523,"maximum":21523,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21523,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ABDOMEN 1V DECUBITIS","code_information":[{"code":"74018","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":139.43,"maximum":183.36,"gross_charge":191,"discounted_cash":105.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":183.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":175.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":164.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":158.53,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN 1V DECUBITIS","code_information":[{"code":"74018","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":89.77,"maximum":183.36,"gross_charge":191,"discounted_cash":105.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90.9,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":181.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":183.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":175.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":164.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":158.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":89.77,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN 2V AP FLAT UPRIGHT","code_information":[{"code":"74019","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":167.17,"maximum":219.84,"gross_charge":229,"discounted_cash":126.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":219.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":210.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.07,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN 2V AP FLAT UPRIGHT","code_information":[{"code":"74019","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":107.63,"maximum":219.84,"gross_charge":229,"discounted_cash":126.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":111.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":219.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":210.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":107.63,"methodology":"fee schedule"}]}]},{"description":"MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE","code_information":[{"code":"7402","type":"APR-DRG"}],"standard_charges":[{"minimum":23914,"maximum":23914,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23914,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ABDOMEN 2V AP UPRIGHT DECUB","code_information":[{"code":"74021","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":189.07,"maximum":248.64,"gross_charge":259,"discounted_cash":143.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":246.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":248.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":238.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":222.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":214.97,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN 2V AP UPRIGHT DECUB","code_information":[{"code":"74021","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":121.73,"maximum":248.64,"gross_charge":259,"discounted_cash":143.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":129.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":246.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":248.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":238.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":222.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":214.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":121.73,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN SERIES W CHEST 1V","code_information":[{"code":"74022","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":217.54,"maximum":286.08,"gross_charge":298,"discounted_cash":165.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":286.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":274.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":256.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":247.34,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN SERIES W CHEST 1V","code_information":[{"code":"74022","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":140.06,"maximum":286.08,"gross_charge":298,"discounted_cash":165.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":286.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":274.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":256.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":247.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":205.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":140.06,"methodology":"fee schedule"}]}]},{"description":"MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE","code_information":[{"code":"7403","type":"APR-DRG"}],"standard_charges":[{"minimum":49693,"maximum":49693,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49693,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE","code_information":[{"code":"7404","type":"APR-DRG"}],"standard_charges":[{"minimum":104789,"maximum":104789,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":104789,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ABDOMEN WO CONT","code_information":[{"code":"74150","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1190.63,"maximum":1565.76,"gross_charge":1631,"discounted_cash":903.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1549.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1565.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1337.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1500.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1402.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1190.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1353.73,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN WO CONT","code_information":[{"code":"74150","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":742.72,"maximum":1565.76,"gross_charge":1631,"discounted_cash":903.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":742.72,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1549.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1565.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1337.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1500.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1402.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1190.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1353.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1125.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":766.57,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN W CONT","code_information":[{"code":"74160","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2321.4,"maximum":3052.8,"gross_charge":3180,"discounted_cash":1762.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3021,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3052.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2607.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2925.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2734.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2321.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2639.4,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN W CONT","code_information":[{"code":"74160","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1494.6,"maximum":3052.8,"gross_charge":3180,"discounted_cash":1762.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1587.09,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3021,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3052.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2607.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2925.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2734.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2321.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2639.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2194.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1494.6,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN W WO CONT","code_information":[{"code":"74170","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2440.39,"maximum":3209.28,"gross_charge":3343,"discounted_cash":1852.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3175.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3209.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2741.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3075.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2874.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2440.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2774.69,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN W WO CONT","code_information":[{"code":"74170","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1571.21,"maximum":3209.28,"gross_charge":3343,"discounted_cash":1852.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1798.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3175.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3209.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2741.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3075.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2874.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2440.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2774.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2306.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1571.21,"methodology":"fee schedule"}]}]},{"description":"CTA ABD PELV W CONT","code_information":[{"code":"74174","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2336,"maximum":3072,"gross_charge":3200,"discounted_cash":1773.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3040,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3072,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2624,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2944,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2752,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2336,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2656,"methodology":"fee schedule"}]}]},{"description":"CTA ABD PELV W CONT","code_information":[{"code":"74174","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1504,"maximum":3072,"gross_charge":3200,"discounted_cash":1773.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2519.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3040,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3072,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2624,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2944,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2752,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2336,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2656,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2208,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1504,"methodology":"fee schedule"}]}]},{"description":"ANG ABDOMEN","code_information":[{"code":"74175","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1868.07,"maximum":2456.64,"gross_charge":2559,"discounted_cash":1417.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2431.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2456.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2098.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2354.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2200.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1868.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2123.97,"methodology":"fee schedule"}]}]},{"description":"ANG ABDOMEN","code_information":[{"code":"74175","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1202.73,"maximum":2456.64,"gross_charge":2559,"discounted_cash":1417.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1993.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2431.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2456.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2098.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2354.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2200.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1868.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2123.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1765.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1202.73,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN PELVIS WO CONT","code_information":[{"code":"74176","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1508.91,"maximum":1984.32,"gross_charge":2067,"discounted_cash":1145.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1963.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1984.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1694.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1901.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1777.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1508.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1715.61,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN PELVIS WO CONT","code_information":[{"code":"74176","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":929.11,"maximum":1984.32,"gross_charge":2067,"discounted_cash":1145.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":929.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1963.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1984.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1694.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1901.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1777.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1508.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1715.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1426.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":971.49,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN PELVIS CT W CONT","code_information":[{"code":"74177","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":3017.82,"maximum":3968.64,"gross_charge":4134,"discounted_cash":2290.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3927.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3968.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3389.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3803.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3555.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3017.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3431.22,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN PELVIS CT W CONT","code_information":[{"code":"74177","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1942.98,"maximum":3968.64,"gross_charge":4134,"discounted_cash":2290.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2019.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3927.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3968.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3389.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3803.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3555.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3017.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3431.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2852.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1942.98,"methodology":"fee schedule"}]}]},{"description":"CTA ABD PELV W WO CONT","code_information":[{"code":"74178","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":3440.49,"maximum":4524.48,"gross_charge":4713,"discounted_cash":2611.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4477.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4524.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3864.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4335.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4053.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3440.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3911.79,"methodology":"fee schedule"}]}]},{"description":"CTA ABD PELV W WO CONT","code_information":[{"code":"74178","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":2215.11,"maximum":4524.48,"gross_charge":4713,"discounted_cash":2611.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2281.8,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4477.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4524.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3864.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4335.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4053.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3440.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3911.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3251.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2215.11,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN WO CONT","code_information":[{"code":"74181","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1821.35,"maximum":2395.2,"gross_charge":2495,"discounted_cash":1382.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2370.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2395.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2045.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2295.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2145.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1821.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2070.85,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN WO CONT","code_information":[{"code":"74181","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1172.65,"maximum":2395.2,"gross_charge":2495,"discounted_cash":1382.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1228.47,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2370.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2395.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2045.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2295.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2145.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1821.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2070.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1721.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1172.65,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN W CONT","code_information":[{"code":"74182","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2592.23,"maximum":3408.96,"gross_charge":3551,"discounted_cash":1967.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3373.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3408.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2911.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3266.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3053.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2592.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2947.33,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN W CONT","code_information":[{"code":"74182","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1668.97,"maximum":3408.96,"gross_charge":3551,"discounted_cash":1967.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2143.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3373.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3408.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2911.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3266.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3053.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2592.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2947.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2450.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1668.97,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN W WO CONT","code_information":[{"code":"74183","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2794.44,"maximum":3674.88,"gross_charge":3828,"discounted_cash":2121.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3636.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3674.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3138.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3521.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3292.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2794.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3177.24,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN W WO CONT","code_information":[{"code":"74183","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1799.16,"maximum":3674.88,"gross_charge":3828,"discounted_cash":2121.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2281.8,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3636.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3674.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3138.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3521.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3292.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2794.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3177.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2641.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1799.16,"methodology":"fee schedule"}]}]},{"description":"ANG ABDOMEN W CONT","code_information":[{"code":"74185","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":2263.73,"maximum":2976.96,"gross_charge":3101,"discounted_cash":1718.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2945.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2976.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2542.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2852.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2666.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2263.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2573.83,"methodology":"fee schedule"}]}]},{"description":"ANG ABDOMEN W CONT","code_information":[{"code":"74185","type":"CPT"},{"code":"0610","type":"RC"}],"standard_charges":[{"minimum":1457.47,"maximum":2976.96,"gross_charge":3101,"discounted_cash":1718.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2420.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2945.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2976.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2542.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2852.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2666.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2263.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2573.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2139.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1457.47,"methodology":"fee schedule"}]}]},{"description":"ESOPHAGUS","code_information":[{"code":"74220","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":521.22,"maximum":685.44,"gross_charge":714,"discounted_cash":395.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":685.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":585.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":656.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":614.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":521.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":592.62,"methodology":"fee schedule"}]}]},{"description":"ESOPHAGUS","code_information":[{"code":"74220","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":312.98,"maximum":685.44,"gross_charge":714,"discounted_cash":395.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":312.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":678.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":685.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":585.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":656.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":614.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":521.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":592.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":492.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":335.58,"methodology":"fee schedule"}]}]},{"description":"SWALLOWING FUNCTION W VIDEO","code_information":[{"code":"74230","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":627.07,"maximum":824.64,"gross_charge":859,"discounted_cash":475.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":824.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":704.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":790.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":738.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":627.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":712.97,"methodology":"fee schedule"}]}]},{"description":"SWALLOWING FUNCTION W VIDEO","code_information":[{"code":"74230","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":403.73,"maximum":824.64,"gross_charge":859,"discounted_cash":475.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":469.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":816.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":824.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":704.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":790.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":738.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":627.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":712.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":592.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":403.73,"methodology":"fee schedule"}]}]},{"description":"UGI","code_information":[{"code":"74240","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":809.57,"maximum":1064.64,"gross_charge":1109,"discounted_cash":614.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":909.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1020.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":953.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":809.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":920.47,"methodology":"fee schedule"}]}]},{"description":"UGI","code_information":[{"code":"74240","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":378.58,"maximum":1064.64,"gross_charge":1109,"discounted_cash":614.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":378.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":909.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1020.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":953.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":809.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":920.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":765.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":521.23,"methodology":"fee schedule"}]}]},{"description":"UGI WO KUB","code_information":[{"code":"74240","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":658.46,"maximum":865.92,"gross_charge":902,"discounted_cash":499.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":856.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":865.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":739.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":829.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":775.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":658.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":748.66,"methodology":"fee schedule"}]}]},{"description":"UGI WO KUB","code_information":[{"code":"74240","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":378.58,"maximum":865.92,"gross_charge":902,"discounted_cash":499.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":378.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":856.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":865.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":739.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":829.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":775.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":658.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":748.66,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":622.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":423.94,"methodology":"fee schedule"}]}]},{"description":"UGI W AIR WO KUB","code_information":[{"code":"74246","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":482.53,"maximum":634.56,"gross_charge":661,"discounted_cash":366.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":634.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":542.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":608.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":568.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":482.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":548.63,"methodology":"fee schedule"}]}]},{"description":"UGI W AIR WO KUB","code_information":[{"code":"74246","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":310.67,"maximum":634.56,"gross_charge":661,"discounted_cash":366.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":439.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":627.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":634.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":542.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":608.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":568.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":482.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":548.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":456.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":310.67,"methodology":"fee schedule"}]}]},{"description":"SMALL BOWEL FOLLOW THRU","code_information":[{"code":"74248","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":234.33,"maximum":308.16,"gross_charge":321,"discounted_cash":177.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":308.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":263.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":295.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":276.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":234.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":266.43,"methodology":"fee schedule"}]}]},{"description":"SMALL BOWEL FOLLOW THRU","code_information":[{"code":"74248","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":150.87,"maximum":308.16,"gross_charge":321,"discounted_cash":177.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":223.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":304.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":308.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":263.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":295.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":276.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":234.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":266.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":221.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":150.87,"methodology":"fee schedule"}]}]},{"description":"SMALL BOWEL W SERIAL FILM","code_information":[{"code":"74250","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":522.68,"maximum":687.36,"gross_charge":716,"discounted_cash":396.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":687.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":658.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":615.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":522.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":594.28,"methodology":"fee schedule"}]}]},{"description":"SMALL BOWEL W SERIAL FILM","code_information":[{"code":"74250","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":336.52,"maximum":687.36,"gross_charge":716,"discounted_cash":396.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":378.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":680.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":687.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":587.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":658.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":615.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":522.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":594.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":494.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":336.52,"methodology":"fee schedule"}]}]},{"description":"BARIUM ENEMA COMP","code_information":[{"code":"74270","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":686.93,"maximum":903.36,"gross_charge":941,"discounted_cash":521.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":903.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":771.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":865.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":809.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":686.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":781.03,"methodology":"fee schedule"}]}]},{"description":"BARIUM ENEMA COMP","code_information":[{"code":"74270","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":442.27,"maximum":903.36,"gross_charge":941,"discounted_cash":521.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":476.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":893.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":903.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":771.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":865.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":809.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":686.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":781.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":649.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":442.27,"methodology":"fee schedule"}]}]},{"description":"BARIUM ENEMA W AIR","code_information":[{"code":"74280","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":870.16,"maximum":1144.32,"gross_charge":1192,"discounted_cash":660.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1144.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":977.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1096.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1025.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":870.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":989.36,"methodology":"fee schedule"}]}]},{"description":"BARIUM ENEMA W AIR","code_information":[{"code":"74280","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":560.24,"maximum":1144.32,"gross_charge":1192,"discounted_cash":660.49,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":740.74,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1132.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1144.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":977.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1096.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1025.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":870.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":989.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":822.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":560.24,"methodology":"fee schedule"}]}]},{"description":"BARIUM ENEMA THERAPEUTIC","code_information":[{"code":"74283","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":638.02,"maximum":839.04,"gross_charge":874,"discounted_cash":484.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":839.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":716.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":804.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":751.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":638.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":725.42,"methodology":"fee schedule"}]}]},{"description":"BARIUM ENEMA THERAPEUTIC","code_information":[{"code":"74283","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":410.78,"maximum":839.04,"gross_charge":874,"discounted_cash":484.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":712.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":830.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":839.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":716.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":804.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":751.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":638.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":725.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":603.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":410.78,"methodology":"fee schedule"}]}]},{"description":"CHOLECYSTO ORAL","code_information":[{"code":"74290","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":277.4,"maximum":364.8,"gross_charge":380,"discounted_cash":210.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":361,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":311.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":349.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":315.4,"methodology":"fee schedule"}]}]},{"description":"CHOLECYSTO ORAL","code_information":[{"code":"74290","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":178.6,"maximum":364.8,"gross_charge":380,"discounted_cash":210.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":315.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":361,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":311.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":349.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":326.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":315.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"}]}]},{"description":"CHOLANGIOGRAM IN OR","code_information":[{"code":"74300","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":124.83,"maximum":164.16,"gross_charge":171,"discounted_cash":94.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":162.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":164.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":157.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.93,"methodology":"fee schedule"}]}]},{"description":"CHOLANGIOGRAM IN OR","code_information":[{"code":"74300","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":80.37,"maximum":164.16,"gross_charge":171,"discounted_cash":94.76,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":162.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":164.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":157.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":80.37,"methodology":"fee schedule"}]}]},{"description":"CHOLANGIOGRAM IN OR ADDL IMG","code_information":[{"code":"74301","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":73.73,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"}]}]},{"description":"CHOLANGIOGRAM IN OR ADDL IMG","code_information":[{"code":"74301","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":47.47,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":47.47,"methodology":"fee schedule"}]}]},{"description":"INTRO OF LONG GI TUBE","code_information":[{"code":"74340","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":544.58,"maximum":716.16,"gross_charge":746,"discounted_cash":413.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":716.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":611.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":686.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":641.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":544.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":619.18,"methodology":"fee schedule"}]}]},{"description":"INTRO OF LONG GI TUBE","code_information":[{"code":"74340","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":350.62,"maximum":716.16,"gross_charge":746,"discounted_cash":413.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":472.46,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":708.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":716.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":611.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":686.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":641.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":544.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":619.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":514.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":350.62,"methodology":"fee schedule"}]}]},{"description":"IVP W TOMOGRAMS","code_information":[{"code":"74400","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":469.39,"maximum":617.28,"gross_charge":643,"discounted_cash":356.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":617.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":527.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":591.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":552.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":533.69,"methodology":"fee schedule"}]}]},{"description":"IVP W TOMOGRAMS","code_information":[{"code":"74400","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":302.21,"maximum":617.28,"gross_charge":643,"discounted_cash":356.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":491.83,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":610.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":617.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":527.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":591.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":552.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":469.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":533.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":443.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":302.21,"methodology":"fee schedule"}]}]},{"description":"IVP WO TOMOGRAMS","code_information":[{"code":"74415","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":593.49,"maximum":780.48,"gross_charge":813,"discounted_cash":450.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":772.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":780.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":666.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":747.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":699.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":593.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":674.79,"methodology":"fee schedule"}]}]},{"description":"IVP WO TOMOGRAMS","code_information":[{"code":"74415","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":382.11,"maximum":780.48,"gross_charge":813,"discounted_cash":450.49,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":594.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":772.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":780.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":666.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":747.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":699.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":593.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":674.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":560.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":382.11,"methodology":"fee schedule"}]}]},{"description":"RETROGRADE UROGRAM","code_information":[{"code":"74420","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":591.3,"maximum":777.6,"gross_charge":810,"discounted_cash":448.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":777.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":664.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":745.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":696.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":591.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":672.3,"methodology":"fee schedule"}]}]},{"description":"RETROGRADE UROGRAM","code_information":[{"code":"74420","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":226.55,"maximum":777.6,"gross_charge":810,"discounted_cash":448.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":226.55,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":769.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":777.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":664.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":745.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":696.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":591.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":672.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":558.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":380.7,"methodology":"fee schedule"}]}]},{"description":"CYSTOGRAM VOIDING","code_information":[{"code":"74455","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":635.83,"maximum":836.16,"gross_charge":871,"discounted_cash":482.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":827.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":836.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":714.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":801.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":749.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":635.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":722.93,"methodology":"fee schedule"}]}]},{"description":"CYSTOGRAM VOIDING","code_information":[{"code":"74455","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":393.48,"maximum":836.16,"gross_charge":871,"discounted_cash":482.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":393.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":827.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":836.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":714.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":801.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":749.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":635.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":722.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":600.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":409.37,"methodology":"fee schedule"}]}]},{"description":"PELVIMETRY","code_information":[{"code":"74710","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":294.92,"maximum":387.84,"gross_charge":404,"discounted_cash":223.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":387.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":331.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":371.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":347.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":335.32,"methodology":"fee schedule"}]}]},{"description":"PELVIMETRY","code_information":[{"code":"74710","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":102.85,"maximum":387.84,"gross_charge":404,"discounted_cash":223.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":102.85,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":387.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":331.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":371.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":347.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":335.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":278.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":189.88,"methodology":"fee schedule"}]}]},{"description":"HSG","code_information":[{"code":"74740","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":310.25,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"}]}]},{"description":"HSG","code_information":[{"code":"74740","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":199.75,"maximum":408,"gross_charge":425,"discounted_cash":235.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":345.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":403.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":391,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":365.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":310.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":352.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":293.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":199.75,"methodology":"fee schedule"}]}]},{"description":"SCHIZOPHRENIA","code_information":[{"code":"7501","type":"APR-DRG"}],"standard_charges":[{"minimum":18629,"maximum":18629,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18629,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SCHIZOPHRENIA","code_information":[{"code":"7502","type":"APR-DRG"}],"standard_charges":[{"minimum":19711,"maximum":19711,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19711,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SCHIZOPHRENIA","code_information":[{"code":"7503","type":"APR-DRG"}],"standard_charges":[{"minimum":32284,"maximum":32284,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32284,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SCHIZOPHRENIA","code_information":[{"code":"7504","type":"APR-DRG"}],"standard_charges":[{"minimum":37638,"maximum":37638,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37638,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES","code_information":[{"code":"7511","type":"APR-DRG"}],"standard_charges":[{"minimum":9442,"maximum":9442,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9442,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES","code_information":[{"code":"7512","type":"APR-DRG"}],"standard_charges":[{"minimum":11969,"maximum":11969,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11969,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES","code_information":[{"code":"7513","type":"APR-DRG"}],"standard_charges":[{"minimum":38585,"maximum":38585,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38585,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES","code_information":[{"code":"7514","type":"APR-DRG"}],"standard_charges":[{"minimum":49917,"maximum":49917,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49917,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DISORDERS OF PERSONALITY AND IMPULSE CONTROL","code_information":[{"code":"7521","type":"APR-DRG"}],"standard_charges":[{"minimum":4763,"maximum":4763,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4763,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DISORDERS OF PERSONALITY AND IMPULSE CONTROL","code_information":[{"code":"7522","type":"APR-DRG"}],"standard_charges":[{"minimum":10319,"maximum":10319,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10319,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DISORDERS OF PERSONALITY AND IMPULSE CONTROL","code_information":[{"code":"7523","type":"APR-DRG"}],"standard_charges":[{"minimum":12655,"maximum":12655,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12655,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DISORDERS OF PERSONALITY AND IMPULSE CONTROL","code_information":[{"code":"7524","type":"APR-DRG"}],"standard_charges":[{"minimum":59818,"maximum":59818,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":59818,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIPOLAR DISORDERS","code_information":[{"code":"7531","type":"APR-DRG"}],"standard_charges":[{"minimum":11471,"maximum":11471,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11471,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIPOLAR DISORDERS","code_information":[{"code":"7532","type":"APR-DRG"}],"standard_charges":[{"minimum":15857,"maximum":15857,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15857,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIPOLAR DISORDERS","code_information":[{"code":"7533","type":"APR-DRG"}],"standard_charges":[{"minimum":29118,"maximum":29118,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29118,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BIPOLAR DISORDERS","code_information":[{"code":"7534","type":"APR-DRG"}],"standard_charges":[{"minimum":56672,"maximum":56672,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56672,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER","code_information":[{"code":"7541","type":"APR-DRG"}],"standard_charges":[{"minimum":8175,"maximum":8175,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8175,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER","code_information":[{"code":"7542","type":"APR-DRG"}],"standard_charges":[{"minimum":11166,"maximum":11166,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11166,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER","code_information":[{"code":"7543","type":"APR-DRG"}],"standard_charges":[{"minimum":17880,"maximum":17880,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17880,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER","code_information":[{"code":"7544","type":"APR-DRG"}],"standard_charges":[{"minimum":22837,"maximum":22837,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22837,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES","code_information":[{"code":"7551","type":"APR-DRG"}],"standard_charges":[{"minimum":5946,"maximum":5946,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5946,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES","code_information":[{"code":"7552","type":"APR-DRG"}],"standard_charges":[{"minimum":10328,"maximum":10328,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10328,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES","code_information":[{"code":"7553","type":"APR-DRG"}],"standard_charges":[{"minimum":15857,"maximum":15857,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15857,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES","code_information":[{"code":"7554","type":"APR-DRG"}],"standard_charges":[{"minimum":23420,"maximum":23420,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23420,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ACUTE ANXIETY AND DELIRIUM STATES","code_information":[{"code":"7561","type":"APR-DRG"}],"standard_charges":[{"minimum":8400,"maximum":8400,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8400,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ACUTE ANXIETY AND DELIRIUM STATES","code_information":[{"code":"7562","type":"APR-DRG"}],"standard_charges":[{"minimum":10960,"maximum":10960,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10960,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ACUTE ANXIETY AND DELIRIUM STATES","code_information":[{"code":"7563","type":"APR-DRG"}],"standard_charges":[{"minimum":11429,"maximum":11429,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11429,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANG ABDOMEN AORTA W RUNOFF BI","code_information":[{"code":"75635","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1984.87,"maximum":2610.24,"gross_charge":2719,"discounted_cash":1506.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2583.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2610.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2229.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2501.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2338.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1984.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2256.77,"methodology":"fee schedule"}]}]},{"description":"ANG ABDOMEN AORTA W RUNOFF BI","code_information":[{"code":"75635","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":1277.93,"maximum":2722.34,"gross_charge":2719,"discounted_cash":1506.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2722.34,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2583.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2610.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2229.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2501.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2338.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1984.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2256.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1876.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1277.93,"methodology":"fee schedule"}]}]},{"description":"ACUTE ANXIETY AND DELIRIUM STATES","code_information":[{"code":"7564","type":"APR-DRG"}],"standard_charges":[{"minimum":19963,"maximum":19963,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19963,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ORGANIC MENTAL HEALTH DISTURBANCES","code_information":[{"code":"7571","type":"APR-DRG"}],"standard_charges":[{"minimum":13341,"maximum":13341,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13341,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ORGANIC MENTAL HEALTH DISTURBANCES","code_information":[{"code":"7572","type":"APR-DRG"}],"standard_charges":[{"minimum":18348,"maximum":18348,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18348,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ORGANIC MENTAL HEALTH DISTURBANCES","code_information":[{"code":"7573","type":"APR-DRG"}],"standard_charges":[{"minimum":26034,"maximum":26034,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26034,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ORGANIC MENTAL HEALTH DISTURBANCES","code_information":[{"code":"7574","type":"APR-DRG"}],"standard_charges":[{"minimum":38948,"maximum":38948,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38948,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BEHAVIORAL DISORDERS","code_information":[{"code":"7581","type":"APR-DRG"}],"standard_charges":[{"minimum":13476,"maximum":13476,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13476,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BEHAVIORAL DISORDERS","code_information":[{"code":"7582","type":"APR-DRG"}],"standard_charges":[{"minimum":16530,"maximum":16530,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16530,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VENOGRAM LOWER EXTREMITY BI","code_information":[{"code":"75822","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":532.17,"maximum":699.84,"gross_charge":729,"discounted_cash":403.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":692.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":699.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":597.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":670.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":626.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":532.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":605.07,"methodology":"fee schedule"}]}]},{"description":"VENOGRAM LOWER EXTREMITY BI","code_information":[{"code":"75822","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":311.5,"maximum":699.84,"gross_charge":729,"discounted_cash":403.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":311.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":692.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":699.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":597.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":670.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":626.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":532.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":605.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":503.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":342.63,"methodology":"fee schedule"}]}]},{"description":"BEHAVIORAL DISORDERS","code_information":[{"code":"7583","type":"APR-DRG"}],"standard_charges":[{"minimum":29782,"maximum":29782,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29782,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BEHAVIORAL DISORDERS","code_information":[{"code":"7584","type":"APR-DRG"}],"standard_charges":[{"minimum":32761,"maximum":32761,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32761,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EATING DISORDERS","code_information":[{"code":"7591","type":"APR-DRG"}],"standard_charges":[{"minimum":10621,"maximum":10621,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10621,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EATING DISORDERS","code_information":[{"code":"7592","type":"APR-DRG"}],"standard_charges":[{"minimum":28526,"maximum":28526,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28526,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EATING DISORDERS","code_information":[{"code":"7593","type":"APR-DRG"}],"standard_charges":[{"minimum":47109,"maximum":47109,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47109,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EATING DISORDERS","code_information":[{"code":"7594","type":"APR-DRG"}],"standard_charges":[{"minimum":85849,"maximum":85849,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":85849,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRAIN ABSCESS OR CYST","code_information":[{"code":"75989","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":409.53,"maximum":538.56,"gross_charge":561,"discounted_cash":310.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":538.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":460.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":516.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":482.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":409.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":465.63,"methodology":"fee schedule"}]}]},{"description":"DRAIN ABSCESS OR CYST","code_information":[{"code":"75989","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":263.67,"maximum":538.56,"gross_charge":561,"discounted_cash":310.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":275.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":538.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":460.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":516.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":482.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":409.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":465.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":263.67,"methodology":"fee schedule"}]}]},{"description":"DRAIN PERITONEAL","code_information":[{"code":"75989","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":409.53,"maximum":538.56,"gross_charge":561,"discounted_cash":310.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":538.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":460.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":516.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":482.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":409.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":465.63,"methodology":"fee schedule"}]}]},{"description":"DRAIN PERITONEAL","code_information":[{"code":"75989","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":263.67,"maximum":538.56,"gross_charge":561,"discounted_cash":310.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":275.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":532.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":538.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":460.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":516.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":482.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":409.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":465.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":387.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":263.67,"methodology":"fee schedule"}]}]},{"description":"FLUORO OVER 1HR W RAD","code_information":[{"code":"76000","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":359.16,"maximum":472.32,"gross_charge":492,"discounted_cash":272.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":472.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":403.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":452.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":423.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":359.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":408.36,"methodology":"fee schedule"}]}]},{"description":"FLUORO OVER 1HR W RAD","code_information":[{"code":"76000","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":231.24,"maximum":472.32,"gross_charge":492,"discounted_cash":272.62,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":472.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":403.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":452.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":423.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":359.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":408.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":339.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":231.24,"methodology":"fee schedule"}]}]},{"description":"OTHER MENTAL HEALTH DISORDERS","code_information":[{"code":"7601","type":"APR-DRG"}],"standard_charges":[{"minimum":12370,"maximum":12370,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12370,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FB LOCALIZED NOSE RECTUM CHILD","code_information":[{"code":"76010","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":170.09,"maximum":223.68,"gross_charge":233,"discounted_cash":129.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":223.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":214.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":200.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":193.39,"methodology":"fee schedule"}]}]},{"description":"FB LOCALIZED NOSE RECTUM CHILD","code_information":[{"code":"76010","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":90.9,"maximum":223.68,"gross_charge":233,"discounted_cash":129.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90.9,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":221.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":223.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":214.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":200.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":193.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":160.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":109.51,"methodology":"fee schedule"}]}]},{"description":"OTHER MENTAL HEALTH DISORDERS","code_information":[{"code":"7602","type":"APR-DRG"}],"standard_charges":[{"minimum":26683,"maximum":26683,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26683,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MENTAL HEALTH DISORDERS","code_information":[{"code":"7603","type":"APR-DRG"}],"standard_charges":[{"minimum":38288,"maximum":38288,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38288,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER MENTAL HEALTH DISORDERS","code_information":[{"code":"7604","type":"APR-DRG"}],"standard_charges":[{"minimum":57913,"maximum":57913,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57913,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FISTULA SINUS TRACT ABSCESS","code_information":[{"code":"76080","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":178.85,"maximum":235.2,"gross_charge":245,"discounted_cash":135.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":225.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":203.35,"methodology":"fee schedule"}]}]},{"description":"FISTULA SINUS TRACT ABSCESS","code_information":[{"code":"76080","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":115.15,"maximum":235.2,"gross_charge":245,"discounted_cash":135.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":153.51,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":225.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":203.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":115.15,"methodology":"fee schedule"}]}]},{"description":"3D RECONSTRUCTION","code_information":[{"code":"76377","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":219,"maximum":288,"gross_charge":300,"discounted_cash":166.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249,"methodology":"fee schedule"}]}]},{"description":"3D RECONSTRUCTION","code_information":[{"code":"76377","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":141,"maximum":288,"gross_charge":300,"discounted_cash":166.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":143.07,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141,"methodology":"fee schedule"}]}]},{"description":"LTD FOLLOW UP STUDY","code_information":[{"code":"76380","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":716.86,"maximum":942.72,"gross_charge":982,"discounted_cash":544.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":942.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":805.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":903.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":844.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":716.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":815.06,"methodology":"fee schedule"}]}]},{"description":"LTD FOLLOW UP STUDY","code_information":[{"code":"76380","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":461.54,"maximum":942.72,"gross_charge":982,"discounted_cash":544.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":799.2,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":942.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":805.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":903.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":844.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":716.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":815.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":677.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":461.54,"methodology":"fee schedule"}]}]},{"description":"UNLISTED PROCEDURE","code_information":[{"code":"76499","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":141.62,"maximum":186.24,"gross_charge":194,"discounted_cash":107.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":186.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":178.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":166.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.02,"methodology":"fee schedule"}]}]},{"description":"UNLISTED PROCEDURE","code_information":[{"code":"76499","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":91.18,"maximum":186.24,"gross_charge":194,"discounted_cash":107.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":147,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":186.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":178.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":166.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":91.18,"methodology":"fee schedule"}]}]},{"description":"HEAD NECK SOFT TISSUE","code_information":[{"code":"76536","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":524.87,"maximum":690.24,"gross_charge":719,"discounted_cash":398.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":690.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":589.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":661.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":618.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":524.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":596.77,"methodology":"fee schedule"}]}]},{"description":"HEAD NECK SOFT TISSUE","code_information":[{"code":"76536","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":337.93,"maximum":690.24,"gross_charge":719,"discounted_cash":398.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":388.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":683.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":690.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":589.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":661.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":618.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":524.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":596.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":496.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":337.93,"methodology":"fee schedule"}]}]},{"description":"CHEST","code_information":[{"code":"76604","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":352.59,"maximum":463.68,"gross_charge":483,"discounted_cash":267.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":458.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":463.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":396.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":444.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":352.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":400.89,"methodology":"fee schedule"}]}]},{"description":"CHEST","code_information":[{"code":"76604","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":169.92,"maximum":463.68,"gross_charge":483,"discounted_cash":267.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":169.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":458.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":463.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":396.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":444.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":415.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":352.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":400.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":333.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":227.01,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN COMP","code_information":[{"code":"76700","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":654.08,"maximum":860.16,"gross_charge":896,"discounted_cash":496.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":860.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":734.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":824.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":770.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":654.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":743.68,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN COMP","code_information":[{"code":"76700","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":362.17,"maximum":860.16,"gross_charge":896,"discounted_cash":496.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":362.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":851.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":860.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":734.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":824.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":770.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":654.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":743.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":618.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":421.12,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN LTD","code_information":[{"code":"76705","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":495.67,"maximum":651.84,"gross_charge":679,"discounted_cash":376.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":645.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":651.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":624.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":583.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":495.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":563.57,"methodology":"fee schedule"}]}]},{"description":"ABDOMEN LTD","code_information":[{"code":"76705","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":272.74,"maximum":651.84,"gross_charge":679,"discounted_cash":376.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":272.74,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":645.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":651.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":556.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":624.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":583.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":495.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":563.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":468.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":319.13,"methodology":"fee schedule"}]}]},{"description":"SOFT TISSUE LOWER BACK","code_information":[{"code":"76705","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":260.61,"maximum":342.72,"gross_charge":357,"discounted_cash":197.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":342.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":328.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":296.31,"methodology":"fee schedule"}]}]},{"description":"SOFT TISSUE LOWER BACK","code_information":[{"code":"76705","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":167.79,"maximum":342.72,"gross_charge":357,"discounted_cash":197.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":272.74,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":342.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":328.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":296.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":246.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":167.79,"methodology":"fee schedule"}]}]},{"description":"AAA SCREEN","code_information":[{"code":"76706","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":452.6,"maximum":595.2,"gross_charge":620,"discounted_cash":343.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":589,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":595.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":508.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":570.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":533.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":452.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":514.6,"methodology":"fee schedule"}]}]},{"description":"AAA SCREEN","code_information":[{"code":"76706","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":291.4,"maximum":595.2,"gross_charge":620,"discounted_cash":343.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":362.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":589,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":595.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":508.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":570.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":533.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":452.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":514.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":427.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":291.4,"methodology":"fee schedule"}]}]},{"description":"RENAL COMP","code_information":[{"code":"76770","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":611.01,"maximum":803.52,"gross_charge":837,"discounted_cash":463.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":795.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":803.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":686.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":770.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":719.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":611.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":694.71,"methodology":"fee schedule"}]}]},{"description":"RENAL COMP","code_information":[{"code":"76770","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":336.83,"maximum":803.52,"gross_charge":837,"discounted_cash":463.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":336.83,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":795.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":803.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":686.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":770.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":719.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":611.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":694.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":577.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":393.39,"methodology":"fee schedule"}]}]},{"description":"AORTA LTD DUPLEX","code_information":[{"code":"76775","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":362.81,"maximum":477.12,"gross_charge":497,"discounted_cash":275.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":477.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":457.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":427.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":412.51,"methodology":"fee schedule"}]}]},{"description":"AORTA LTD DUPLEX","code_information":[{"code":"76775","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":132.66,"maximum":477.12,"gross_charge":497,"discounted_cash":275.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":132.66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":472.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":477.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":457.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":427.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":412.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":342.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":233.59,"methodology":"fee schedule"}]}]},{"description":"RETROPERITONEAL LTD","code_information":[{"code":"76775","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":407.34,"maximum":535.68,"gross_charge":558,"discounted_cash":309.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":530.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":535.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":457.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":513.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":479.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":463.14,"methodology":"fee schedule"}]}]},{"description":"RETROPERITONEAL LTD","code_information":[{"code":"76775","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":132.66,"maximum":535.68,"gross_charge":558,"discounted_cash":309.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":132.66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":530.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":535.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":457.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":513.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":479.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":463.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":385.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":262.26,"methodology":"fee schedule"}]}]},{"description":"RENAL TRANSPLANT","code_information":[{"code":"76776","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":593.49,"maximum":780.48,"gross_charge":813,"discounted_cash":450.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":772.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":780.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":666.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":747.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":699.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":593.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":674.79,"methodology":"fee schedule"}]}]},{"description":"RENAL TRANSPLANT","code_information":[{"code":"76776","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":382.11,"maximum":780.48,"gross_charge":813,"discounted_cash":450.49,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":520.15,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":772.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":780.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":666.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":747.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":699.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":593.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":674.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":560.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":382.11,"methodology":"fee schedule"}]}]},{"description":"OB 1ST TRI SGL 1ST GEST","code_information":[{"code":"76801","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":395.66,"maximum":520.32,"gross_charge":542,"discounted_cash":300.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":520.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":444.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":498.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":466.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":449.86,"methodology":"fee schedule"}]}]},{"description":"OB 1ST TRI SGL 1ST GEST","code_information":[{"code":"76801","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":254.74,"maximum":520.32,"gross_charge":542,"discounted_cash":300.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":321.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":514.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":520.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":444.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":498.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":466.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":395.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":449.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":373.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":254.74,"methodology":"fee schedule"}]}]},{"description":"OB 1ST TRI EA ADDL GEST","code_information":[{"code":"76802","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":332.15,"maximum":436.8,"gross_charge":455,"discounted_cash":252.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":436.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":373.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":418.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":391.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":377.65,"methodology":"fee schedule"}]}]},{"description":"OB 1ST TRI EA ADDL GEST","code_information":[{"code":"76802","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":96.87,"maximum":436.8,"gross_charge":455,"discounted_cash":252.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":96.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":432.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":436.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":373.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":418.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":391.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":377.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":313.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":213.85,"methodology":"fee schedule"}]}]},{"description":"OB 2 OR 3 TRI SGL 1ST GEST","code_information":[{"code":"76805","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":562.1,"maximum":739.2,"gross_charge":770,"discounted_cash":426.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":731.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":739.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":631.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":708.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":662.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":562.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":639.1,"methodology":"fee schedule"}]}]},{"description":"OB 2 OR 3 TRI SGL 1ST GEST","code_information":[{"code":"76805","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":361.9,"maximum":739.2,"gross_charge":770,"discounted_cash":426.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":402.41,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":731.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":739.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":631.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":708.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":662.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":562.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":639.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":531.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":361.9,"methodology":"fee schedule"}]}]},{"description":"OB 2 OR 3 TRI EA ADDL GEST","code_information":[{"code":"76810","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":329.23,"maximum":432.96,"gross_charge":451,"discounted_cash":249.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":432.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":369.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":414.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":387.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":329.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":374.33,"methodology":"fee schedule"}]}]},{"description":"OB 2 OR 3 TRI EA ADDL GEST","code_information":[{"code":"76810","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":190.78,"maximum":432.96,"gross_charge":451,"discounted_cash":249.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":190.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":428.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":432.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":369.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":414.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":387.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":329.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":374.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":311.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":211.97,"methodology":"fee schedule"}]}]},{"description":"OB 1ST TRI NT MEASURE","code_information":[{"code":"76813","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":383.98,"maximum":504.96,"gross_charge":526,"discounted_cash":291.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":504.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":431.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":483.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":452.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":383.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":436.58,"methodology":"fee schedule"}]}]},{"description":"OB 1ST TRI NT MEASURE","code_information":[{"code":"76813","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":247.22,"maximum":504.96,"gross_charge":526,"discounted_cash":291.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":283.18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":499.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":504.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":431.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":483.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":452.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":383.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":436.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":247.22,"methodology":"fee schedule"}]}]},{"description":"OB 1ST TRI NT MEASURE EA ADDL","code_information":[{"code":"76814","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":186.15,"maximum":244.8,"gross_charge":255,"discounted_cash":141.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":234.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":219.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":211.65,"methodology":"fee schedule"}]}]},{"description":"OB 1ST TRI NT MEASURE EA ADDL","code_information":[{"code":"76814","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":119.85,"maximum":244.8,"gross_charge":255,"discounted_cash":141.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":131.15,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":234.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":219.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":211.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":175.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":119.85,"methodology":"fee schedule"}]}]},{"description":"OB LTD 1 OR MORE FETUS","code_information":[{"code":"76815","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":385.44,"maximum":506.88,"gross_charge":528,"discounted_cash":292.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":506.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":485.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":454.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":438.24,"methodology":"fee schedule"}]}]},{"description":"OB LTD 1 OR MORE FETUS","code_information":[{"code":"76815","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":229.53,"maximum":506.88,"gross_charge":528,"discounted_cash":292.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":229.53,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":506.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":485.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":454.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":438.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":364.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":248.16,"methodology":"fee schedule"}]}]},{"description":"OB FOLLOW UP 1ST GEST","code_information":[{"code":"76816","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":383.25,"maximum":504,"gross_charge":525,"discounted_cash":290.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":504,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":430.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":483,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":451.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":383.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":435.75,"methodology":"fee schedule"}]}]},{"description":"OB FOLLOW UP 1ST GEST","code_information":[{"code":"76816","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":246.75,"maximum":504,"gross_charge":525,"discounted_cash":290.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":315.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":498.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":504,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":430.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":483,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":451.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":383.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":435.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":362.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":246.75,"methodology":"fee schedule"}]}]},{"description":"OB TRANSVAGINAL","code_information":[{"code":"76817","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":340.18,"maximum":447.36,"gross_charge":466,"discounted_cash":258.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":447.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":382.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":428.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":400.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":386.78,"methodology":"fee schedule"}]}]},{"description":"OB TRANSVAGINAL","code_information":[{"code":"76817","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":219.02,"maximum":447.36,"gross_charge":466,"discounted_cash":258.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":260.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":447.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":382.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":428.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":400.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":386.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":321.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":219.02,"methodology":"fee schedule"}]}]},{"description":"FETAL BPP W NST","code_information":[{"code":"76818","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":432.89,"maximum":569.28,"gross_charge":593,"discounted_cash":328.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":569.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":486.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":545.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":509.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":492.19,"methodology":"fee schedule"}]}]},{"description":"FETAL BPP W NST","code_information":[{"code":"76818","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":278.71,"maximum":569.28,"gross_charge":593,"discounted_cash":328.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":287.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":569.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":486.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":545.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":509.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":492.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":409.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":278.71,"methodology":"fee schedule"}]}]},{"description":"FETAL BPP WO NST","code_information":[{"code":"76819","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":313.9,"maximum":412.8,"gross_charge":430,"discounted_cash":238.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":408.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":352.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":395.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":369.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":313.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":356.9,"methodology":"fee schedule"}]}]},{"description":"FETAL BPP WO NST","code_information":[{"code":"76819","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":202.1,"maximum":412.8,"gross_charge":430,"discounted_cash":238.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":213.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":408.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":352.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":395.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":369.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":313.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":356.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":296.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":202.1,"methodology":"fee schedule"}]}]},{"description":"FETAL DOPPLER UMBILICAL","code_information":[{"code":"76820","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":97.82,"maximum":128.64,"gross_charge":134,"discounted_cash":74.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":123.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":115.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":111.22,"methodology":"fee schedule"}]}]},{"description":"FETAL DOPPLER UMBILICAL","code_information":[{"code":"76820","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":62.98,"maximum":128.64,"gross_charge":134,"discounted_cash":74.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":96.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":123.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":115.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":111.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":92.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":62.98,"methodology":"fee schedule"}]}]},{"description":"TRANSVAGINAL NON OB","code_information":[{"code":"76830","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":535.82,"maximum":704.64,"gross_charge":734,"discounted_cash":406.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":704.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":601.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":675.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":631.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":535.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":609.22,"methodology":"fee schedule"}]}]},{"description":"TRANSVAGINAL NON OB","code_information":[{"code":"76830","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":344.98,"maximum":704.64,"gross_charge":734,"discounted_cash":406.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":396.44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":697.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":704.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":601.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":675.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":631.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":535.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":609.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":506.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":344.98,"methodology":"fee schedule"}]}]},{"description":"HYSTEROSONOGRAM","code_information":[{"code":"76831","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":470.85,"maximum":619.2,"gross_charge":645,"discounted_cash":357.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":619.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":528.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":593.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":554.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":470.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":535.35,"methodology":"fee schedule"}]}]},{"description":"HYSTEROSONOGRAM","code_information":[{"code":"76831","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":303.15,"maximum":619.2,"gross_charge":645,"discounted_cash":357.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":375.59,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":612.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":619.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":528.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":593.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":554.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":470.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":535.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":445.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":303.15,"methodology":"fee schedule"}]}]},{"description":"PELVIS NON OB COMP","code_information":[{"code":"76856","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":603.71,"maximum":793.92,"gross_charge":827,"discounted_cash":458.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":785.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":793.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":678.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":760.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":711.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":603.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":686.41,"methodology":"fee schedule"}]}]},{"description":"PELVIS NON OB COMP","code_information":[{"code":"76856","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":333.86,"maximum":793.92,"gross_charge":827,"discounted_cash":458.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":333.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":785.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":793.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":678.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":760.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":711.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":603.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":686.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":570.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":388.69,"methodology":"fee schedule"}]}]},{"description":"PELVIS NON OB LTD","code_information":[{"code":"76857","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":398.58,"maximum":524.16,"gross_charge":546,"discounted_cash":302.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":518.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":524.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":447.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":502.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":469.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":398.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":453.18,"methodology":"fee schedule"}]}]},{"description":"PELVIS NON OB LTD","code_information":[{"code":"76857","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":105.81,"maximum":524.16,"gross_charge":546,"discounted_cash":302.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":105.81,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":518.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":524.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":447.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":502.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":469.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":398.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":453.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":376.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":256.62,"methodology":"fee schedule"}]}]},{"description":"SCROTUM AND CONTENTS","code_information":[{"code":"76870","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":483.99,"maximum":636.48,"gross_charge":663,"discounted_cash":367.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":629.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":636.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":609.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":570.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":483.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":550.29,"methodology":"fee schedule"}]}]},{"description":"SCROTUM AND CONTENTS","code_information":[{"code":"76870","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":311.61,"maximum":636.48,"gross_charge":663,"discounted_cash":367.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":323.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":629.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":636.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":543.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":609.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":570.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":483.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":550.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":457.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":311.61,"methodology":"fee schedule"}]}]},{"description":"TRANSRECTAL","code_information":[{"code":"76872","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":337.26,"maximum":443.52,"gross_charge":462,"discounted_cash":256,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":443.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":425.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":397.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":383.46,"methodology":"fee schedule"}]}]},{"description":"TRANSRECTAL","code_information":[{"code":"76872","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":217.14,"maximum":462,"gross_charge":462,"discounted_cash":256,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":462,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":443.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":425.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":397.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":383.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":318.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":217.14,"methodology":"fee schedule"}]}]},{"description":"EXTREMITY, NON VASCULAR LTD","code_information":[{"code":"76882","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":265.72,"maximum":349.44,"gross_charge":364,"discounted_cash":201.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":349.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":334.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":313.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":302.12,"methodology":"fee schedule"}]}]},{"description":"EXTREMITY, NON VASCULAR LTD","code_information":[{"code":"76882","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":144.58,"maximum":349.44,"gross_charge":364,"discounted_cash":201.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":144.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":349.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":334.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":313.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":302.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":251.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":171.08,"methodology":"fee schedule"}]}]},{"description":"HIPS INFANT COMP DYNAMIC","code_information":[{"code":"76885","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":570.86,"maximum":750.72,"gross_charge":782,"discounted_cash":433.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":641.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":719.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":672.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":570.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":649.06,"methodology":"fee schedule"}]}]},{"description":"HIPS INFANT COMP DYNAMIC","code_information":[{"code":"76885","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":367.54,"maximum":750.72,"gross_charge":782,"discounted_cash":433.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":469.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":742.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":641.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":719.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":672.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":570.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":649.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":539.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":367.54,"methodology":"fee schedule"}]}]},{"description":"HIPS INFANT LTD DYNAMIC","code_information":[{"code":"76886","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":435.81,"maximum":573.12,"gross_charge":597,"discounted_cash":330.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":567.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":573.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":489.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":549.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":513.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":435.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":495.51,"methodology":"fee schedule"}]}]},{"description":"HIPS INFANT LTD DYNAMIC","code_information":[{"code":"76886","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":280.59,"maximum":573.12,"gross_charge":597,"discounted_cash":330.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":326.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":567.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":573.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":489.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":549.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":513.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":435.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":495.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":411.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":280.59,"methodology":"fee schedule"}]}]},{"description":"GUIDE NEEDLE BIOPSY","code_information":[{"code":"76942","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":857.02,"maximum":1127.04,"gross_charge":1174,"discounted_cash":650.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":962.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1080.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":857.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":974.42,"methodology":"fee schedule"}]}]},{"description":"GUIDE NEEDLE BIOPSY","code_information":[{"code":"76942","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":117.75,"maximum":1127.04,"gross_charge":1174,"discounted_cash":650.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":117.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1115.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1127.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":962.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1080.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":857.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":974.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":810.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":551.78,"methodology":"fee schedule"}]}]},{"description":"GUIDE AMIOCENTESIS","code_information":[{"code":"76946","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":83.22,"maximum":109.44,"gross_charge":114,"discounted_cash":63.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.62,"methodology":"fee schedule"}]}]},{"description":"GUIDE AMIOCENTESIS","code_information":[{"code":"76946","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":53.58,"maximum":109.44,"gross_charge":114,"discounted_cash":63.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":53.58,"methodology":"fee schedule"}]}]},{"description":"UNLISTED PROCEDURE","code_information":[{"code":"76999","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":385.44,"maximum":506.88,"gross_charge":528,"discounted_cash":292.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":506.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":485.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":454.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":438.24,"methodology":"fee schedule"}]}]},{"description":"UNLISTED PROCEDURE","code_information":[{"code":"76999","type":"CPT"},{"code":"0402","type":"RC"}],"standard_charges":[{"minimum":147,"maximum":506.88,"gross_charge":528,"discounted_cash":292.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":147,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":506.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":485.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":454.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":438.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":364.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":248.16,"methodology":"fee schedule"}]}]},{"description":"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE","code_information":[{"code":"7701","type":"APR-DRG"}],"standard_charges":[{"minimum":2924,"maximum":2924,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2924,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"GUIDE","code_information":[{"code":"77012","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":432.89,"maximum":569.28,"gross_charge":593,"discounted_cash":328.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":569.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":486.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":545.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":509.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":492.19,"methodology":"fee schedule"}]}]},{"description":"GUIDE","code_information":[{"code":"77012","type":"CPT"},{"code":"0352","type":"RC"}],"standard_charges":[{"minimum":278.71,"maximum":593,"gross_charge":593,"discounted_cash":328.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":593,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":563.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":569.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":486.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":545.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":509.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":492.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":409.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":278.71,"methodology":"fee schedule"}]}]},{"description":"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE","code_information":[{"code":"7702","type":"APR-DRG"}],"standard_charges":[{"minimum":4457,"maximum":4457,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4457,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE","code_information":[{"code":"7703","type":"APR-DRG"}],"standard_charges":[{"minimum":9904,"maximum":9904,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9904,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE","code_information":[{"code":"7704","type":"APR-DRG"}],"standard_charges":[{"minimum":21288,"maximum":21288,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21288,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SCREENING TOMO BI","code_information":[{"code":"77063","type":"CPT"},{"code":"0403","type":"RC"}],"standard_charges":[{"minimum":109.5,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"}]}]},{"description":"SCREENING TOMO BI","code_information":[{"code":"77063","type":"CPT"},{"code":"0403","type":"RC"}],"standard_charges":[{"minimum":70.5,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":108.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":70.5,"methodology":"fee schedule"}]}]},{"description":"DIAGNOSTIC DIGITAL BI","code_information":[{"code":"77066","type":"CPT"},{"code":"0401","type":"RC"}],"standard_charges":[{"minimum":767.96,"maximum":1009.92,"gross_charge":1052,"discounted_cash":582.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":999.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":862.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":967.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":904.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":767.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":873.16,"methodology":"fee schedule"}]}]},{"description":"DIAGNOSTIC DIGITAL BI","code_information":[{"code":"77066","type":"CPT"},{"code":"0401","type":"RC"}],"standard_charges":[{"minimum":494.44,"maximum":1009.92,"gross_charge":1052,"discounted_cash":582.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":499.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":999.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1009.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":862.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":967.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":904.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":767.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":873.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":725.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":494.44,"methodology":"fee schedule"}]}]},{"description":"SCREENING DIGITAL BI","code_information":[{"code":"77067","type":"CPT"},{"code":"0403","type":"RC"}],"standard_charges":[{"minimum":489.1,"maximum":643.2,"gross_charge":670,"discounted_cash":371.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":636.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":643.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":549.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":616.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":576.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":489.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":556.1,"methodology":"fee schedule"}]}]},{"description":"SCREENING DIGITAL BI","code_information":[{"code":"77067","type":"CPT"},{"code":"0403","type":"RC"}],"standard_charges":[{"minimum":96.46,"maximum":643.2,"gross_charge":670,"discounted_cash":371.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":412.85,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":636.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":643.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":549.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":616.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":576.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":489.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":556.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":462.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":96.46,"methodology":"fee schedule"}]}]},{"description":"BONE AGE STUDY","code_information":[{"code":"77072","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":124.83,"maximum":164.16,"gross_charge":171,"discounted_cash":94.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":162.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":164.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":157.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.93,"methodology":"fee schedule"}]}]},{"description":"BONE AGE STUDY","code_information":[{"code":"77072","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":73.04,"maximum":164.16,"gross_charge":171,"discounted_cash":94.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":162.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":164.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":157.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":80.37,"methodology":"fee schedule"}]}]},{"description":"BONE LENGTH SCANOGRAM","code_information":[{"code":"77073","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":260.61,"maximum":342.72,"gross_charge":357,"discounted_cash":197.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":342.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":328.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":296.31,"methodology":"fee schedule"}]}]},{"description":"BONE LENGTH SCANOGRAM","code_information":[{"code":"77073","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":138.61,"maximum":342.72,"gross_charge":357,"discounted_cash":197.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":138.61,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":339.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":342.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":292.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":328.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":307.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":260.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":296.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":246.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":167.79,"methodology":"fee schedule"}]}]},{"description":"BONE SURVEY LTD METS","code_information":[{"code":"77074","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":338.72,"maximum":445.44,"gross_charge":464,"discounted_cash":257.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":445.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":380.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":426.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":399.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":338.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":385.12,"methodology":"fee schedule"}]}]},{"description":"BONE SURVEY LTD METS","code_information":[{"code":"77074","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":190.78,"maximum":445.44,"gross_charge":464,"discounted_cash":257.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":190.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":440.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":445.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":380.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":426.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":399.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":338.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":385.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":320.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":218.08,"methodology":"fee schedule"}]}]},{"description":"BONE SURVEY COMP METS","code_information":[{"code":"77075","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":402.23,"maximum":528.96,"gross_charge":551,"discounted_cash":305.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":523.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":528.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":451.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":506.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":473.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":402.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":457.33,"methodology":"fee schedule"}]}]},{"description":"BONE SURVEY COMP METS","code_information":[{"code":"77075","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":258.97,"maximum":528.96,"gross_charge":551,"discounted_cash":305.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":312.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":523.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":528.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":451.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":506.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":473.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":402.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":457.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":380.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":258.97,"methodology":"fee schedule"}]}]},{"description":"BONE SURVEY INFANT","code_information":[{"code":"77076","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":365,"maximum":480,"gross_charge":500,"discounted_cash":277.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":480,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":410,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":460,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":430,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":415,"methodology":"fee schedule"}]}]},{"description":"BONE SURVEY INFANT","code_information":[{"code":"77076","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":235,"maximum":480,"gross_charge":500,"discounted_cash":277.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":315.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":475,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":480,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":410,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":460,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":430,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":415,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":345,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":235,"methodology":"fee schedule"}]}]},{"description":"JOINT SURVEY 1V","code_information":[{"code":"77077","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":348.21,"maximum":457.92,"gross_charge":477,"discounted_cash":264.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":453.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":457.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":438.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":410.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":395.91,"methodology":"fee schedule"}]}]},{"description":"JOINT SURVEY 1V","code_information":[{"code":"77077","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":131.15,"maximum":457.92,"gross_charge":477,"discounted_cash":264.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":131.15,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":453.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":457.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":438.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":410.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":395.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":329.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":224.19,"methodology":"fee schedule"}]}]},{"description":"DEXA BONE DENSITY BODY","code_information":[{"code":"77080","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":551.88,"maximum":725.76,"gross_charge":756,"discounted_cash":418.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":718.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":725.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":619.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":695.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":650.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":627.48,"methodology":"fee schedule"}]}]},{"description":"DEXA BONE DENSITY BODY","code_information":[{"code":"77080","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":123.7,"maximum":725.76,"gross_charge":756,"discounted_cash":418.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":123.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":718.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":725.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":619.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":695.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":650.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":551.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":627.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":521.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":355.32,"methodology":"fee schedule"}]}]},{"description":"DEXA BONE DENSITY PERIPHERAL","code_information":[{"code":"77081","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":165.71,"maximum":217.92,"gross_charge":227,"discounted_cash":125.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":217.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":208.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":195.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":188.41,"methodology":"fee schedule"}]}]},{"description":"DEXA BONE DENSITY PERIPHERAL","code_information":[{"code":"77081","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":93.89,"maximum":217.92,"gross_charge":227,"discounted_cash":125.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":93.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":217.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":208.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":195.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":188.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":156.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":106.69,"methodology":"fee schedule"}]}]},{"description":"DEXA BONE DENSITY FX ASSMNT","code_information":[{"code":"77086","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":238.71,"maximum":313.92,"gross_charge":327,"discounted_cash":181.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":310.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":313.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":300.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":281.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":271.41,"methodology":"fee schedule"}]}]},{"description":"DEXA BONE DENSITY FX ASSMNT","code_information":[{"code":"77086","type":"CPT"},{"code":"0320","type":"RC"}],"standard_charges":[{"minimum":110.29,"maximum":313.92,"gross_charge":327,"discounted_cash":181.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":310.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":313.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":300.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":281.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":271.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":225.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":153.69,"methodology":"fee schedule"}]}]},{"description":"ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY","code_information":[{"code":"7721","type":"APR-DRG"}],"standard_charges":[{"minimum":8967,"maximum":8967,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8967,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY","code_information":[{"code":"7722","type":"APR-DRG"}],"standard_charges":[{"minimum":16877,"maximum":16877,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16877,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY","code_information":[{"code":"7723","type":"APR-DRG"}],"standard_charges":[{"minimum":21824,"maximum":21824,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21824,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY","code_information":[{"code":"7724","type":"APR-DRG"}],"standard_charges":[{"minimum":38643,"maximum":38643,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38643,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPIOID ABUSE AND DEPENDENCE","code_information":[{"code":"7731","type":"APR-DRG"}],"standard_charges":[{"minimum":7530,"maximum":7530,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7530,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPIOID ABUSE AND DEPENDENCE","code_information":[{"code":"7732","type":"APR-DRG"}],"standard_charges":[{"minimum":10146,"maximum":10146,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10146,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPIOID ABUSE AND DEPENDENCE","code_information":[{"code":"7733","type":"APR-DRG"}],"standard_charges":[{"minimum":10294,"maximum":10294,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10294,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OPIOID ABUSE AND DEPENDENCE","code_information":[{"code":"7734","type":"APR-DRG"}],"standard_charges":[{"minimum":27600,"maximum":27600,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27600,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"COCAINE ABUSE AND DEPENDENCE","code_information":[{"code":"7741","type":"APR-DRG"}],"standard_charges":[{"minimum":4958,"maximum":4958,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4958,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"COCAINE ABUSE AND DEPENDENCE","code_information":[{"code":"7742","type":"APR-DRG"}],"standard_charges":[{"minimum":6054,"maximum":6054,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6054,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"COCAINE ABUSE AND DEPENDENCE","code_information":[{"code":"7743","type":"APR-DRG"}],"standard_charges":[{"minimum":11316,"maximum":11316,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11316,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"COCAINE ABUSE AND DEPENDENCE","code_information":[{"code":"7744","type":"APR-DRG"}],"standard_charges":[{"minimum":37405,"maximum":37405,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37405,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALCOHOL ABUSE AND DEPENDENCE","code_information":[{"code":"7751","type":"APR-DRG"}],"standard_charges":[{"minimum":6180,"maximum":6180,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6180,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALCOHOL ABUSE AND DEPENDENCE","code_information":[{"code":"7752","type":"APR-DRG"}],"standard_charges":[{"minimum":8343,"maximum":8343,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8343,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALCOHOL ABUSE AND DEPENDENCE","code_information":[{"code":"7753","type":"APR-DRG"}],"standard_charges":[{"minimum":12238,"maximum":12238,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12238,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALCOHOL ABUSE AND DEPENDENCE","code_information":[{"code":"7754","type":"APR-DRG"}],"standard_charges":[{"minimum":36120,"maximum":36120,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36120,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DRUG ABUSE AND DEPENDENCE","code_information":[{"code":"7761","type":"APR-DRG"}],"standard_charges":[{"minimum":10523,"maximum":10523,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10523,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DRUG ABUSE AND DEPENDENCE","code_information":[{"code":"7762","type":"APR-DRG"}],"standard_charges":[{"minimum":12530,"maximum":12530,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12530,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DRUG ABUSE AND DEPENDENCE","code_information":[{"code":"7763","type":"APR-DRG"}],"standard_charges":[{"minimum":22703,"maximum":22703,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22703,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER DRUG ABUSE AND DEPENDENCE","code_information":[{"code":"7764","type":"APR-DRG"}],"standard_charges":[{"minimum":23364,"maximum":23364,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23364,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARATHYROID IMAGING","code_information":[{"code":"78070","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1309.62,"maximum":1722.24,"gross_charge":1794,"discounted_cash":994.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1704.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1471.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1650.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1542.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1309.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1489.02,"methodology":"fee schedule"}]}]},{"description":"PARATHYROID IMAGING","code_information":[{"code":"78070","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":843.18,"maximum":1722.24,"gross_charge":1794,"discounted_cash":994.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1128.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1704.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1722.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1471.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1650.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1542.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1309.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1489.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1237.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":843.18,"methodology":"fee schedule"}]}]},{"description":"LIVER IMAGING STATIC","code_information":[{"code":"78201","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":839.5,"maximum":1104,"gross_charge":1150,"discounted_cash":637.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1104,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":943,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1058,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":989,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":839.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":954.5,"methodology":"fee schedule"}]}]},{"description":"LIVER IMAGING STATIC","code_information":[{"code":"78201","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":540.5,"maximum":1104,"gross_charge":1150,"discounted_cash":637.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":746.69,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1104,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":943,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1058,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":989,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":839.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":954.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":793.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":540.5,"methodology":"fee schedule"}]}]},{"description":"LIVER SPLEEN IMAGING","code_information":[{"code":"78215","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":870.89,"maximum":1145.28,"gross_charge":1193,"discounted_cash":661.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1133.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1145.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":978.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1097.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1025.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":870.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":990.19,"methodology":"fee schedule"}]}]},{"description":"LIVER SPLEEN IMAGING","code_information":[{"code":"78215","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":560.71,"maximum":1145.28,"gross_charge":1193,"discounted_cash":661.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":757.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1133.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1145.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":978.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1097.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1025.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":870.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":990.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":823.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":560.71,"methodology":"fee schedule"}]}]},{"description":"CHOLESCINTIGRAPHY","code_information":[{"code":"78226","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1699.44,"maximum":2234.88,"gross_charge":2328,"discounted_cash":1289.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2211.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2234.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1908.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2141.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1699.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1932.24,"methodology":"fee schedule"}]}]},{"description":"CHOLESCINTIGRAPHY","code_information":[{"code":"78226","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1094.16,"maximum":2234.88,"gross_charge":2328,"discounted_cash":1289.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1281.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2211.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2234.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1908.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2141.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1699.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1932.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1606.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1094.16,"methodology":"fee schedule"}]}]},{"description":"CHOLESCINTIGRAPHY W PHARM INT","code_information":[{"code":"78227","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":2328.7,"maximum":3062.4,"gross_charge":3190,"discounted_cash":1767.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3030.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3062.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2615.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2934.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2743.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2328.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2647.7,"methodology":"fee schedule"}]}]},{"description":"CHOLESCINTIGRAPHY W PHARM INT","code_information":[{"code":"78227","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1499.3,"maximum":3062.4,"gross_charge":3190,"discounted_cash":1767.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.26,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3030.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3062.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2615.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2934.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2743.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2328.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2647.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2201.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1499.3,"methodology":"fee schedule"}]}]},{"description":"GASTRIC EMPTY STUDY","code_information":[{"code":"78264","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1282.61,"maximum":1686.72,"gross_charge":1757,"discounted_cash":973.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1669.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1686.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1440.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1616.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1511.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1282.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1458.31,"methodology":"fee schedule"}]}]},{"description":"GASTRIC EMPTY STUDY","code_information":[{"code":"78264","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":825.79,"maximum":1686.72,"gross_charge":1757,"discounted_cash":973.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1292.18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1669.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1686.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1440.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1616.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1511.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1282.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1458.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1212.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":825.79,"methodology":"fee schedule"}]}]},{"description":"GI BLOOD LOSS","code_information":[{"code":"78278","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1530.08,"maximum":2012.16,"gross_charge":2096,"discounted_cash":1161.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1991.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2012.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1718.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1928.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1802.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1530.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1739.68,"methodology":"fee schedule"}]}]},{"description":"GI BLOOD LOSS","code_information":[{"code":"78278","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":985.12,"maximum":2012.16,"gross_charge":2096,"discounted_cash":1161.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1321.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1991.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2012.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1718.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1928.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1802.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1530.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1739.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1446.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":985.12,"methodology":"fee schedule"}]}]},{"description":"BOWEL IMAGING MECKELS","code_information":[{"code":"78290","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1522.78,"maximum":2002.56,"gross_charge":2086,"discounted_cash":1155.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1710.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1919.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1793.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1522.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1731.38,"methodology":"fee schedule"}]}]},{"description":"BOWEL IMAGING MECKELS","code_information":[{"code":"78290","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":980.42,"maximum":2002.56,"gross_charge":2086,"discounted_cash":1155.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1307.09,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1710.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1919.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1793.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1522.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1731.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1439.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":980.42,"methodology":"fee schedule"}]}]},{"description":"BONE SCAN LIMITED","code_information":[{"code":"78300","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":759.93,"maximum":999.36,"gross_charge":1041,"discounted_cash":576.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":988.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":999.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":853.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":957.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":895.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":759.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":864.03,"methodology":"fee schedule"}]}]},{"description":"BONE SCAN LIMITED","code_information":[{"code":"78300","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":489.27,"maximum":999.36,"gross_charge":1041,"discounted_cash":576.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":876.35,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":988.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":999.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":853.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":957.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":895.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":759.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":864.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":718.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":489.27,"methodology":"fee schedule"}]}]},{"description":"BONE SCAN MULTI AREA","code_information":[{"code":"78305","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":998.64,"maximum":1313.28,"gross_charge":1368,"discounted_cash":758.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1299.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1121.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1258.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":998.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1135.44,"methodology":"fee schedule"}]}]},{"description":"BONE SCAN MULTI AREA","code_information":[{"code":"78305","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":642.96,"maximum":1313.28,"gross_charge":1368,"discounted_cash":758.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1047.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1299.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1313.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1121.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1258.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1176.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":998.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1135.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":943.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":642.96,"methodology":"fee schedule"}]}]},{"description":"BONE SCAN WHOLE BODY","code_information":[{"code":"78306","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1121.28,"maximum":1474.56,"gross_charge":1536,"discounted_cash":851.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1459.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1474.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1259.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1413.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1320.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1121.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1274.88,"methodology":"fee schedule"}]}]},{"description":"BONE SCAN WHOLE BODY","code_information":[{"code":"78306","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":721.92,"maximum":1474.56,"gross_charge":1536,"discounted_cash":851.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1459.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1474.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1259.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1413.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1320.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1121.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1274.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1059.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":721.92,"methodology":"fee schedule"}]}]},{"description":"BONE SCAN 3 PHASE","code_information":[{"code":"78315","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1522.78,"maximum":2002.56,"gross_charge":2086,"discounted_cash":1155.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1710.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1919.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1793.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1522.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1731.38,"methodology":"fee schedule"}]}]},{"description":"BONE SCAN 3 PHASE","code_information":[{"code":"78315","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":980.42,"maximum":2002.56,"gross_charge":2086,"discounted_cash":1155.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1307.09,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1981.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2002.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1710.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1919.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1793.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1522.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1731.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1439.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":980.42,"methodology":"fee schedule"}]}]},{"description":"MYOCARDIAL PERF SPECT SINGL","code_information":[{"code":"78451","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1960.78,"maximum":2578.56,"gross_charge":2686,"discounted_cash":1488.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2551.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2578.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2202.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2471.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2309.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1960.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2229.38,"methodology":"fee schedule"}]}]},{"description":"MYOCARDIAL PERF SPECT SINGL","code_information":[{"code":"78451","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1208.71,"maximum":2578.56,"gross_charge":2686,"discounted_cash":1488.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1208.71,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2551.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2578.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2202.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2471.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2309.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1960.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2229.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1853.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1262.42,"methodology":"fee schedule"}]}]},{"description":"MYOCARDIAL PERF SPECT MULTI","code_information":[{"code":"78452","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":2614.13,"maximum":3437.76,"gross_charge":3581,"discounted_cash":1984.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3401.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3437.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2936.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3294.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3079.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2614.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2972.23,"methodology":"fee schedule"}]}]},{"description":"MYOCARDIAL PERF SPECT MULTI","code_information":[{"code":"78452","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1683.07,"maximum":3437.76,"gross_charge":3581,"discounted_cash":1984.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.26,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3401.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3437.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2936.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3294.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3079.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2614.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2972.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2470.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1683.07,"methodology":"fee schedule"}]}]},{"description":"MUGA RESTING","code_information":[{"code":"78472","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1117.63,"maximum":1469.76,"gross_charge":1531,"discounted_cash":848.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1454.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1469.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1255.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1408.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1316.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1117.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1270.73,"methodology":"fee schedule"}]}]},{"description":"MUGA RESTING","code_information":[{"code":"78472","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":719.57,"maximum":1469.76,"gross_charge":1531,"discounted_cash":848.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":797.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1454.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1469.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1255.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1408.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1316.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1117.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1270.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1056.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":719.57,"methodology":"fee schedule"}]}]},{"description":"LUNG VENTILLATION ONLY","code_information":[{"code":"78579","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":957.76,"maximum":1259.52,"gross_charge":1312,"discounted_cash":726.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1246.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1259.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1075.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1207.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1128.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":957.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1088.96,"methodology":"fee schedule"}]}]},{"description":"LUNG VENTILLATION ONLY","code_information":[{"code":"78579","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":616.64,"maximum":1259.52,"gross_charge":1312,"discounted_cash":726.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":719.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1246.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1259.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1075.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1207.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1128.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":957.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1088.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":905.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":616.64,"methodology":"fee schedule"}]}]},{"description":"PULMONARY PERFUSION IMAGING","code_information":[{"code":"78580","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1022,"maximum":1344,"gross_charge":1400,"discounted_cash":775.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1330,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1344,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1148,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1288,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1204,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1022,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1162,"methodology":"fee schedule"}]}]},{"description":"PULMONARY PERFUSION IMAGING","code_information":[{"code":"78580","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":658,"maximum":1344,"gross_charge":1400,"discounted_cash":775.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":883.81,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1330,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1344,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1148,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1288,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1204,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1022,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1162,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":966,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":658,"methodology":"fee schedule"}]}]},{"description":"LUNG VENT PERFUSION","code_information":[{"code":"78582","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1636.66,"maximum":2152.32,"gross_charge":2242,"discounted_cash":1242.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2129.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2152.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1838.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2062.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1928.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1860.86,"methodology":"fee schedule"}]}]},{"description":"LUNG VENT PERFUSION","code_information":[{"code":"78582","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1053.74,"maximum":2152.32,"gross_charge":2242,"discounted_cash":1242.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1240.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2129.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2152.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1838.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2062.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1928.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1860.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1546.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1053.74,"methodology":"fee schedule"}]}]},{"description":"KIDNEY IMG FLOW WO PHARM INT","code_information":[{"code":"78707","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":992.07,"maximum":1304.64,"gross_charge":1359,"discounted_cash":753.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1291.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1304.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1114.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1250.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":992.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1127.97,"methodology":"fee schedule"}]}]},{"description":"KIDNEY IMG FLOW WO PHARM INT","code_information":[{"code":"78707","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":638.73,"maximum":1304.64,"gross_charge":1359,"discounted_cash":753.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":818.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1291.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1304.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1114.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1250.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":992.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1127.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":937.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":638.73,"methodology":"fee schedule"}]}]},{"description":"KIDNEY IMG FUNCTION","code_information":[{"code":"78707","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1122.74,"maximum":1476.48,"gross_charge":1538,"discounted_cash":852.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1461.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1476.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1261.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1414.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1322.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1122.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1276.54,"methodology":"fee schedule"}]}]},{"description":"KIDNEY IMG FUNCTION","code_information":[{"code":"78707","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":722.86,"maximum":1476.48,"gross_charge":1538,"discounted_cash":852.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":818.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1461.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1476.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1261.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1414.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1322.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1122.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1276.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1061.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":722.86,"methodology":"fee schedule"}]}]},{"description":"KIDNEY IMG CAPTOPRIL","code_information":[{"code":"78708","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1774.63,"maximum":2333.76,"gross_charge":2431,"discounted_cash":1347.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2309.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2333.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1993.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2236.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2090.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1774.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2017.73,"methodology":"fee schedule"}]}]},{"description":"KIDNEY IMG CAPTOPRIL","code_information":[{"code":"78708","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":526.11,"maximum":2333.76,"gross_charge":2431,"discounted_cash":1347.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":526.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2309.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2333.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1993.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2236.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2090.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1774.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2017.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1677.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1142.57,"methodology":"fee schedule"}]}]},{"description":"KIDNEY IMG FLOW W WO PHARM INT","code_information":[{"code":"78709","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1530.08,"maximum":2012.16,"gross_charge":2096,"discounted_cash":1161.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1991.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2012.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1718.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1928.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1802.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1530.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1739.68,"methodology":"fee schedule"}]}]},{"description":"KIDNEY IMG FLOW W WO PHARM INT","code_information":[{"code":"78709","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":985.12,"maximum":2012.16,"gross_charge":2096,"discounted_cash":1161.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1324.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1991.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2012.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1718.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1928.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1802.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1530.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1739.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1446.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":985.12,"methodology":"fee schedule"}]}]},{"description":"URETERAL REFLUX STUDY","code_information":[{"code":"78740","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1027.11,"maximum":1350.72,"gross_charge":1407,"discounted_cash":779.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1336.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1350.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1153.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1294.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1210.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1027.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1167.81,"methodology":"fee schedule"}]}]},{"description":"URETERAL REFLUX STUDY","code_information":[{"code":"78740","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":661.29,"maximum":1350.72,"gross_charge":1407,"discounted_cash":779.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":851.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1336.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1350.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1153.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1294.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1210.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1027.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1167.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":970.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":661.29,"methodology":"fee schedule"}]}]},{"description":"TESTICULAR IMAGING W FLOW","code_information":[{"code":"78761","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":921.99,"maximum":1212.48,"gross_charge":1263,"discounted_cash":699.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1212.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1035.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1161.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1086.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":921.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1048.29,"methodology":"fee schedule"}]}]},{"description":"TESTICULAR IMAGING W FLOW","code_information":[{"code":"78761","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":593.61,"maximum":1212.48,"gross_charge":1263,"discounted_cash":699.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":778,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1199.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1212.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1035.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1161.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1086.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":921.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1048.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":871.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":593.61,"methodology":"fee schedule"}]}]},{"description":"TUMOR IMAGE SPECT","code_information":[{"code":"78803","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":1305.24,"maximum":1716.48,"gross_charge":1788,"discounted_cash":990.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1698.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1716.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1466.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1644.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1537.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1305.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1484.04,"methodology":"fee schedule"}]}]},{"description":"TUMOR IMAGE SPECT","code_information":[{"code":"78803","type":"CPT"},{"code":"0341","type":"RC"}],"standard_charges":[{"minimum":840.36,"maximum":1716.48,"gross_charge":1788,"discounted_cash":990.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1476.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1698.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1716.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1466.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1644.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1537.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1305.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1484.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1233.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":840.36,"methodology":"fee schedule"}]}]},{"description":"EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7921","type":"APR-DRG"}],"standard_charges":[{"minimum":26163,"maximum":26163,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26163,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7922","type":"APR-DRG"}],"standard_charges":[{"minimum":41470,"maximum":41470,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":41470,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7923","type":"APR-DRG"}],"standard_charges":[{"minimum":56087,"maximum":56087,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56087,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7924","type":"APR-DRG"}],"standard_charges":[{"minimum":92535,"maximum":92535,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":92535,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7931","type":"APR-DRG"}],"standard_charges":[{"minimum":22037,"maximum":22037,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22037,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7932","type":"APR-DRG"}],"standard_charges":[{"minimum":22063,"maximum":22063,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22063,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7933","type":"APR-DRG"}],"standard_charges":[{"minimum":39575,"maximum":39575,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39575,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7934","type":"APR-DRG"}],"standard_charges":[{"minimum":83068,"maximum":83068,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":83068,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7941","type":"APR-DRG"}],"standard_charges":[{"minimum":14167,"maximum":14167,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14167,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7942","type":"APR-DRG"}],"standard_charges":[{"minimum":19918,"maximum":19918,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19918,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7943","type":"APR-DRG"}],"standard_charges":[{"minimum":35387,"maximum":35387,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35387,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"7944","type":"APR-DRG"}],"standard_charges":[{"minimum":60525,"maximum":60525,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60525,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BMP POC","code_information":[{"code":"80047","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":65.7,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"}]}]},{"description":"BMP POC","code_information":[{"code":"80047","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.73,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.73,"methodology":"fee schedule"}]}]},{"description":"BMP","code_information":[{"code":"80048","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":97.82,"maximum":128.64,"gross_charge":134,"discounted_cash":74.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":123.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":115.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":111.22,"methodology":"fee schedule"}]}]},{"description":"BMP","code_information":[{"code":"80048","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.46,"maximum":128.64,"gross_charge":134,"discounted_cash":74.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44.94,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":123.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":115.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":111.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":92.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.46,"methodology":"fee schedule"}]}]},{"description":"ELECTROLYTES","code_information":[{"code":"80051","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":72.27,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"}]}]},{"description":"ELECTROLYTES","code_information":[{"code":"80051","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7.01,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.01,"methodology":"fee schedule"}]}]},{"description":"CMP","code_information":[{"code":"80053","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":120.45,"maximum":158.4,"gross_charge":165,"discounted_cash":91.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"}]}]},{"description":"CMP","code_information":[{"code":"80053","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.56,"maximum":158.4,"gross_charge":165,"discounted_cash":91.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56.09,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.56,"methodology":"fee schedule"}]}]},{"description":"PRENATAL PANEL W/ CBC & HBSAG","code_information":[{"code":"80055","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":282.51,"maximum":371.52,"gross_charge":387,"discounted_cash":214.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":371.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":356.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":332.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":321.21,"methodology":"fee schedule"}]}]},{"description":"PRENATAL PANEL W/ CBC & HBSAG","code_information":[{"code":"80055","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":47.81,"maximum":371.52,"gross_charge":387,"discounted_cash":214.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":253.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":371.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":317.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":356.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":332.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":282.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":321.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":267.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":47.81,"methodology":"fee schedule"}]}]},{"description":"LIPID PROFILE","code_information":[{"code":"80061","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":123.37,"maximum":162.24,"gross_charge":169,"discounted_cash":93.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":162.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":138.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":155.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":145.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":140.27,"methodology":"fee schedule"}]}]},{"description":"LIPID PROFILE","code_information":[{"code":"80061","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.39,"maximum":162.24,"gross_charge":169,"discounted_cash":93.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":162.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":138.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":155.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":145.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":140.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.39,"methodology":"fee schedule"}]}]},{"description":"RENAL PROFILE","code_information":[{"code":"80069","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":94.17,"maximum":123.84,"gross_charge":129,"discounted_cash":71.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":123.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":118.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":107.07,"methodology":"fee schedule"}]}]},{"description":"RENAL PROFILE","code_information":[{"code":"80069","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.68,"maximum":123.84,"gross_charge":129,"discounted_cash":71.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":123.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":118.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":107.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.68,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS PANEL ACUTE","code_information":[{"code":"80074","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":269.37,"maximum":354.24,"gross_charge":369,"discounted_cash":204.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":354.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":302.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":339.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":317.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":306.27,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS PANEL ACUTE","code_information":[{"code":"80074","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":47.63,"maximum":354.24,"gross_charge":369,"discounted_cash":204.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":253,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":354.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":302.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":339.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":317.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":306.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":254.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":47.63,"methodology":"fee schedule"}]}]},{"description":"HEPATIC FUNCTION","code_information":[{"code":"80076","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":88.33,"maximum":116.16,"gross_charge":121,"discounted_cash":67.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.43,"methodology":"fee schedule"}]}]},{"description":"HEPATIC FUNCTION","code_information":[{"code":"80076","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.17,"maximum":116.16,"gross_charge":121,"discounted_cash":67.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.17,"methodology":"fee schedule"}]}]},{"description":"OBSTETRIC PANEL WITH HBSAG & H","code_information":[{"code":"80081","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":420.48,"maximum":552.96,"gross_charge":576,"discounted_cash":319.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":552.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":472.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":529.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":495.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":420.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":478.08,"methodology":"fee schedule"}]}]},{"description":"OBSTETRIC PANEL WITH HBSAG & H","code_information":[{"code":"80081","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":74.86,"maximum":552.96,"gross_charge":576,"discounted_cash":319.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":397.64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":552.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":472.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":529.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":495.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":420.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":478.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":397.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":74.86,"methodology":"fee schedule"}]}]},{"description":"ACETAMINOPHEN","code_information":[{"code":"80143","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":200.75,"maximum":264,"gross_charge":275,"discounted_cash":152.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":236.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":228.25,"methodology":"fee schedule"}]}]},{"description":"ACETAMINOPHEN","code_information":[{"code":"80143","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.64,"maximum":264,"gross_charge":275,"discounted_cash":152.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":99.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":261.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":236.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":228.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":189.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.64,"methodology":"fee schedule"}]}]},{"description":"ADALIMUMAB DRUG LEVEL","code_information":[{"code":"80145","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":93.44,"maximum":122.88,"gross_charge":128,"discounted_cash":70.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":122.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.24,"methodology":"fee schedule"}]}]},{"description":"ADALIMUMAB DRUG LEVEL","code_information":[{"code":"80145","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":280.32,"maximum":368.64,"gross_charge":384,"discounted_cash":212.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":368.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":314.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":353.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":330.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":280.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":318.72,"methodology":"fee schedule"}]}]},{"description":"ADALIMUMAB DRUG LEVEL","code_information":[{"code":"80145","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.57,"maximum":128,"gross_charge":128,"discounted_cash":70.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":128,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":122.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":38.57,"methodology":"fee schedule"}]}]},{"description":"ADALIMUMAB DRUG LEVEL","code_information":[{"code":"80145","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.57,"maximum":368.64,"gross_charge":384,"discounted_cash":212.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":204.88,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":364.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":368.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":314.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":353.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":330.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":280.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":318.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":264.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":38.57,"methodology":"fee schedule"}]}]},{"description":"AMIKACIN SINGLE","code_information":[{"code":"80150","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.24,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"}]}]},{"description":"AMIKACIN SINGLE","code_information":[{"code":"80150","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.08,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":80.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.08,"methodology":"fee schedule"}]}]},{"description":"AMIODARONE","code_information":[{"code":"80151","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":98.55,"maximum":129.6,"gross_charge":135,"discounted_cash":74.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.05,"methodology":"fee schedule"}]}]},{"description":"AMIODARONE","code_information":[{"code":"80151","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.64,"maximum":129.6,"gross_charge":135,"discounted_cash":74.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":99.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.64,"methodology":"fee schedule"}]}]},{"description":"CARBAMAZAPINE","code_information":[{"code":"80156","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":137.97,"maximum":181.44,"gross_charge":189,"discounted_cash":104.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":173.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":162.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.87,"methodology":"fee schedule"}]}]},{"description":"CARBAMAZAPINE","code_information":[{"code":"80156","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.57,"maximum":181.44,"gross_charge":189,"discounted_cash":104.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":173.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":162.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":130.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.57,"methodology":"fee schedule"}]}]},{"description":"CLOZAPINE","code_information":[{"code":"80159","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"CLOZAPINE","code_information":[{"code":"80159","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.15,"maximum":66,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.15,"methodology":"fee schedule"}]}]},{"description":"DIGOXIN","code_information":[{"code":"80162","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":134.32,"maximum":176.64,"gross_charge":184,"discounted_cash":101.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":169.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":158.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":152.72,"methodology":"fee schedule"}]}]},{"description":"DIGOXIN","code_information":[{"code":"80162","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.28,"maximum":176.64,"gross_charge":184,"discounted_cash":101.96,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":169.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":158.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":152.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.28,"methodology":"fee schedule"}]}]},{"description":"VALPROIC ACID","code_information":[{"code":"80164","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":128.48,"maximum":168.96,"gross_charge":176,"discounted_cash":97.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":144.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":151.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":146.08,"methodology":"fee schedule"}]}]},{"description":"VALPROIC ACID","code_information":[{"code":"80164","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.54,"maximum":168.96,"gross_charge":176,"discounted_cash":97.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":144.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":151.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":146.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":121.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.54,"methodology":"fee schedule"}]}]},{"description":"FELBAMATE","code_information":[{"code":"80167","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":34.31,"maximum":45.12,"gross_charge":47,"discounted_cash":26.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.01,"methodology":"fee schedule"}]}]},{"description":"FELBAMATE","code_information":[{"code":"80167","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.64,"maximum":47,"gross_charge":47,"discounted_cash":26.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.64,"methodology":"fee schedule"}]}]},{"description":"EVEROLIMUS BY LC/MS/MS","code_information":[{"code":"80169","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":59.86,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"}]}]},{"description":"EVEROLIMUS BY LC/MS/MS","code_information":[{"code":"80169","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.73,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.73,"methodology":"fee schedule"}]}]},{"description":"GENT PEAK","code_information":[{"code":"80170","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":153.3,"maximum":201.6,"gross_charge":210,"discounted_cash":116.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":199.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":193.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":180.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":174.3,"methodology":"fee schedule"}]}]},{"description":"GENT PEAK","code_information":[{"code":"80170","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.38,"maximum":201.6,"gross_charge":210,"discounted_cash":116.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":87.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":199.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":201.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":193.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":180.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":174.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":144.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.38,"methodology":"fee schedule"}]}]},{"description":"GABAPENTIN","code_information":[{"code":"80171","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":109.5,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"}]}]},{"description":"GABAPENTIN","code_information":[{"code":"80171","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.67,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":115.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.67,"methodology":"fee schedule"}]}]},{"description":"LAMOTRIGINE","code_information":[{"code":"80175","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":149.65,"maximum":196.8,"gross_charge":205,"discounted_cash":113.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":176.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":170.15,"methodology":"fee schedule"}]}]},{"description":"LAMOTRIGINE","code_information":[{"code":"80175","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.25,"maximum":196.8,"gross_charge":205,"discounted_cash":113.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":194.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":196.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":176.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":170.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":141.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.25,"methodology":"fee schedule"}]}]},{"description":"KEPPRA","code_information":[{"code":"80177","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":109.5,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"}]}]},{"description":"KEPPRA","code_information":[{"code":"80177","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.25,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.25,"methodology":"fee schedule"}]}]},{"description":"LITHIUM","code_information":[{"code":"80178","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.15,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"}]}]},{"description":"LITHIUM","code_information":[{"code":"80178","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.61,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.61,"methodology":"fee schedule"}]}]},{"description":"SALICYLATE","code_information":[{"code":"80179","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":340.91,"maximum":448.32,"gross_charge":467,"discounted_cash":258.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":448.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":382.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":429.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":401.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":387.61,"methodology":"fee schedule"}]}]},{"description":"SALICYLATE","code_information":[{"code":"80179","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.64,"maximum":448.32,"gross_charge":467,"discounted_cash":258.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":99.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":448.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":382.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":429.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":401.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":387.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.64,"methodology":"fee schedule"}]}]},{"description":"OXCARBAZEPINE METABOLITE","code_information":[{"code":"80183","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":100.01,"maximum":131.52,"gross_charge":137,"discounted_cash":75.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":131.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":117.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":113.71,"methodology":"fee schedule"}]}]},{"description":"OXCARBAZEPINE METABOLITE","code_information":[{"code":"80183","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.25,"maximum":131.52,"gross_charge":137,"discounted_cash":75.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":131.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":117.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":113.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":94.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.25,"methodology":"fee schedule"}]}]},{"description":"PHENOBARBITAL","code_information":[{"code":"80184","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":75.19,"maximum":98.88,"gross_charge":103,"discounted_cash":57.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":98.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":94.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":88.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":85.49,"methodology":"fee schedule"}]}]},{"description":"PHENOBARBITAL","code_information":[{"code":"80184","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.3,"maximum":98.88,"gross_charge":103,"discounted_cash":57.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":81.27,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":98.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":94.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":88.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":85.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.3,"methodology":"fee schedule"}]}]},{"description":"DILANTIN","code_information":[{"code":"80185","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":131.4,"maximum":172.8,"gross_charge":180,"discounted_cash":99.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.4,"methodology":"fee schedule"}]}]},{"description":"DILANTIN","code_information":[{"code":"80185","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.25,"maximum":172.8,"gross_charge":180,"discounted_cash":99.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.25,"methodology":"fee schedule"}]}]},{"description":"PHENYTOIN (DILANTIN)","code_information":[{"code":"80185","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":73,"maximum":96,"gross_charge":100,"discounted_cash":55.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"}]}]},{"description":"PHENYTOIN (DILANTIN)","code_information":[{"code":"80185","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.25,"maximum":96,"gross_charge":100,"discounted_cash":55.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.25,"methodology":"fee schedule"}]}]},{"description":"PRIMIDONE","code_information":[{"code":"80188","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":136.51,"maximum":179.52,"gross_charge":187,"discounted_cash":103.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":179.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":160.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":155.21,"methodology":"fee schedule"}]}]},{"description":"PRIMIDONE","code_information":[{"code":"80188","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.59,"maximum":179.52,"gross_charge":187,"discounted_cash":103.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":88.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":179.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":160.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":155.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.59,"methodology":"fee schedule"}]}]},{"description":"TACROLIMUS","code_information":[{"code":"80197","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":217.54,"maximum":286.08,"gross_charge":298,"discounted_cash":165.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":286.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":274.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":256.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":247.34,"methodology":"fee schedule"}]}]},{"description":"TACROLIMUS","code_information":[{"code":"80197","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.73,"maximum":286.08,"gross_charge":298,"discounted_cash":165.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":286.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":274.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":256.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":247.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":205.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.73,"methodology":"fee schedule"}]}]},{"description":"THEOPHYLLINE","code_information":[{"code":"80198","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":91.98,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"}]}]},{"description":"THEOPHYLLINE","code_information":[{"code":"80198","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.14,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":75.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.14,"methodology":"fee schedule"}]}]},{"description":"TOBRAMYCIN","code_information":[{"code":"80200","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":88.33,"maximum":116.16,"gross_charge":121,"discounted_cash":67.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.43,"methodology":"fee schedule"}]}]},{"description":"TOBRAMYCIN","code_information":[{"code":"80200","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.13,"maximum":116.16,"gross_charge":121,"discounted_cash":67.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":85.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.13,"methodology":"fee schedule"}]}]},{"description":"TOBRAMYCIN PEAK","code_information":[{"code":"80200","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":127.75,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"}]}]},{"description":"TOBRAMYCIN PEAK","code_information":[{"code":"80200","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.13,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":85.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.13,"methodology":"fee schedule"}]}]},{"description":"TOPIRAMATE","code_information":[{"code":"80201","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":122.64,"maximum":161.28,"gross_charge":168,"discounted_cash":93.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":161.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":144.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":139.44,"methodology":"fee schedule"}]}]},{"description":"TOPIRAMATE","code_information":[{"code":"80201","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.92,"maximum":161.28,"gross_charge":168,"discounted_cash":93.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":161.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":144.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.92,"methodology":"fee schedule"}]}]},{"description":"VANC PEAK","code_information":[{"code":"80202","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":127.75,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"}]}]},{"description":"VANC PEAK","code_information":[{"code":"80202","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.54,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.54,"methodology":"fee schedule"}]}]},{"description":"ZONISAMIDE","code_information":[{"code":"80203","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":109.5,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"}]}]},{"description":"ZONISAMIDE","code_information":[{"code":"80203","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.25,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.25,"methodology":"fee schedule"}]}]},{"description":"METHOTREXATE","code_information":[{"code":"80204","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":76.65,"maximum":100.8,"gross_charge":105,"discounted_cash":58.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":96.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":90.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.15,"methodology":"fee schedule"}]}]},{"description":"METHOTREXATE","code_information":[{"code":"80204","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.57,"maximum":105,"gross_charge":105,"discounted_cash":58.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":105,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":96.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":90.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":72.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":38.57,"methodology":"fee schedule"}]}]},{"description":"LACOSAMIDE","code_information":[{"code":"80235","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":81.03,"maximum":106.56,"gross_charge":111,"discounted_cash":61.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"}]}]},{"description":"LACOSAMIDE","code_information":[{"code":"80235","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.11,"maximum":111,"gross_charge":111,"discounted_cash":61.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":111,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.11,"methodology":"fee schedule"}]}]},{"description":"DRUG SCREEN URINE (NPL)","code_information":[{"code":"80307","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":376.68,"maximum":495.36,"gross_charge":516,"discounted_cash":285.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":495.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":423.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":474.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":443.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":376.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":428.28,"methodology":"fee schedule"}]}]},{"description":"DRUG SCREEN URINE (NPL)","code_information":[{"code":"80307","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.14,"maximum":495.36,"gross_charge":516,"discounted_cash":285.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":330.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":495.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":423.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":474.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":443.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":376.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":428.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":356.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":62.14,"methodology":"fee schedule"}]}]},{"description":"ETOH BLD","code_information":[{"code":"80307","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":127.02,"maximum":167.04,"gross_charge":174,"discounted_cash":96.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":167.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":160.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":144.42,"methodology":"fee schedule"}]}]},{"description":"ETOH BLD","code_information":[{"code":"80307","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.14,"maximum":174,"gross_charge":174,"discounted_cash":96.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":174,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":167.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":160.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":144.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":62.14,"methodology":"fee schedule"}]}]},{"description":"ACTH STIMULATION","code_information":[{"code":"80400","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":183.96,"maximum":241.92,"gross_charge":252,"discounted_cash":139.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":241.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":206.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":231.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":216.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":209.16,"methodology":"fee schedule"}]}]},{"description":"ACTH STIMULATION","code_information":[{"code":"80400","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":32.62,"maximum":241.92,"gross_charge":252,"discounted_cash":139.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":173.27,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":239.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":241.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":206.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":231.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":216.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":209.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.62,"methodology":"fee schedule"}]}]},{"description":"URINALYSIS W/MICROSCOPIC","code_information":[{"code":"81001","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"URINALYSIS W/MICROSCOPIC","code_information":[{"code":"81001","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.17,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.17,"methodology":"fee schedule"}]}]},{"description":"URINE DIPSTICK","code_information":[{"code":"81002","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.17,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"}]}]},{"description":"URINE DIPSTICK","code_information":[{"code":"81002","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.48,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.48,"methodology":"fee schedule"}]}]},{"description":"PH URINE KS","code_information":[{"code":"81003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.87,"maximum":18.24,"gross_charge":19,"discounted_cash":10.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.77,"methodology":"fee schedule"}]}]},{"description":"PH URINE KS","code_information":[{"code":"81003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.25,"maximum":18.24,"gross_charge":19,"discounted_cash":10.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.25,"methodology":"fee schedule"}]}]},{"description":"UA W/O MICROSCOPIC","code_information":[{"code":"81003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.17,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"}]}]},{"description":"UA W/O MICROSCOPIC","code_information":[{"code":"81003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.25,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.25,"methodology":"fee schedule"}]}]},{"description":"HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION","code_information":[{"code":"8101","type":"APR-DRG"}],"standard_charges":[{"minimum":6467,"maximum":6467,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6467,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION","code_information":[{"code":"8102","type":"APR-DRG"}],"standard_charges":[{"minimum":13355,"maximum":13355,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13355,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HCG QUAL URINE","code_information":[{"code":"81025","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":70.81,"maximum":93.12,"gross_charge":97,"discounted_cash":53.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":93.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":89.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":83.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":80.51,"methodology":"fee schedule"}]}]},{"description":"HCG QUAL URINE","code_information":[{"code":"81025","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.61,"maximum":93.12,"gross_charge":97,"discounted_cash":53.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45.74,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":93.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":89.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":83.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":80.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.61,"methodology":"fee schedule"}]}]},{"description":"HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION","code_information":[{"code":"8103","type":"APR-DRG"}],"standard_charges":[{"minimum":21774,"maximum":21774,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21774,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION","code_information":[{"code":"8104","type":"APR-DRG"}],"standard_charges":[{"minimum":39336,"maximum":39336,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39336,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TOTAL VOLUME URINE","code_information":[{"code":"81050","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.77,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"}]}]},{"description":"TOTAL VOLUME URINE","code_information":[{"code":"81050","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.64,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.64,"methodology":"fee schedule"}]}]},{"description":"ALLERGIC REACTIONS","code_information":[{"code":"8111","type":"APR-DRG"}],"standard_charges":[{"minimum":8359,"maximum":8359,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8359,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALLERGIC REACTIONS","code_information":[{"code":"8112","type":"APR-DRG"}],"standard_charges":[{"minimum":11334,"maximum":11334,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11334,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALLERGIC REACTIONS","code_information":[{"code":"8113","type":"APR-DRG"}],"standard_charges":[{"minimum":20371,"maximum":20371,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20371,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALLERGIC REACTIONS","code_information":[{"code":"8114","type":"APR-DRG"}],"standard_charges":[{"minimum":39791,"maximum":39791,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39791,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BRCA1/BRCA2 SEQ DEL/DUP","code_information":[{"code":"81162","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7048.15,"maximum":9268.8,"gross_charge":9655,"discounted_cash":5349.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9172.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9268.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7917.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8882.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8303.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7048.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8013.65,"methodology":"fee schedule"}]}]},{"description":"BRCA1/BRCA2 SEQ DEL/DUP","code_information":[{"code":"81162","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":1824.88,"maximum":9655,"gross_charge":9655,"discounted_cash":5349.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9655,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9172.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9268.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7917.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8882.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8303.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7048.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8013.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6661.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1824.88,"methodology":"fee schedule"}]}]},{"description":"POISONING OF MEDICINAL AGENTS","code_information":[{"code":"8121","type":"APR-DRG"}],"standard_charges":[{"minimum":7659,"maximum":7659,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7659,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"POISONING OF MEDICINAL AGENTS","code_information":[{"code":"8122","type":"APR-DRG"}],"standard_charges":[{"minimum":9039,"maximum":9039,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9039,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CYTOCHROME P450 2C19","code_information":[{"code":"81225","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":283.24,"maximum":372.48,"gross_charge":388,"discounted_cash":215,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":368.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":372.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":356.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":333.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":322.04,"methodology":"fee schedule"}]}]},{"description":"CYTOCHROME P450 2C19","code_information":[{"code":"81225","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":267.72,"maximum":388,"gross_charge":388,"discounted_cash":215,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":388,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":368.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":372.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":356.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":333.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":322.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":267.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":291.36,"methodology":"fee schedule"}]}]},{"description":"POISONING OF MEDICINAL AGENTS","code_information":[{"code":"8123","type":"APR-DRG"}],"standard_charges":[{"minimum":12178,"maximum":12178,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12178,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"POISONING OF MEDICINAL AGENTS","code_information":[{"code":"8124","type":"APR-DRG"}],"standard_charges":[{"minimum":37506,"maximum":37506,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37506,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PROTHROMBIN G20210A MUTATION B","code_information":[{"code":"81240","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":267.91,"maximum":352.32,"gross_charge":367,"discounted_cash":203.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":348.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":352.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":337.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":315.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":267.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":304.61,"methodology":"fee schedule"}]}]},{"description":"PROTHROMBIN G20210A MUTATION B","code_information":[{"code":"81240","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":65.69,"maximum":352.32,"gross_charge":367,"discounted_cash":203.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":348.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":348.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":352.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":337.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":315.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":267.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":304.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":253.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":65.69,"methodology":"fee schedule"}]}]},{"description":"FACTOR 5 LEIDEN MUTATION","code_information":[{"code":"81241","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":97.09,"maximum":127.68,"gross_charge":133,"discounted_cash":73.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":127.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":122.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":110.39,"methodology":"fee schedule"}]}]},{"description":"FACTOR 5 LEIDEN MUTATION","code_information":[{"code":"81241","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":73.37,"maximum":133,"gross_charge":133,"discounted_cash":73.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":127.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":122.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":110.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":73.37,"methodology":"fee schedule"}]}]},{"description":"HEREDITARY HEMOCHROMATOSIS","code_information":[{"code":"81256","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.05,"maximum":81.6,"gross_charge":85,"discounted_cash":47.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":70.55,"methodology":"fee schedule"}]}]},{"description":"HEREDITARY HEMOCHROMATOSIS","code_information":[{"code":"81256","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":58.65,"maximum":85,"gross_charge":85,"discounted_cash":47.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":70.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"}]}]},{"description":"HEREDITARY HEMOCHROMATOSIS DNA","code_information":[{"code":"81256","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":346.75,"maximum":456,"gross_charge":475,"discounted_cash":263.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":451.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":456,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":437,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":408.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":394.25,"methodology":"fee schedule"}]}]},{"description":"HEREDITARY HEMOCHROMATOSIS DNA","code_information":[{"code":"81256","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":65.36,"maximum":456,"gross_charge":475,"discounted_cash":263.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":347.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":451.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":456,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":389.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":437,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":408.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":394.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":327.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"}]}]},{"description":"MTHFR DNA ANALYSIS","code_information":[{"code":"81291","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":183.23,"maximum":240.96,"gross_charge":251,"discounted_cash":139.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":240.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":230.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":215.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":208.33,"methodology":"fee schedule"}]}]},{"description":"MTHFR DNA ANALYSIS","code_information":[{"code":"81291","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":65.34,"maximum":251,"gross_charge":251,"discounted_cash":139.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":251,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":240.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":205.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":230.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":215.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":208.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":173.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":65.34,"methodology":"fee schedule"}]}]},{"description":"OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"8131","type":"APR-DRG"}],"standard_charges":[{"minimum":12343,"maximum":12343,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12343,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"8132","type":"APR-DRG"}],"standard_charges":[{"minimum":12751,"maximum":12751,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12751,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"8133","type":"APR-DRG"}],"standard_charges":[{"minimum":20283,"maximum":20283,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20283,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER COMPLICATIONS OF TREATMENT","code_information":[{"code":"8134","type":"APR-DRG"}],"standard_charges":[{"minimum":31270,"maximum":31270,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31270,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HLA B27 DISEASE ASSOCATION","code_information":[{"code":"81374","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":228.49,"maximum":300.48,"gross_charge":313,"discounted_cash":173.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":300.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":256.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":287.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":269.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":259.79,"methodology":"fee schedule"}]}]},{"description":"HLA B27 DISEASE ASSOCATION","code_information":[{"code":"81374","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":74.33,"maximum":313,"gross_charge":313,"discounted_cash":173.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":313,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":300.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":256.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":287.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":269.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":259.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":215.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":74.33,"methodology":"fee schedule"}]}]},{"description":"CDC - HLA -DQ TYPING","code_information":[{"code":"81376","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":1349.77,"maximum":1775.04,"gross_charge":1849,"discounted_cash":1024.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1756.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1775.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1516.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1701.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1590.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1349.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1534.67,"methodology":"fee schedule"}]}]},{"description":"CDC - HLA -DQ TYPING","code_information":[{"code":"81376","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":122.22,"maximum":1775.04,"gross_charge":1849,"discounted_cash":1024.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":649.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1756.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1775.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1516.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1701.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1590.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1349.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1534.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1275.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":122.22,"methodology":"fee schedule"}]}]},{"description":"CELIAC DISEASE HLA DQB1 02","code_information":[{"code":"81377","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":515.38,"maximum":677.76,"gross_charge":706,"discounted_cash":391.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":677.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":578.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":649.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":607.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":515.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":585.98,"methodology":"fee schedule"}]}]},{"description":"CELIAC DISEASE HLA DQB1 02","code_information":[{"code":"81377","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":94.74,"maximum":677.76,"gross_charge":706,"discounted_cash":391.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":503.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":670.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":677.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":578.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":649.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":607.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":515.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":585.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":487.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":94.74,"methodology":"fee schedule"}]}]},{"description":"CELIAC DISEASE HLA DQB1 03 02","code_information":[{"code":"81383","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":613.2,"maximum":806.4,"gross_charge":840,"discounted_cash":465.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":798,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":806.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":688.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":772.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":722.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":613.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":697.2,"methodology":"fee schedule"}]}]},{"description":"CELIAC DISEASE HLA DQB1 03 02","code_information":[{"code":"81383","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":109.13,"maximum":806.4,"gross_charge":840,"discounted_cash":465.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":579.66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":798,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":806.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":688.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":772.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":722.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":613.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":697.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":579.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":109.13,"methodology":"fee schedule"}]}]},{"description":"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES","code_information":[{"code":"8151","type":"APR-DRG"}],"standard_charges":[{"minimum":6355,"maximum":6355,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6355,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES","code_information":[{"code":"8152","type":"APR-DRG"}],"standard_charges":[{"minimum":9139,"maximum":9139,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9139,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES","code_information":[{"code":"8153","type":"APR-DRG"}],"standard_charges":[{"minimum":16767,"maximum":16767,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16767,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES","code_information":[{"code":"8154","type":"APR-DRG"}],"standard_charges":[{"minimum":49952,"maximum":49952,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49952,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES","code_information":[{"code":"8161","type":"APR-DRG"}],"standard_charges":[{"minimum":13225,"maximum":13225,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13225,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES","code_information":[{"code":"8162","type":"APR-DRG"}],"standard_charges":[{"minimum":14139,"maximum":14139,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14139,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES","code_information":[{"code":"8163","type":"APR-DRG"}],"standard_charges":[{"minimum":18599,"maximum":18599,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18599,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES","code_information":[{"code":"8164","type":"APR-DRG"}],"standard_charges":[{"minimum":20665,"maximum":20665,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20665,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE","code_information":[{"code":"8171","type":"APR-DRG"}],"standard_charges":[{"minimum":6321,"maximum":6321,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6321,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE","code_information":[{"code":"8172","type":"APR-DRG"}],"standard_charges":[{"minimum":6805,"maximum":6805,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6805,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE","code_information":[{"code":"8173","type":"APR-DRG"}],"standard_charges":[{"minimum":11211,"maximum":11211,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11211,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE","code_information":[{"code":"8174","type":"APR-DRG"}],"standard_charges":[{"minimum":40297,"maximum":40297,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40297,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"KETONES","code_information":[{"code":"82009","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":63.51,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"}]}]},{"description":"KETONES","code_information":[{"code":"82009","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.52,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.52,"methodology":"fee schedule"}]}]},{"description":"ADRENOCORTICOTROPIC HORMONE AS","code_information":[{"code":"82024","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":266.45,"maximum":350.4,"gross_charge":365,"discounted_cash":202.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":350.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":299.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":335.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":313.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":266.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":302.95,"methodology":"fee schedule"}]}]},{"description":"ADRENOCORTICOTROPIC HORMONE AS","code_information":[{"code":"82024","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.62,"maximum":350.4,"gross_charge":365,"discounted_cash":202.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":205.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":346.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":350.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":299.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":335.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":313.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":266.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":302.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":251.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":38.62,"methodology":"fee schedule"}]}]},{"description":"ALBUMIN","code_information":[{"code":"82040","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":54.02,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"}]}]},{"description":"ALBUMIN","code_information":[{"code":"82040","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.95,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.95,"methodology":"fee schedule"}]}]},{"description":"MICROALBUMIN URINE","code_information":[{"code":"82043","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":26.28,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"}]}]},{"description":"MICROALBUMIN URINE","code_information":[{"code":"82043","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.78,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.78,"methodology":"fee schedule"}]}]},{"description":"MICROALB URINE RANDOM","code_information":[{"code":"82044","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.88,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"}]}]},{"description":"MICROALB URINE RANDOM","code_information":[{"code":"82044","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.23,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33.09,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.23,"methodology":"fee schedule"}]}]},{"description":"ALDOLASE SERUM","code_information":[{"code":"82085","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":95.63,"maximum":125.76,"gross_charge":131,"discounted_cash":72.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":125.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":120.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":112.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":108.73,"methodology":"fee schedule"}]}]},{"description":"ALDOLASE SERUM","code_information":[{"code":"82085","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.71,"maximum":125.76,"gross_charge":131,"discounted_cash":72.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":51.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":125.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":120.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":112.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":108.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.71,"methodology":"fee schedule"}]}]},{"description":"ALDOSTERONE","code_information":[{"code":"82088","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":229.95,"maximum":302.4,"gross_charge":315,"discounted_cash":174.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":302.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":258.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":289.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":270.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":261.45,"methodology":"fee schedule"}]}]},{"description":"ALDOSTERONE","code_information":[{"code":"82088","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.75,"maximum":302.4,"gross_charge":315,"discounted_cash":174.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":216.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":299.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":302.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":258.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":289.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":270.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":261.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":217.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":40.75,"methodology":"fee schedule"}]}]},{"description":"ALDOSTERONE SERUM","code_information":[{"code":"82088","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":341.64,"maximum":449.28,"gross_charge":468,"discounted_cash":259.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":444.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":449.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":383.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":430.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":402.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":341.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":388.44,"methodology":"fee schedule"}]}]},{"description":"ALDOSTERONE SERUM","code_information":[{"code":"82088","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.75,"maximum":449.28,"gross_charge":468,"discounted_cash":259.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":216.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":444.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":449.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":383.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":430.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":402.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":341.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":388.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":40.75,"methodology":"fee schedule"}]}]},{"description":"ALPHA-1-ANTITRYPSIN, SERUM","code_information":[{"code":"82103","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":129.21,"maximum":169.92,"gross_charge":177,"discounted_cash":98.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":169.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":145.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":162.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":152.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":146.91,"methodology":"fee schedule"}]}]},{"description":"ALPHA-1-ANTITRYPSIN, SERUM","code_information":[{"code":"82103","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.44,"maximum":169.92,"gross_charge":177,"discounted_cash":98.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":169.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":145.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":162.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":152.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":146.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":122.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"}]}]},{"description":"ALPHA FETOPROTEIN TUMOR MARKER","code_information":[{"code":"82105","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":91.98,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"}]}]},{"description":"ALPHA FETOPROTEIN TUMOR MARKER","code_information":[{"code":"82105","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.77,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.77,"methodology":"fee schedule"}]}]},{"description":"CYSTINE URINE KS","code_information":[{"code":"82131","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":105.85,"maximum":139.2,"gross_charge":145,"discounted_cash":80.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":133.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":124.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":120.35,"methodology":"fee schedule"}]}]},{"description":"CYSTINE URINE KS","code_information":[{"code":"82131","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.98,"maximum":139.2,"gross_charge":145,"discounted_cash":80.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":122.07,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":133.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":124.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":120.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.98,"methodology":"fee schedule"}]}]},{"description":"CYSTINE, URINE","code_information":[{"code":"82131","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":142.35,"maximum":187.2,"gross_charge":195,"discounted_cash":108.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":187.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":179.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":167.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.85,"methodology":"fee schedule"}]}]},{"description":"CYSTINE, URINE","code_information":[{"code":"82131","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.98,"maximum":187.2,"gross_charge":195,"discounted_cash":108.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":122.07,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":187.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":179.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":167.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.98,"methodology":"fee schedule"}]}]},{"description":"AMMONIA","code_information":[{"code":"82140","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":100.74,"maximum":132.48,"gross_charge":138,"discounted_cash":76.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":132.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":118.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":114.54,"methodology":"fee schedule"}]}]},{"description":"AMMONIA","code_information":[{"code":"82140","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.57,"maximum":132.48,"gross_charge":138,"discounted_cash":76.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":132.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":118.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":114.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.57,"methodology":"fee schedule"}]}]},{"description":"AMMONIA URINE KS","code_information":[{"code":"82140","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":89.06,"maximum":117.12,"gross_charge":122,"discounted_cash":67.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":117.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":112.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":101.26,"methodology":"fee schedule"}]}]},{"description":"AMMONIA URINE KS","code_information":[{"code":"82140","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.57,"maximum":117.12,"gross_charge":122,"discounted_cash":67.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":117.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":112.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":101.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":84.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.57,"methodology":"fee schedule"}]}]},{"description":"AMYLASE","code_information":[{"code":"82150","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":74.46,"maximum":97.92,"gross_charge":102,"discounted_cash":56.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":93.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":87.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":84.66,"methodology":"fee schedule"}]}]},{"description":"AMYLASE","code_information":[{"code":"82150","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.48,"maximum":97.92,"gross_charge":102,"discounted_cash":56.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":93.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":87.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":84.66,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.48,"methodology":"fee schedule"}]}]},{"description":"ANGIOTENSIN CONVERTING ENZYME","code_information":[{"code":"82164","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":63.51,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"}]}]},{"description":"ANGIOTENSIN CONVERTING ENZYME","code_information":[{"code":"82164","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.6,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":77.55,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.6,"methodology":"fee schedule"}]}]},{"description":"ANTI-MULLERIAN HORMONE","code_information":[{"code":"82166","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":79.57,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"}]}]},{"description":"ANTI-MULLERIAN HORMONE","code_information":[{"code":"82166","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.23,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":51.23,"methodology":"fee schedule"}]}]},{"description":"ARSENIC WHOLE BLOOD","code_information":[{"code":"82175","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":185.42,"maximum":243.84,"gross_charge":254,"discounted_cash":140.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":241.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":243.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":233.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":218.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":185.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":210.82,"methodology":"fee schedule"}]}]},{"description":"ARSENIC WHOLE BLOOD","code_information":[{"code":"82175","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.97,"maximum":243.84,"gross_charge":254,"discounted_cash":140.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":241.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":243.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":233.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":218.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":185.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":210.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":175.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.97,"methodology":"fee schedule"}]}]},{"description":"ARSENIC, BLOOD","code_information":[{"code":"82175","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.09,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"}]}]},{"description":"ARSENIC, BLOOD","code_information":[{"code":"82175","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.97,"maximum":33,"gross_charge":33,"discounted_cash":18.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.97,"methodology":"fee schedule"}]}]},{"description":"BETA 2 MICROGLOBULIN","code_information":[{"code":"82232","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":157.68,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"}]}]},{"description":"BETA 2 MICROGLOBULIN","code_information":[{"code":"82232","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.18,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":85.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.18,"methodology":"fee schedule"}]}]},{"description":"BILIRUBIN NEONATAL","code_information":[{"code":"82247","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.74,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"}]}]},{"description":"BILIRUBIN NEONATAL","code_information":[{"code":"82247","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.02,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.02,"methodology":"fee schedule"}]}]},{"description":"BILIRUBIN TOTAL","code_information":[{"code":"82247","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.83,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"}]}]},{"description":"BILIRUBIN TOTAL","code_information":[{"code":"82247","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.02,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.02,"methodology":"fee schedule"}]}]},{"description":"BILIRUBIN DIRECT","code_information":[{"code":"82248","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.83,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"}]}]},{"description":"BILIRUBIN DIRECT","code_information":[{"code":"82248","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.02,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.02,"methodology":"fee schedule"}]}]},{"description":"BIOTINIDASE","code_information":[{"code":"82261","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.96,"maximum":49.92,"gross_charge":52,"discounted_cash":28.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.16,"methodology":"fee schedule"}]}]},{"description":"BIOTINIDASE","code_information":[{"code":"82261","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.87,"maximum":52,"gross_charge":52,"discounted_cash":28.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.87,"methodology":"fee schedule"}]}]},{"description":"OCCULT BLOOD SCREEN","code_information":[{"code":"82270","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.04,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"}]}]},{"description":"OCCULT BLOOD SCREEN","code_information":[{"code":"82270","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.38,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23.27,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.38,"methodology":"fee schedule"}]}]},{"description":"OCCULT BLOOD GASTRIC","code_information":[{"code":"82271","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":34.31,"maximum":45.12,"gross_charge":47,"discounted_cash":26.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.01,"methodology":"fee schedule"}]}]},{"description":"OCCULT BLOOD GASTRIC","code_information":[{"code":"82271","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.32,"maximum":45.12,"gross_charge":47,"discounted_cash":26.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28.26,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.32,"methodology":"fee schedule"}]}]},{"description":"OCCULT BLOOD DIAGNOSTIC","code_information":[{"code":"82272","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.04,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"}]}]},{"description":"OCCULT BLOOD DIAGNOSTIC","code_information":[{"code":"82272","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.23,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.47,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.23,"methodology":"fee schedule"}]}]},{"description":"VITAMIN D2 D3 25-HYDROXY","code_information":[{"code":"82306","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":267.18,"maximum":351.36,"gross_charge":366,"discounted_cash":202.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":351.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":336.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":314.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":267.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":303.78,"methodology":"fee schedule"}]}]},{"description":"VITAMIN D2 D3 25-HYDROXY","code_information":[{"code":"82306","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.6,"maximum":351.36,"gross_charge":366,"discounted_cash":202.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":157.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":347.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":351.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":336.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":314.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":267.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":303.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":252.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"}]}]},{"description":"VITAMIN D25-HYDROXY","code_information":[{"code":"82306","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":185.42,"maximum":243.84,"gross_charge":254,"discounted_cash":140.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":241.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":243.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":233.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":218.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":185.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":210.82,"methodology":"fee schedule"}]}]},{"description":"VITAMIN D25-HYDROXY","code_information":[{"code":"82306","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.6,"maximum":243.84,"gross_charge":254,"discounted_cash":140.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":157.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":241.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":243.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":233.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":218.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":185.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":210.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":175.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.6,"methodology":"fee schedule"}]}]},{"description":"CALCIUM","code_information":[{"code":"82310","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":53.29,"maximum":70.08,"gross_charge":73,"discounted_cash":40.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.59,"methodology":"fee schedule"}]}]},{"description":"CALCIUM","code_information":[{"code":"82310","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.16,"maximum":70.08,"gross_charge":73,"discounted_cash":40.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.41,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.16,"methodology":"fee schedule"}]}]},{"description":"CA ION","code_information":[{"code":"82330","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":159.87,"maximum":210.24,"gross_charge":219,"discounted_cash":121.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":210.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":201.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":188.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":181.77,"methodology":"fee schedule"}]}]},{"description":"CA ION","code_information":[{"code":"82330","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.68,"maximum":210.24,"gross_charge":219,"discounted_cash":121.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":208.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":210.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":179.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":201.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":188.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":181.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":151.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.68,"methodology":"fee schedule"}]}]},{"description":"CALCIUM URINE","code_information":[{"code":"82340","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"CALCIUM URINE","code_information":[{"code":"82340","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.03,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32.03,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.03,"methodology":"fee schedule"}]}]},{"description":"CALCIUM URINE KS","code_information":[{"code":"82340","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.04,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"}]}]},{"description":"CALCIUM URINE KS","code_information":[{"code":"82340","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.03,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32.03,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.03,"methodology":"fee schedule"}]}]},{"description":"CALCULI URINARY WO PHOTO","code_information":[{"code":"82360","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":113.88,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"}]}]},{"description":"CALCULI URINARY WO PHOTO","code_information":[{"code":"82360","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.87,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.87,"methodology":"fee schedule"}]}]},{"description":"CALCULI WITH PHOTOGRAPH","code_information":[{"code":"82365","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":113.88,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"}]}]},{"description":"CALCULI WITH PHOTOGRAPH","code_information":[{"code":"82365","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.9,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.9,"methodology":"fee schedule"}]}]},{"description":"CO2","code_information":[{"code":"82374","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"CO2","code_information":[{"code":"82374","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.88,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.88,"methodology":"fee schedule"}]}]},{"description":"CARBOXYHEMOGLOBIN","code_information":[{"code":"82375","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":70.08,"maximum":92.16,"gross_charge":96,"discounted_cash":53.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":79.68,"methodology":"fee schedule"}]}]},{"description":"CARBOXYHEMOGLOBIN","code_information":[{"code":"82375","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.32,"maximum":92.16,"gross_charge":96,"discounted_cash":53.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65.44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.32,"methodology":"fee schedule"}]}]},{"description":"CARCINOEMBRYONIC ANTIGEN (CEA)","code_information":[{"code":"82378","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":113.88,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"}]}]},{"description":"CARCINOEMBRYONIC ANTIGEN (CEA)","code_information":[{"code":"82378","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.96,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100.71,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.96,"methodology":"fee schedule"}]}]},{"description":"CATECHOLAMINES FRAC UR 24HR","code_information":[{"code":"82384","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":218.27,"maximum":287.04,"gross_charge":299,"discounted_cash":165.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":287.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":275.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":257.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":248.17,"methodology":"fee schedule"}]}]},{"description":"CATECHOLAMINES FRAC UR 24HR","code_information":[{"code":"82384","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.25,"maximum":287.04,"gross_charge":299,"discounted_cash":165.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":134.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":284.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":287.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":275.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":257.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":248.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":206.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.25,"methodology":"fee schedule"}]}]},{"description":"CERULOPLASMIN","code_information":[{"code":"82390","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"CERULOPLASMIN","code_information":[{"code":"82390","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.74,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.74,"methodology":"fee schedule"}]}]},{"description":"ALPHA SUBUNIT","code_information":[{"code":"82397","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":192.72,"maximum":253.44,"gross_charge":264,"discounted_cash":146.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":242.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":219.12,"methodology":"fee schedule"}]}]},{"description":"ALPHA SUBUNIT","code_information":[{"code":"82397","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.12,"maximum":253.44,"gross_charge":264,"discounted_cash":146.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":250.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":253.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":242.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":227.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":219.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":182.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.12,"methodology":"fee schedule"}]}]},{"description":"ANTI-ADALIMUMAB ANTIBODY","code_information":[{"code":"82397","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":76.65,"maximum":100.8,"gross_charge":105,"discounted_cash":58.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":96.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":90.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.15,"methodology":"fee schedule"}]}]},{"description":"ANTI-ADALIMUMAB ANTIBODY","code_information":[{"code":"82397","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":79.57,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"}]}]},{"description":"ANTI-ADALIMUMAB ANTIBODY","code_information":[{"code":"82397","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.12,"maximum":100.8,"gross_charge":105,"discounted_cash":58.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":96.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":90.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":72.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.12,"methodology":"fee schedule"}]}]},{"description":"ANTI-ADALIMUMAB ANTIBODY","code_information":[{"code":"82397","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.12,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.12,"methodology":"fee schedule"}]}]},{"description":"PTH RELATED PEPTIDE","code_information":[{"code":"82397","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":78.11,"maximum":102.72,"gross_charge":107,"discounted_cash":59.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":102.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":98.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":88.81,"methodology":"fee schedule"}]}]},{"description":"PTH RELATED PEPTIDE","code_information":[{"code":"82397","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.12,"maximum":102.72,"gross_charge":107,"discounted_cash":59.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":102.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":98.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":88.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.12,"methodology":"fee schedule"}]}]},{"description":"CHLORIDE","code_information":[{"code":"82435","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":45.26,"maximum":59.52,"gross_charge":62,"discounted_cash":34.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.46,"methodology":"fee schedule"}]}]},{"description":"CHLORIDE","code_information":[{"code":"82435","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.6,"maximum":59.52,"gross_charge":62,"discounted_cash":34.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.6,"methodology":"fee schedule"}]}]},{"description":"CHLORIDE URINE","code_information":[{"code":"82436","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.1,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"}]}]},{"description":"CHLORIDE URINE","code_information":[{"code":"82436","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.75,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.75,"methodology":"fee schedule"}]}]},{"description":"CHLORIDE URINE KS","code_information":[{"code":"82436","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.93,"maximum":39.36,"gross_charge":41,"discounted_cash":22.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.03,"methodology":"fee schedule"}]}]},{"description":"CHLORIDE URINE KS","code_information":[{"code":"82436","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.75,"maximum":39.36,"gross_charge":41,"discounted_cash":22.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.75,"methodology":"fee schedule"}]}]},{"description":"TETRACHLOROETHYLENE, BLOOD","code_information":[{"code":"82441","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":66.6417,"maximum":87.6384,"gross_charge":91.29,"discounted_cash":50.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":86.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":87.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":83.99,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":78.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":75.78,"methodology":"fee schedule"}]}]},{"description":"TETRACHLOROETHYLENE, BLOOD","code_information":[{"code":"82441","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.01,"maximum":87.6384,"gross_charge":91.29,"discounted_cash":50.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":86.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":87.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":83.99,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":78.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":75.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.01,"methodology":"fee schedule"}]}]},{"description":"CHOLESTEROL","code_information":[{"code":"82465","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":44.53,"maximum":58.56,"gross_charge":61,"discounted_cash":33.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":58.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":56.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":52.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":50.63,"methodology":"fee schedule"}]}]},{"description":"CHOLESTEROL","code_information":[{"code":"82465","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.35,"maximum":58.56,"gross_charge":61,"discounted_cash":33.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":58.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":56.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":52.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":50.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.35,"methodology":"fee schedule"}]}]},{"description":"CHROMIUM SERUM","code_information":[{"code":"82495","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":152.57,"maximum":200.64,"gross_charge":209,"discounted_cash":115.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":200.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":192.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":179.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":173.47,"methodology":"fee schedule"}]}]},{"description":"CHROMIUM SERUM","code_information":[{"code":"82495","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.28,"maximum":200.64,"gross_charge":209,"discounted_cash":115.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":107.72,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":198.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":200.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":171.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":192.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":179.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":173.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":144.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.28,"methodology":"fee schedule"}]}]},{"description":"CITRIC ACID URINE 24 HOUR","code_information":[{"code":"82507","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":240.17,"maximum":315.84,"gross_charge":329,"discounted_cash":182.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":312.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":315.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":302.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":282.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":240.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":273.07,"methodology":"fee schedule"}]}]},{"description":"CITRIC ACID URINE 24 HOUR","code_information":[{"code":"82507","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.8,"maximum":315.84,"gross_charge":329,"discounted_cash":182.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":147.66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":312.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":315.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":302.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":282.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":240.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":273.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":227.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.8,"methodology":"fee schedule"}]}]},{"description":"CITRIC ACID URINE KS","code_information":[{"code":"82507","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":157.68,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"}]}]},{"description":"CITRIC ACID URINE KS","code_information":[{"code":"82507","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.8,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":147.66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.8,"methodology":"fee schedule"}]}]},{"description":"COPPER","code_information":[{"code":"82525","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":53.29,"maximum":70.08,"gross_charge":73,"discounted_cash":40.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.59,"methodology":"fee schedule"}]}]},{"description":"COPPER","code_information":[{"code":"82525","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.41,"maximum":70.08,"gross_charge":73,"discounted_cash":40.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"}]}]},{"description":"COPPER, URINE 24 HR","code_information":[{"code":"82525","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"COPPER, URINE 24 HR","code_information":[{"code":"82525","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.41,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"}]}]},{"description":"CORTISOL","code_information":[{"code":"82533","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":129.21,"maximum":169.92,"gross_charge":177,"discounted_cash":98.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":169.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":145.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":162.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":152.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":146.91,"methodology":"fee schedule"}]}]},{"description":"CORTISOL","code_information":[{"code":"82533","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.3,"maximum":169.92,"gross_charge":177,"discounted_cash":98.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":86.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":168.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":169.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":145.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":162.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":152.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":146.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":122.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.3,"methodology":"fee schedule"}]}]},{"description":"CK","code_information":[{"code":"82550","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":60.59,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"}]}]},{"description":"CK","code_information":[{"code":"82550","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.51,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.51,"methodology":"fee schedule"}]}]},{"description":"CK TOTAL (CREATINE KINASE)","code_information":[{"code":"82550","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":78.11,"maximum":102.72,"gross_charge":107,"discounted_cash":59.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":102.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":98.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":88.81,"methodology":"fee schedule"}]}]},{"description":"CK TOTAL (CREATINE KINASE)","code_information":[{"code":"82550","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.51,"maximum":102.72,"gross_charge":107,"discounted_cash":59.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":102.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":98.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":88.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.51,"methodology":"fee schedule"}]}]},{"description":"CREATINE KINASE ISOENZYMES","code_information":[{"code":"82552","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":73,"maximum":96,"gross_charge":100,"discounted_cash":55.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"}]}]},{"description":"CREATINE KINASE ISOENZYMES","code_information":[{"code":"82552","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.39,"maximum":96,"gross_charge":100,"discounted_cash":55.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.39,"methodology":"fee schedule"}]}]},{"description":"CKMB","code_information":[{"code":"82553","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":119.72,"maximum":157.44,"gross_charge":164,"discounted_cash":90.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":157.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":150.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.12,"methodology":"fee schedule"}]}]},{"description":"CKMB","code_information":[{"code":"82553","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.55,"maximum":157.44,"gross_charge":164,"discounted_cash":90.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.35,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":157.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":150.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.55,"methodology":"fee schedule"}]}]},{"description":"CREAT W/GFR","code_information":[{"code":"82565","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":46.72,"maximum":61.44,"gross_charge":64,"discounted_cash":35.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"}]}]},{"description":"CREAT W/GFR","code_information":[{"code":"82565","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.12,"maximum":61.44,"gross_charge":64,"discounted_cash":35.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.12,"methodology":"fee schedule"}]}]},{"description":"CREATININE URINE","code_information":[{"code":"82570","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":70.08,"maximum":92.16,"gross_charge":96,"discounted_cash":53.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":79.68,"methodology":"fee schedule"}]}]},{"description":"CREATININE URINE","code_information":[{"code":"82570","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.18,"maximum":92.16,"gross_charge":96,"discounted_cash":53.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.18,"methodology":"fee schedule"}]}]},{"description":"CREATININE URINE KS","code_information":[{"code":"82570","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":30.66,"maximum":40.32,"gross_charge":42,"discounted_cash":23.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"}]}]},{"description":"CREATININE URINE KS","code_information":[{"code":"82570","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.18,"maximum":40.32,"gross_charge":42,"discounted_cash":23.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.18,"methodology":"fee schedule"}]}]},{"description":"CREATININE CLEARANCE","code_information":[{"code":"82575","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":60.59,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"}]}]},{"description":"CREATININE CLEARANCE","code_information":[{"code":"82575","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.46,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.46,"methodology":"fee schedule"}]}]},{"description":"CRYOGLOBULIN","code_information":[{"code":"82595","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":36.5,"maximum":48,"gross_charge":50,"discounted_cash":27.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.5,"methodology":"fee schedule"}]}]},{"description":"CRYOGLOBULIN","code_information":[{"code":"82595","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.47,"maximum":48,"gross_charge":50,"discounted_cash":27.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.47,"methodology":"fee schedule"}]}]},{"description":"VITAMIN B12","code_information":[{"code":"82607","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":136.51,"maximum":179.52,"gross_charge":187,"discounted_cash":103.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":179.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":160.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":155.21,"methodology":"fee schedule"}]}]},{"description":"VITAMIN B12","code_information":[{"code":"82607","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.08,"maximum":179.52,"gross_charge":187,"discounted_cash":103.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":80.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":179.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":160.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":155.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.08,"methodology":"fee schedule"}]}]},{"description":"DHEA, UNCONJUGATED","code_information":[{"code":"82626","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":113.88,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"}]}]},{"description":"DHEA, UNCONJUGATED","code_information":[{"code":"82626","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.27,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":134.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.27,"methodology":"fee schedule"}]}]},{"description":"DHEA-SO4","code_information":[{"code":"82627","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":178.85,"maximum":235.2,"gross_charge":245,"discounted_cash":135.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":225.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":203.35,"methodology":"fee schedule"}]}]},{"description":"DHEA-SO4","code_information":[{"code":"82627","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.23,"maximum":235.2,"gross_charge":245,"discounted_cash":135.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":118.07,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":225.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":203.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.23,"methodology":"fee schedule"}]}]},{"description":"DIHYDROTESTOSTERONE","code_information":[{"code":"82642","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":157.68,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"}]}]},{"description":"DIHYDROTESTOSTERONE","code_information":[{"code":"82642","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.28,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":155.53,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.28,"methodology":"fee schedule"}]}]},{"description":"VITAMIN D 125 HYDROXY","code_information":[{"code":"82652","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":337.26,"maximum":443.52,"gross_charge":462,"discounted_cash":256,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":443.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":425.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":397.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":383.46,"methodology":"fee schedule"}]}]},{"description":"VITAMIN D 125 HYDROXY","code_information":[{"code":"82652","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.5,"maximum":443.52,"gross_charge":462,"discounted_cash":256,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":204.51,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":443.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":425.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":397.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":383.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":318.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":38.5,"methodology":"fee schedule"}]}]},{"description":"ERYTHROPOIETIN","code_information":[{"code":"82668","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":121.91,"maximum":160.32,"gross_charge":167,"discounted_cash":92.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":160.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":153.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":143.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":138.61,"methodology":"fee schedule"}]}]},{"description":"ERYTHROPOIETIN","code_information":[{"code":"82668","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.79,"maximum":160.32,"gross_charge":167,"discounted_cash":92.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":99.8,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":160.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":153.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":143.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":138.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.79,"methodology":"fee schedule"}]}]},{"description":"ESTRADIOL","code_information":[{"code":"82670","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":137.97,"maximum":181.44,"gross_charge":189,"discounted_cash":104.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":173.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":162.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.87,"methodology":"fee schedule"}]}]},{"description":"ESTRADIOL","code_information":[{"code":"82670","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":148.92,"maximum":195.84,"gross_charge":204,"discounted_cash":113.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":169.32,"methodology":"fee schedule"}]}]},{"description":"ESTRADIOL","code_information":[{"code":"82670","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.94,"maximum":181.44,"gross_charge":189,"discounted_cash":104.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":148.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":173.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":162.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":130.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"}]}]},{"description":"ESTRADIOL","code_information":[{"code":"82670","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.94,"maximum":195.84,"gross_charge":204,"discounted_cash":113.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":148.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":169.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.94,"methodology":"fee schedule"}]}]},{"description":"ESTROGENS, FRACTIONATED","code_information":[{"code":"82671","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":281.05,"maximum":369.6,"gross_charge":385,"discounted_cash":213.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"}]}]},{"description":"ESTROGENS, FRACTIONATED","code_information":[{"code":"82671","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":32.3,"maximum":369.6,"gross_charge":385,"discounted_cash":213.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":171.57,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":365.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":369.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":354.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":319.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":265.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"}]}]},{"description":"ESTRIOL","code_information":[{"code":"82677","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":121.91,"maximum":160.32,"gross_charge":167,"discounted_cash":92.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":160.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":153.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":143.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":138.61,"methodology":"fee schedule"}]}]},{"description":"ESTRIOL","code_information":[{"code":"82677","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.18,"maximum":160.32,"gross_charge":167,"discounted_cash":92.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":128.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":158.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":160.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":153.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":143.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":138.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24.18,"methodology":"fee schedule"}]}]},{"description":"ESTRONE","code_information":[{"code":"82679","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":108.77,"maximum":143.04,"gross_charge":149,"discounted_cash":82.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":143.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":137.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":128.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":123.67,"methodology":"fee schedule"}]}]},{"description":"ESTRONE","code_information":[{"code":"82679","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.95,"maximum":143.04,"gross_charge":149,"discounted_cash":82.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":132.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":143.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":137.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":128.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":123.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":102.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24.95,"methodology":"fee schedule"}]}]},{"description":"FECAL FAT QUALITATIVE","code_information":[{"code":"82705","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.74,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"}]}]},{"description":"FECAL FAT QUALITATIVE","code_information":[{"code":"82705","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.1,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.09,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.1,"methodology":"fee schedule"}]}]},{"description":"FERRITIN","code_information":[{"code":"82728","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":123.37,"maximum":162.24,"gross_charge":169,"discounted_cash":93.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":162.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":138.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":155.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":145.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":140.27,"methodology":"fee schedule"}]}]},{"description":"FERRITIN","code_information":[{"code":"82728","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.63,"maximum":162.24,"gross_charge":169,"discounted_cash":93.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":162.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":138.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":155.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":145.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":140.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.63,"methodology":"fee schedule"}]}]},{"description":"FLOURIDE URINE KS","code_information":[{"code":"82735","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":105.12,"maximum":138.24,"gross_charge":144,"discounted_cash":79.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":138.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":132.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":123.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":119.52,"methodology":"fee schedule"}]}]},{"description":"FLOURIDE URINE KS","code_information":[{"code":"82735","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.54,"maximum":138.24,"gross_charge":144,"discounted_cash":79.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":98.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":138.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":132.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":123.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":119.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.54,"methodology":"fee schedule"}]}]},{"description":"FOLATE SERUM","code_information":[{"code":"82746","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":132.86,"maximum":174.72,"gross_charge":182,"discounted_cash":100.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":167.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.06,"methodology":"fee schedule"}]}]},{"description":"FOLATE SERUM","code_information":[{"code":"82746","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.7,"maximum":174.72,"gross_charge":182,"discounted_cash":100.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78.09,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":167.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.7,"methodology":"fee schedule"}]}]},{"description":"FOLATE RBC","code_information":[{"code":"82747","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":93.44,"maximum":122.88,"gross_charge":128,"discounted_cash":70.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":122.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.24,"methodology":"fee schedule"}]}]},{"description":"FOLATE RBC","code_information":[{"code":"82747","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.65,"maximum":122.88,"gross_charge":128,"discounted_cash":70.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":93.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":122.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.65,"methodology":"fee schedule"}]}]},{"description":"GALTOSE TOTAL","code_information":[{"code":"82760","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":32.12,"maximum":42.24,"gross_charge":44,"discounted_cash":24.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"}]}]},{"description":"GALTOSE TOTAL","code_information":[{"code":"82760","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.2,"maximum":44,"gross_charge":44,"discounted_cash":24.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.2,"methodology":"fee schedule"}]}]},{"description":"GALACTOSEMIA","code_information":[{"code":"82776","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.79,"maximum":22.08,"gross_charge":23,"discounted_cash":12.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.09,"methodology":"fee schedule"}]}]},{"description":"GALACTOSEMIA","code_information":[{"code":"82776","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.74,"maximum":23,"gross_charge":23,"discounted_cash":12.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.74,"methodology":"fee schedule"}]}]},{"description":"CDC - IGA","code_information":[{"code":"82784","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.83,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"}]}]},{"description":"CDC - IGA","code_information":[{"code":"82784","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.3,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.3,"methodology":"fee schedule"}]}]},{"description":"FLCGAM - IGG","code_information":[{"code":"82784","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":53.29,"maximum":70.08,"gross_charge":73,"discounted_cash":40.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.59,"methodology":"fee schedule"}]}]},{"description":"FLCGAM - IGG","code_information":[{"code":"82784","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.3,"maximum":70.08,"gross_charge":73,"discounted_cash":40.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.3,"methodology":"fee schedule"}]}]},{"description":"IMMUNOASSAY","code_information":[{"code":"82784","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":85.41,"maximum":112.32,"gross_charge":117,"discounted_cash":64.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":112.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":100.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.11,"methodology":"fee schedule"}]}]},{"description":"IMMUNOASSAY","code_information":[{"code":"82784","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.3,"maximum":112.32,"gross_charge":117,"discounted_cash":64.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":112.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":100.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.3,"methodology":"fee schedule"}]}]},{"description":"IMMUNOGLOBULIN E","code_information":[{"code":"82785","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":92.71,"maximum":121.92,"gross_charge":127,"discounted_cash":70.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":120.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":121.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":116.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":109.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":105.41,"methodology":"fee schedule"}]}]},{"description":"IMMUNOGLOBULIN E","code_information":[{"code":"82785","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.46,"maximum":121.92,"gross_charge":127,"discounted_cash":70.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":87.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":120.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":121.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":116.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":109.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":105.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.46,"methodology":"fee schedule"}]}]},{"description":"IGG 1","code_information":[{"code":"82787","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.23,"maximum":48.96,"gross_charge":51,"discounted_cash":28.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.33,"methodology":"fee schedule"}]}]},{"description":"IGG 1","code_information":[{"code":"82787","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.02,"maximum":48.96,"gross_charge":51,"discounted_cash":28.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42.61,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.02,"methodology":"fee schedule"}]}]},{"description":"PH VENOUS","code_information":[{"code":"82800","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":81.03,"maximum":106.56,"gross_charge":111,"discounted_cash":61.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"}]}]},{"description":"PH VENOUS","code_information":[{"code":"82800","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11,"maximum":106.56,"gross_charge":111,"discounted_cash":61.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":58.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11,"methodology":"fee schedule"}]}]},{"description":"ARTERIAL BLOOD GASES","code_information":[{"code":"82803","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":204.4,"maximum":268.8,"gross_charge":280,"discounted_cash":155.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":266,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":268.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":257.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":240.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":232.4,"methodology":"fee schedule"}]}]},{"description":"ARTERIAL BLOOD GASES","code_information":[{"code":"82803","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":26.07,"maximum":268.8,"gross_charge":280,"discounted_cash":155.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":138.47,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":266,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":268.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":229.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":257.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":240.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":232.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":193.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":26.07,"methodology":"fee schedule"}]}]},{"description":"BODY FLUID GLUCOSE","code_information":[{"code":"82945","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.23,"maximum":48.96,"gross_charge":51,"discounted_cash":28.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.33,"methodology":"fee schedule"}]}]},{"description":"BODY FLUID GLUCOSE","code_information":[{"code":"82945","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.93,"maximum":48.96,"gross_charge":51,"discounted_cash":28.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.93,"methodology":"fee schedule"}]}]},{"description":"SYNOVIAL FLUID GLUCOSE","code_information":[{"code":"82945","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.77,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"}]}]},{"description":"SYNOVIAL FLUID GLUCOSE","code_information":[{"code":"82945","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.93,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.93,"methodology":"fee schedule"}]}]},{"description":"GLUCOMETER NOVA","code_information":[{"code":"82947","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.63,"maximum":29.76,"gross_charge":31,"discounted_cash":17.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.73,"methodology":"fee schedule"}]}]},{"description":"GLUCOMETER NOVA","code_information":[{"code":"82947","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.93,"maximum":29.76,"gross_charge":31,"discounted_cash":17.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.93,"methodology":"fee schedule"}]}]},{"description":"GLUCOSE","code_information":[{"code":"82947","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.88,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"}]}]},{"description":"GLUCOSE","code_information":[{"code":"82947","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.93,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.93,"methodology":"fee schedule"}]}]},{"description":"GLUCOSE 2 HR","code_information":[{"code":"82950","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"GLUCOSE 2 HR","code_information":[{"code":"82950","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.75,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"}]}]},{"description":"GTT2","code_information":[{"code":"82951","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":122.64,"maximum":161.28,"gross_charge":168,"discounted_cash":93.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":161.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":144.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":139.44,"methodology":"fee schedule"}]}]},{"description":"GTT2","code_information":[{"code":"82951","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.87,"maximum":161.28,"gross_charge":168,"discounted_cash":93.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":161.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":144.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.87,"methodology":"fee schedule"}]}]},{"description":"GTT4","code_information":[{"code":"82952","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.15,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"}]}]},{"description":"GTT4","code_information":[{"code":"82952","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.92,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.92,"methodology":"fee schedule"}]}]},{"description":"GLUCOMETER","code_information":[{"code":"82962","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.77,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"}]}]},{"description":"GLUCOMETER","code_information":[{"code":"82962","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.28,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.28,"methodology":"fee schedule"}]}]},{"description":"GAMMA GLUTAMYL TRANSFERASE (GG","code_information":[{"code":"82977","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.88,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"}]}]},{"description":"GAMMA GLUTAMYL TRANSFERASE (GG","code_information":[{"code":"82977","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7.2,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.2,"methodology":"fee schedule"}]}]},{"description":"FOLLICLE STIMULATING HORMONE","code_information":[{"code":"83001","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":196.37,"maximum":258.24,"gross_charge":269,"discounted_cash":149.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":255.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":258.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":220.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":247.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":231.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":196.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":223.27,"methodology":"fee schedule"}]}]},{"description":"FOLLICLE STIMULATING HORMONE","code_information":[{"code":"83001","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.58,"maximum":258.24,"gross_charge":269,"discounted_cash":149.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":98.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":255.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":258.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":220.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":247.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":231.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":196.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":223.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":185.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.58,"methodology":"fee schedule"}]}]},{"description":"LUTEINIZING HORMONE","code_information":[{"code":"83002","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":108.77,"maximum":143.04,"gross_charge":149,"discounted_cash":82.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":143.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":137.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":128.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":123.67,"methodology":"fee schedule"}]}]},{"description":"LUTEINIZING HORMONE","code_information":[{"code":"83002","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.52,"maximum":143.04,"gross_charge":149,"discounted_cash":82.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":98.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":143.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":137.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":128.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":123.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":102.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.52,"methodology":"fee schedule"}]}]},{"description":"GROWTH HORMONE SERUM","code_information":[{"code":"83003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":102.93,"maximum":135.36,"gross_charge":141,"discounted_cash":78.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":135.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":129.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":121.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":117.03,"methodology":"fee schedule"}]}]},{"description":"GROWTH HORMONE SERUM","code_information":[{"code":"83003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.67,"maximum":135.36,"gross_charge":141,"discounted_cash":78.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":88.55,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":135.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":129.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":121.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":117.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":97.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.67,"methodology":"fee schedule"}]}]},{"description":"HAPTOGLOBIN QUANTITATIVE","code_information":[{"code":"83010","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":113.88,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"}]}]},{"description":"HAPTOGLOBIN QUANTITATIVE","code_information":[{"code":"83010","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.58,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.58,"methodology":"fee schedule"}]}]},{"description":"COBALT BLOOD","code_information":[{"code":"83018","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":164.25,"maximum":216,"gross_charge":225,"discounted_cash":124.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":207,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":186.75,"methodology":"fee schedule"}]}]},{"description":"COBALT BLOOD","code_information":[{"code":"83018","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.96,"maximum":216,"gross_charge":225,"discounted_cash":124.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":116.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":207,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":186.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.96,"methodology":"fee schedule"}]}]},{"description":"TITANIUM, SERUM OR PLASMA","code_information":[{"code":"83018","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":227.03,"maximum":298.56,"gross_charge":311,"discounted_cash":172.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":295.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":298.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":286.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":267.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":258.13,"methodology":"fee schedule"}]}]},{"description":"TITANIUM, SERUM OR PLASMA","code_information":[{"code":"83018","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.96,"maximum":298.56,"gross_charge":311,"discounted_cash":172.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":116.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":295.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":298.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":286.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":267.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":258.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":214.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.96,"methodology":"fee schedule"}]}]},{"description":"HEMOGLOBINAPATHIES","code_information":[{"code":"83020","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":32.12,"maximum":42.24,"gross_charge":44,"discounted_cash":24.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"}]}]},{"description":"HEMOGLOBINAPATHIES","code_information":[{"code":"83020","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.68,"maximum":44,"gross_charge":44,"discounted_cash":24.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.68,"methodology":"fee schedule"}]}]},{"description":"GLYCO HGB","code_information":[{"code":"83036","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":89.06,"maximum":117.12,"gross_charge":122,"discounted_cash":67.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":117.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":112.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":101.26,"methodology":"fee schedule"}]}]},{"description":"GLYCO HGB","code_information":[{"code":"83036","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.71,"maximum":117.12,"gross_charge":122,"discounted_cash":67.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":51.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":117.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":112.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":101.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":84.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.71,"methodology":"fee schedule"}]}]},{"description":"HOMOCYSTEINE CARDIAC RISK","code_information":[{"code":"83090","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":237.25,"maximum":312,"gross_charge":325,"discounted_cash":180.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":312,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":266.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":299,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":279.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":269.75,"methodology":"fee schedule"}]}]},{"description":"HOMOCYSTEINE CARDIAC RISK","code_information":[{"code":"83090","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.92,"maximum":312,"gross_charge":325,"discounted_cash":180.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95.18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":308.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":312,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":266.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":299,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":279.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":269.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":224.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.92,"methodology":"fee schedule"}]}]},{"description":"5-HIAA URINE 24HR","code_information":[{"code":"83497","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":133.59,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"}]}]},{"description":"5-HIAA URINE 24HR","code_information":[{"code":"83497","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.9,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.9,"methodology":"fee schedule"}]}]},{"description":"17-HYDROXYPROGESTERONE","code_information":[{"code":"83498","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":201.48,"maximum":264.96,"gross_charge":276,"discounted_cash":152.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":237.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":229.08,"methodology":"fee schedule"}]}]},{"description":"17-HYDROXYPROGESTERONE","code_information":[{"code":"83498","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.17,"maximum":264.96,"gross_charge":276,"discounted_cash":152.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":144.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":237.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":229.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":190.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.17,"methodology":"fee schedule"}]}]},{"description":"CONG ADRENAL HYPERPLASIA","code_information":[{"code":"83498","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":157.68,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"}]}]},{"description":"CONG ADRENAL HYPERPLASIA","code_information":[{"code":"83498","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.17,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":144.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.17,"methodology":"fee schedule"}]}]},{"description":"ALDP - MITOCHONDRIAL AB M2","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.24,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"}]}]},{"description":"ALDP - MITOCHONDRIAL AB M2","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.53,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.53,"methodology":"fee schedule"}]}]},{"description":"CELIAC PANEL 1","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":127.75,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"}]}]},{"description":"CELIAC PANEL 1","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.53,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.53,"methodology":"fee schedule"}]}]},{"description":"CELIAC PANEL 3","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":120.45,"maximum":158.4,"gross_charge":165,"discounted_cash":91.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"}]}]},{"description":"CELIAC PANEL 3","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.53,"maximum":158.4,"gross_charge":165,"discounted_cash":91.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.53,"methodology":"fee schedule"}]}]},{"description":"CELIAC PANEL 4","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":106.58,"maximum":140.16,"gross_charge":146,"discounted_cash":80.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":121.18,"methodology":"fee schedule"}]}]},{"description":"CELIAC PANEL 4","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.53,"maximum":140.16,"gross_charge":146,"discounted_cash":80.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.53,"methodology":"fee schedule"}]}]},{"description":"CELIAC PANEL A","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":63.51,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"}]}]},{"description":"CELIAC PANEL A","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.53,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.53,"methodology":"fee schedule"}]}]},{"description":"CSSP - RNA POLY III AB, IGG","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":385.44,"maximum":506.88,"gross_charge":528,"discounted_cash":292.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":506.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":485.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":454.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":438.24,"methodology":"fee schedule"}]}]},{"description":"CSSP - RNA POLY III AB, IGG","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.53,"maximum":506.88,"gross_charge":528,"discounted_cash":292.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":501.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":506.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":432.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":485.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":454.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":438.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":364.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.53,"methodology":"fee schedule"}]}]},{"description":"CYSTIC FIBROSIS","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":167.9,"maximum":220.8,"gross_charge":230,"discounted_cash":127.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":218.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":211.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.9,"methodology":"fee schedule"}]}]},{"description":"CYSTIC FIBROSIS","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.53,"maximum":220.8,"gross_charge":230,"discounted_cash":127.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":218.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":211.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.53,"methodology":"fee schedule"}]}]},{"description":"GLIADIN IGA","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":89.79,"maximum":118.08,"gross_charge":123,"discounted_cash":68.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":118.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":105.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":102.09,"methodology":"fee schedule"}]}]},{"description":"GLIADIN IGA","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.53,"maximum":118.08,"gross_charge":123,"discounted_cash":68.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":118.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":105.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":102.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":84.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.53,"methodology":"fee schedule"}]}]},{"description":"TISSUE TRANSGLUTAMINASE AB IGA","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":122.64,"maximum":161.28,"gross_charge":168,"discounted_cash":93.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":161.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":144.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":139.44,"methodology":"fee schedule"}]}]},{"description":"TISSUE TRANSGLUTAMINASE AB IGA","code_information":[{"code":"83516","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.53,"maximum":161.28,"gross_charge":168,"discounted_cash":93.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":161.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":144.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.53,"methodology":"fee schedule"}]}]},{"description":"ACETYCHOLINE REC BINDING AB","code_information":[{"code":"83519","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":91.25,"maximum":120,"gross_charge":125,"discounted_cash":69.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":103.75,"methodology":"fee schedule"}]}]},{"description":"ACETYCHOLINE REC BINDING AB","code_information":[{"code":"83519","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.4,"maximum":120,"gross_charge":125,"discounted_cash":69.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":97.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":103.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.4,"methodology":"fee schedule"}]}]},{"description":"EAE - RADIOIMMUNOASSAY NON-AB","code_information":[{"code":"83519","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":270.83,"maximum":356.16,"gross_charge":371,"discounted_cash":205.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":356.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":304.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":341.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":319.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":307.93,"methodology":"fee schedule"}]}]},{"description":"EAE - RADIOIMMUNOASSAY NON-AB","code_information":[{"code":"83519","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.4,"maximum":356.16,"gross_charge":371,"discounted_cash":205.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":97.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":352.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":356.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":304.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":341.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":319.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":307.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":255.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.4,"methodology":"fee schedule"}]}]},{"description":"ELASTASE, PANCREATIC SERUM","code_information":[{"code":"83519","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":252.58,"maximum":332.16,"gross_charge":346,"discounted_cash":191.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":328.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":332.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":318.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":297.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":252.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":287.18,"methodology":"fee schedule"}]}]},{"description":"ELASTASE, PANCREATIC SERUM","code_information":[{"code":"83519","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.4,"maximum":332.16,"gross_charge":346,"discounted_cash":191.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":97.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":328.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":332.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":318.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":297.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":252.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":287.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":238.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.4,"methodology":"fee schedule"}]}]},{"description":"ANTIMYELOPEROXIDASE (MPO) ABS","code_information":[{"code":"83520","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":85.41,"maximum":112.32,"gross_charge":117,"discounted_cash":64.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":112.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":100.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.11,"methodology":"fee schedule"}]}]},{"description":"ANTIMYELOPEROXIDASE (MPO) ABS","code_information":[{"code":"83520","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.27,"maximum":112.32,"gross_charge":117,"discounted_cash":64.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":112.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":100.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.27,"methodology":"fee schedule"}]}]},{"description":"ANTIPROTEINASE 3 (PR-3) ABS","code_information":[{"code":"83520","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":70.81,"maximum":93.12,"gross_charge":97,"discounted_cash":53.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":93.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":89.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":83.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":80.51,"methodology":"fee schedule"}]}]},{"description":"ANTIPROTEINASE 3 (PR-3) ABS","code_information":[{"code":"83520","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.27,"maximum":93.12,"gross_charge":97,"discounted_cash":53.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":93.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":89.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":83.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":80.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.27,"methodology":"fee schedule"}]}]},{"description":"TRYPTASE","code_information":[{"code":"83520","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":97.09,"maximum":127.68,"gross_charge":133,"discounted_cash":73.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":127.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":122.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":110.39,"methodology":"fee schedule"}]}]},{"description":"TRYPTASE","code_information":[{"code":"83520","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.27,"maximum":127.68,"gross_charge":133,"discounted_cash":73.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":127.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":122.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":110.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.27,"methodology":"fee schedule"}]}]},{"description":"MG - LIGHT CHAINS","code_information":[{"code":"83521","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":186.88,"maximum":245.76,"gross_charge":256,"discounted_cash":141.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":245.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":235.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":220.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":212.48,"methodology":"fee schedule"}]}]},{"description":"MG - LIGHT CHAINS","code_information":[{"code":"83521","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":120.32,"maximum":245.76,"gross_charge":256,"discounted_cash":141.85,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":243.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":245.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":235.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":220.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":212.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":120.32,"methodology":"fee schedule"}]}]},{"description":"INSULIN ASSAY","code_information":[{"code":"83525","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":110.96,"maximum":145.92,"gross_charge":152,"discounted_cash":84.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":145.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":139.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":126.16,"methodology":"fee schedule"}]}]},{"description":"INSULIN ASSAY","code_information":[{"code":"83525","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.43,"maximum":145.92,"gross_charge":152,"discounted_cash":84.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60.71,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":145.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":139.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":126.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.43,"methodology":"fee schedule"}]}]},{"description":"INSULIN, TOTAL","code_information":[{"code":"83525","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":61.32,"maximum":80.64,"gross_charge":84,"discounted_cash":46.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":69.72,"methodology":"fee schedule"}]}]},{"description":"INSULIN, TOTAL","code_information":[{"code":"83525","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.43,"maximum":80.64,"gross_charge":84,"discounted_cash":46.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60.71,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":69.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.43,"methodology":"fee schedule"}]}]},{"description":"INSULIN, FREE","code_information":[{"code":"83527","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":69.35,"maximum":91.2,"gross_charge":95,"discounted_cash":52.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.85,"methodology":"fee schedule"}]}]},{"description":"INSULIN, FREE","code_information":[{"code":"83527","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.95,"maximum":91.2,"gross_charge":95,"discounted_cash":52.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.95,"methodology":"fee schedule"}]}]},{"description":"IRON","code_information":[{"code":"83540","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":59.86,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"}]}]},{"description":"IRON","code_information":[{"code":"83540","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.47,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.47,"methodology":"fee schedule"}]}]},{"description":"TOTAL IRON BINDING CAPACITY","code_information":[{"code":"83550","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":79.57,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"}]}]},{"description":"TOTAL IRON BINDING CAPACITY","code_information":[{"code":"83550","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.74,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.74,"methodology":"fee schedule"}]}]},{"description":"17-KETOSTEROIDS, URINE","code_information":[{"code":"83586","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":72.27,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"}]}]},{"description":"17-KETOSTEROIDS, URINE","code_information":[{"code":"83586","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.8,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":67.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.8,"methodology":"fee schedule"}]}]},{"description":"LACTIC ACID","code_information":[{"code":"83605","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":97.09,"maximum":127.68,"gross_charge":133,"discounted_cash":73.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":127.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":122.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":110.39,"methodology":"fee schedule"}]}]},{"description":"LACTIC ACID","code_information":[{"code":"83605","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.57,"maximum":127.68,"gross_charge":133,"discounted_cash":73.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.46,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":126.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":127.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":122.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":114.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":110.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":91.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.57,"methodology":"fee schedule"}]}]},{"description":"LACTATE DEHYDROGENASE (LD)","code_information":[{"code":"83615","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":55.48,"maximum":72.96,"gross_charge":76,"discounted_cash":42.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.08,"methodology":"fee schedule"}]}]},{"description":"LACTATE DEHYDROGENASE (LD)","code_information":[{"code":"83615","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.04,"maximum":72.96,"gross_charge":76,"discounted_cash":42.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.04,"methodology":"fee schedule"}]}]},{"description":"LDH","code_information":[{"code":"83615","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":58.4,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"}]}]},{"description":"LDH","code_information":[{"code":"83615","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.04,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.04,"methodology":"fee schedule"}]}]},{"description":"FECAL LACTOFERRIN (FECAL WBC)","code_information":[{"code":"83630","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":109.5,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"}]}]},{"description":"FECAL LACTOFERRIN (FECAL WBC)","code_information":[{"code":"83630","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.7,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.7,"methodology":"fee schedule"}]}]},{"description":"LEAD","code_information":[{"code":"83655","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.24,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"}]}]},{"description":"LEAD","code_information":[{"code":"83655","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.11,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.11,"methodology":"fee schedule"}]}]},{"description":"LEAD, PEDIATRIC","code_information":[{"code":"83655","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":67.16,"maximum":88.32,"gross_charge":92,"discounted_cash":50.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":84.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":76.36,"methodology":"fee schedule"}]}]},{"description":"LEAD, PEDIATRIC","code_information":[{"code":"83655","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.11,"maximum":88.32,"gross_charge":92,"discounted_cash":50.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":84.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.11,"methodology":"fee schedule"}]}]},{"description":"LIPASE","code_information":[{"code":"83690","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":63.51,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"}]}]},{"description":"LIPASE","code_information":[{"code":"83690","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.89,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36.6,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.89,"methodology":"fee schedule"}]}]},{"description":"LIPOPROTEIN (A)","code_information":[{"code":"83695","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":71.54,"maximum":94.08,"gross_charge":98,"discounted_cash":54.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.34,"methodology":"fee schedule"}]}]},{"description":"LIPOPROTEIN (A)","code_information":[{"code":"83695","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.32,"maximum":94.08,"gross_charge":98,"discounted_cash":54.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.32,"methodology":"fee schedule"}]}]},{"description":"HDL","code_information":[{"code":"83718","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"HDL","code_information":[{"code":"83718","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.19,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.19,"methodology":"fee schedule"}]}]},{"description":"LOW DENSITY LIPOPROTEIN DIRECT","code_information":[{"code":"83721","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.91,"maximum":64.32,"gross_charge":67,"discounted_cash":37.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":64.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.61,"methodology":"fee schedule"}]}]},{"description":"LOW DENSITY LIPOPROTEIN DIRECT","code_information":[{"code":"83721","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.5,"maximum":64.32,"gross_charge":67,"discounted_cash":37.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":64.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.5,"methodology":"fee schedule"}]}]},{"description":"MAGNESIUM","code_information":[{"code":"83735","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.05,"maximum":81.6,"gross_charge":85,"discounted_cash":47.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":70.55,"methodology":"fee schedule"}]}]},{"description":"MAGNESIUM","code_information":[{"code":"83735","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.7,"maximum":81.6,"gross_charge":85,"discounted_cash":47.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35.6,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":70.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.7,"methodology":"fee schedule"}]}]},{"description":"AMINO ACIDEMIAS","code_information":[{"code":"83789","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":118.26,"maximum":155.52,"gross_charge":162,"discounted_cash":89.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":153.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":155.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":134.46,"methodology":"fee schedule"}]}]},{"description":"AMINO ACIDEMIAS","code_information":[{"code":"83789","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.11,"maximum":155.52,"gross_charge":162,"discounted_cash":89.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":153.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":155.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":134.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24.11,"methodology":"fee schedule"}]}]},{"description":"IODINE, URINE RANDOM","code_information":[{"code":"83789","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":118.99,"maximum":156.48,"gross_charge":163,"discounted_cash":90.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":156.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":140.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":135.29,"methodology":"fee schedule"}]}]},{"description":"IODINE, URINE RANDOM","code_information":[{"code":"83789","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.11,"maximum":156.48,"gross_charge":163,"discounted_cash":90.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":128.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":156.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":140.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":135.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":112.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24.11,"methodology":"fee schedule"}]}]},{"description":"MERCURY WHOLE BLOOD","code_information":[{"code":"83825","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":158.41,"maximum":208.32,"gross_charge":217,"discounted_cash":120.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":208.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":199.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":186.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.11,"methodology":"fee schedule"}]}]},{"description":"MERCURY WHOLE BLOOD","code_information":[{"code":"83825","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.26,"maximum":208.32,"gross_charge":217,"discounted_cash":120.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":86.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":208.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":199.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":186.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.26,"methodology":"fee schedule"}]}]},{"description":"METANEPHRINES FRAC URINE 24HR","code_information":[{"code":"83835","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":142.35,"maximum":187.2,"gross_charge":195,"discounted_cash":108.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":187.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":179.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":167.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.85,"methodology":"fee schedule"}]}]},{"description":"METANEPHRINES FRAC URINE 24HR","code_information":[{"code":"83835","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.94,"maximum":187.2,"gross_charge":195,"discounted_cash":108.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":185.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":187.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":179.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":167.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.94,"methodology":"fee schedule"}]}]},{"description":"METANEPHRINES PLASMA FREE","code_information":[{"code":"83835","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":95.63,"maximum":125.76,"gross_charge":131,"discounted_cash":72.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":125.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":120.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":112.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":108.73,"methodology":"fee schedule"}]}]},{"description":"METANEPHRINES PLASMA FREE","code_information":[{"code":"83835","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.94,"maximum":125.76,"gross_charge":131,"discounted_cash":72.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":125.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":120.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":112.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":108.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.94,"methodology":"fee schedule"}]}]},{"description":"METANEPHRINES, URINE ONLY","code_information":[{"code":"83835","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":137.97,"maximum":181.44,"gross_charge":189,"discounted_cash":104.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":173.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":162.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.87,"methodology":"fee schedule"}]}]},{"description":"METANEPHRINES, URINE ONLY","code_information":[{"code":"83835","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.94,"maximum":181.44,"gross_charge":189,"discounted_cash":104.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":179.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":181.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":173.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":162.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":130.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.94,"methodology":"fee schedule"}]}]},{"description":"MYOGLOBIN SERUM","code_information":[{"code":"83874","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":59.86,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"}]}]},{"description":"MYOGLOBIN SERUM","code_information":[{"code":"83874","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.92,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.63,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.92,"methodology":"fee schedule"}]}]},{"description":"MYOGLOBIN URINE","code_information":[{"code":"83874","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":117.53,"maximum":154.56,"gross_charge":161,"discounted_cash":89.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":148.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":138.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":133.63,"methodology":"fee schedule"}]}]},{"description":"MYOGLOBIN URINE","code_information":[{"code":"83874","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.92,"maximum":154.56,"gross_charge":161,"discounted_cash":89.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.63,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":148.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":138.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":133.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.92,"methodology":"fee schedule"}]}]},{"description":"BNP","code_information":[{"code":"83880","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":318.28,"maximum":418.56,"gross_charge":436,"discounted_cash":241.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":418.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":357.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":401.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":374.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":361.88,"methodology":"fee schedule"}]}]},{"description":"BNP","code_information":[{"code":"83880","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":39.26,"maximum":418.56,"gross_charge":436,"discounted_cash":241.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":208.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":414.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":418.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":357.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":401.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":374.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":318.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":361.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":300.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":39.26,"methodology":"fee schedule"}]}]},{"description":"BJKL, FREE KAPPA LT CHAINS UR","code_information":[{"code":"83883","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.24,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"}]}]},{"description":"BJKL, FREE KAPPA LT CHAINS UR","code_information":[{"code":"83883","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.6,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.6,"methodology":"fee schedule"}]}]},{"description":"BJ-NEPHELOMETRY","code_information":[{"code":"83883","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":74.46,"maximum":97.92,"gross_charge":102,"discounted_cash":56.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":93.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":87.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":84.66,"methodology":"fee schedule"}]}]},{"description":"BJ-NEPHELOMETRY","code_information":[{"code":"83883","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.6,"maximum":97.92,"gross_charge":102,"discounted_cash":56.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":96.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":93.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":87.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":84.66,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.6,"methodology":"fee schedule"}]}]},{"description":"FLCGAM - KAPPA LIGHT CH","code_information":[{"code":"83883","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":77.38,"maximum":101.76,"gross_charge":106,"discounted_cash":58.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":101.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":97.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":91.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.98,"methodology":"fee schedule"}]}]},{"description":"FLCGAM - KAPPA LIGHT CH","code_information":[{"code":"83883","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.6,"maximum":101.76,"gross_charge":106,"discounted_cash":58.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":101.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":97.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":91.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.6,"methodology":"fee schedule"}]}]},{"description":"METHYLMALONIC ACID SER (QUANT)","code_information":[{"code":"83921","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":158.41,"maximum":208.32,"gross_charge":217,"discounted_cash":120.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":208.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":199.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":186.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.11,"methodology":"fee schedule"}]}]},{"description":"METHYLMALONIC ACID SER (QUANT)","code_information":[{"code":"83921","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.21,"maximum":208.32,"gross_charge":217,"discounted_cash":120.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":112.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":208.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":199.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":186.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.21,"methodology":"fee schedule"}]}]},{"description":"OSMOLALITY SERUM","code_information":[{"code":"83930","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":70.08,"maximum":92.16,"gross_charge":96,"discounted_cash":53.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":79.68,"methodology":"fee schedule"}]}]},{"description":"OSMOLALITY SERUM","code_information":[{"code":"83930","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.61,"maximum":92.16,"gross_charge":96,"discounted_cash":53.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.61,"methodology":"fee schedule"}]}]},{"description":"OSMOLALITY URINE","code_information":[{"code":"83935","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"OSMOLALITY URINE","code_information":[{"code":"83935","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.82,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.82,"methodology":"fee schedule"}]}]},{"description":"OSMOLALITY URINE KS","code_information":[{"code":"83935","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":39.42,"maximum":51.84,"gross_charge":54,"discounted_cash":29.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"}]}]},{"description":"OSMOLALITY URINE KS","code_information":[{"code":"83935","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.82,"maximum":51.84,"gross_charge":54,"discounted_cash":29.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.82,"methodology":"fee schedule"}]}]},{"description":"OXALATE URINE 24HR","code_information":[{"code":"83945","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":113.15,"maximum":148.8,"gross_charge":155,"discounted_cash":85.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":142.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":133.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":128.65,"methodology":"fee schedule"}]}]},{"description":"OXALATE URINE 24HR","code_information":[{"code":"83945","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.45,"maximum":148.8,"gross_charge":155,"discounted_cash":85.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":142.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":133.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":128.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.45,"methodology":"fee schedule"}]}]},{"description":"OXALATE URINE KS","code_information":[{"code":"83945","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":72.27,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"}]}]},{"description":"OXALATE URINE KS","code_information":[{"code":"83945","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.45,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.45,"methodology":"fee schedule"}]}]},{"description":"PARATHYROID HORMONE INTACT","code_information":[{"code":"83970","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":244.55,"maximum":321.6,"gross_charge":335,"discounted_cash":185.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":321.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":274.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":308.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.05,"methodology":"fee schedule"}]}]},{"description":"PARATHYROID HORMONE INTACT","code_information":[{"code":"83970","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":41.28,"maximum":321.6,"gross_charge":335,"discounted_cash":185.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":219.27,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":318.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":321.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":274.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":308.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"}]}]},{"description":"BODY FLUID PH","code_information":[{"code":"83986","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.96,"maximum":49.92,"gross_charge":52,"discounted_cash":28.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.16,"methodology":"fee schedule"}]}]},{"description":"BODY FLUID PH","code_information":[{"code":"83986","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.58,"maximum":49.92,"gross_charge":52,"discounted_cash":28.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19.03,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.58,"methodology":"fee schedule"}]}]},{"description":"FECES PH","code_information":[{"code":"83986","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.44,"maximum":26.88,"gross_charge":28,"discounted_cash":15.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.24,"methodology":"fee schedule"}]}]},{"description":"FECES PH","code_information":[{"code":"83986","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.58,"maximum":26.88,"gross_charge":28,"discounted_cash":15.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19.03,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.58,"methodology":"fee schedule"}]}]},{"description":"CALPROTECTIN, FECAL","code_information":[{"code":"83993","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":141.62,"maximum":186.24,"gross_charge":194,"discounted_cash":107.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":186.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":178.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":166.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.02,"methodology":"fee schedule"}]}]},{"description":"CALPROTECTIN, FECAL","code_information":[{"code":"83993","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.63,"maximum":186.24,"gross_charge":194,"discounted_cash":107.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":104.27,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":184.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":186.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":178.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":166.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.63,"methodology":"fee schedule"}]}]},{"description":"ALK PHOS","code_information":[{"code":"84075","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":55.48,"maximum":72.96,"gross_charge":76,"discounted_cash":42.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.08,"methodology":"fee schedule"}]}]},{"description":"ALK PHOS","code_information":[{"code":"84075","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.18,"maximum":72.96,"gross_charge":76,"discounted_cash":42.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.18,"methodology":"fee schedule"}]}]},{"description":"ALKALINE PHOSPHATASE","code_information":[{"code":"84075","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.04,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"}]}]},{"description":"ALKALINE PHOSPHATASE","code_information":[{"code":"84075","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.18,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.18,"methodology":"fee schedule"}]}]},{"description":"ALK PHOSPHATASE BONE SPECIFIC","code_information":[{"code":"84080","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":112.42,"maximum":147.84,"gross_charge":154,"discounted_cash":85.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":147.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":141.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":127.82,"methodology":"fee schedule"}]}]},{"description":"ALK PHOSPHATASE BONE SPECIFIC","code_information":[{"code":"84080","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.78,"maximum":147.84,"gross_charge":154,"discounted_cash":85.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78.51,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":147.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":141.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":127.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.78,"methodology":"fee schedule"}]}]},{"description":"PHOSPHORUS","code_information":[{"code":"84100","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.1,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"}]}]},{"description":"PHOSPHORUS","code_information":[{"code":"84100","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.74,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25.18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.74,"methodology":"fee schedule"}]}]},{"description":"PHOSPHORUS URINE","code_information":[{"code":"84105","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"PHOSPHORUS URINE","code_information":[{"code":"84105","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.78,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.78,"methodology":"fee schedule"}]}]},{"description":"PHOSPHORUS URINE KS","code_information":[{"code":"84105","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":30.66,"maximum":40.32,"gross_charge":42,"discounted_cash":23.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"}]}]},{"description":"PHOSPHORUS URINE KS","code_information":[{"code":"84105","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.78,"maximum":40.32,"gross_charge":42,"discounted_cash":23.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.78,"methodology":"fee schedule"}]}]},{"description":"EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT","code_information":[{"code":"8411","type":"APR-DRG"}],"standard_charges":[{"minimum":34741,"maximum":34741,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34741,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT","code_information":[{"code":"8412","type":"APR-DRG"}],"standard_charges":[{"minimum":39544,"maximum":39544,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39544,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT","code_information":[{"code":"8413","type":"APR-DRG"}],"standard_charges":[{"minimum":121720,"maximum":121720,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":121720,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"POTASSIUM","code_information":[{"code":"84132","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.1,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"}]}]},{"description":"POTASSIUM","code_information":[{"code":"84132","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.76,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.76,"methodology":"fee schedule"}]}]},{"description":"POTASSIUM URINE","code_information":[{"code":"84133","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.69,"maximum":50.88,"gross_charge":53,"discounted_cash":29.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.99,"methodology":"fee schedule"}]}]},{"description":"POTASSIUM URINE","code_information":[{"code":"84133","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.73,"maximum":50.88,"gross_charge":53,"discounted_cash":29.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.73,"methodology":"fee schedule"}]}]},{"description":"POTASSIUM URINE KS","code_information":[{"code":"84133","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.09,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"}]}]},{"description":"POTASSIUM URINE KS","code_information":[{"code":"84133","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.73,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.73,"methodology":"fee schedule"}]}]},{"description":"EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT","code_information":[{"code":"8414","type":"APR-DRG"}],"standard_charges":[{"minimum":368072,"maximum":368072,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":368072,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"17-HYDROXYPREGNENOLONE","code_information":[{"code":"84143","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":124.83,"maximum":164.16,"gross_charge":171,"discounted_cash":94.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":162.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":164.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":157.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.93,"methodology":"fee schedule"}]}]},{"description":"17-HYDROXYPREGNENOLONE","code_information":[{"code":"84143","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.81,"maximum":164.16,"gross_charge":171,"discounted_cash":94.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":121.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":162.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":164.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":157.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.81,"methodology":"fee schedule"}]}]},{"description":"PROGESTERONE","code_information":[{"code":"84144","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":113.88,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"}]}]},{"description":"PROGESTERONE","code_information":[{"code":"84144","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.86,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110.81,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.86,"methodology":"fee schedule"}]}]},{"description":"PROCALCITONIN","code_information":[{"code":"84145","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":241.63,"maximum":317.76,"gross_charge":331,"discounted_cash":183.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":314.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":317.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":304.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":284.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":274.73,"methodology":"fee schedule"}]}]},{"description":"PROCALCITONIN","code_information":[{"code":"84145","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.22,"maximum":317.76,"gross_charge":331,"discounted_cash":183.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":144.59,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":314.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":317.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":304.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":284.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":274.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":228.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.22,"methodology":"fee schedule"}]}]},{"description":"PROLACTIN","code_information":[{"code":"84146","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":110.23,"maximum":144.96,"gross_charge":151,"discounted_cash":83.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":125.33,"methodology":"fee schedule"}]}]},{"description":"PROLACTIN","code_information":[{"code":"84146","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.38,"maximum":144.96,"gross_charge":151,"discounted_cash":83.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":102.94,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":125.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.38,"methodology":"fee schedule"}]}]},{"description":"PSA DIAGNOSTIC","code_information":[{"code":"84153","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":166.44,"maximum":218.88,"gross_charge":228,"discounted_cash":126.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":216.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":218.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":209.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":189.24,"methodology":"fee schedule"}]}]},{"description":"PSA DIAGNOSTIC","code_information":[{"code":"84153","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.39,"maximum":218.88,"gross_charge":228,"discounted_cash":126.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":97.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":216.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":218.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":209.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":189.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":157.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.39,"methodology":"fee schedule"}]}]},{"description":"PROTEIN SERUM","code_information":[{"code":"84155","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.17,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"}]}]},{"description":"PROTEIN SERUM","code_information":[{"code":"84155","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.67,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.67,"methodology":"fee schedule"}]}]},{"description":"SPE - PROTEIN","code_information":[{"code":"84155","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.44,"maximum":26.88,"gross_charge":28,"discounted_cash":15.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.24,"methodology":"fee schedule"}]}]},{"description":"SPE - PROTEIN","code_information":[{"code":"84155","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.67,"maximum":26.88,"gross_charge":28,"discounted_cash":15.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.67,"methodology":"fee schedule"}]}]},{"description":"TOTAL PROTEIN","code_information":[{"code":"84155","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.69,"maximum":50.88,"gross_charge":53,"discounted_cash":29.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.99,"methodology":"fee schedule"}]}]},{"description":"TOTAL PROTEIN","code_information":[{"code":"84155","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.67,"maximum":50.88,"gross_charge":53,"discounted_cash":29.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.67,"methodology":"fee schedule"}]}]},{"description":"PROTEIN / CREATININE RATIO (P)","code_information":[{"code":"84156","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.04,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"}]}]},{"description":"PROTEIN / CREATININE RATIO (P)","code_information":[{"code":"84156","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.67,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.67,"methodology":"fee schedule"}]}]},{"description":"URINE PROTEIN","code_information":[{"code":"84156","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":54.75,"maximum":72,"gross_charge":75,"discounted_cash":41.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":64.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":62.25,"methodology":"fee schedule"}]}]},{"description":"URINE PROTEIN","code_information":[{"code":"84156","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.67,"maximum":72,"gross_charge":75,"discounted_cash":41.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":64.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":62.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.67,"methodology":"fee schedule"}]}]},{"description":"BODY FLUID TOTAL PROTEIN","code_information":[{"code":"84157","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":105.85,"maximum":139.2,"gross_charge":145,"discounted_cash":80.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":133.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":124.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":120.35,"methodology":"fee schedule"}]}]},{"description":"BODY FLUID TOTAL PROTEIN","code_information":[{"code":"84157","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4,"maximum":139.2,"gross_charge":145,"discounted_cash":80.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":133.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":124.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":120.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4,"methodology":"fee schedule"}]}]},{"description":"PROTEIN CSF","code_information":[{"code":"84157","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.44,"maximum":26.88,"gross_charge":28,"discounted_cash":15.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.24,"methodology":"fee schedule"}]}]},{"description":"PROTEIN CSF","code_information":[{"code":"84157","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4,"maximum":26.88,"gross_charge":28,"discounted_cash":15.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4,"methodology":"fee schedule"}]}]},{"description":"SYNOVIAL TOTAL PROTEIN","code_information":[{"code":"84157","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.98,"maximum":24.96,"gross_charge":26,"discounted_cash":14.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.58,"methodology":"fee schedule"}]}]},{"description":"SYNOVIAL TOTAL PROTEIN","code_information":[{"code":"84157","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4,"maximum":24.96,"gross_charge":26,"discounted_cash":14.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4,"methodology":"fee schedule"}]}]},{"description":"FLCGAM - PROTEIN ELEC SERUM","code_information":[{"code":"84165","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.05,"maximum":81.6,"gross_charge":85,"discounted_cash":47.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":70.55,"methodology":"fee schedule"}]}]},{"description":"FLCGAM - PROTEIN ELEC SERUM","code_information":[{"code":"84165","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":39.95,"maximum":81.6,"gross_charge":85,"discounted_cash":47.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":70.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":39.95,"methodology":"fee schedule"}]}]},{"description":"PELP","code_information":[{"code":"84165","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":54.02,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"}]}]},{"description":"PELP","code_information":[{"code":"84165","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":34.78,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":34.78,"methodology":"fee schedule"}]}]},{"description":"PROTEIN ELECTROPHORESIS SERUM","code_information":[{"code":"84165","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":105.85,"maximum":139.2,"gross_charge":145,"discounted_cash":80.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":133.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":124.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":120.35,"methodology":"fee schedule"}]}]},{"description":"PROTEIN ELECTROPHORESIS SERUM","code_information":[{"code":"84165","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":57.06,"maximum":139.2,"gross_charge":145,"discounted_cash":80.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":137.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":139.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":133.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":124.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":120.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":68.15,"methodology":"fee schedule"}]}]},{"description":"PROTEIN ELECTROPHORESIS, SERUM","code_information":[{"code":"84165","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.78,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"}]}]},{"description":"PROTEIN ELECTROPHORESIS, SERUM","code_information":[{"code":"84165","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.42,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"}]}]},{"description":"SPE - ELECTROPHORESIS","code_information":[{"code":"84165","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":59.13,"maximum":77.76,"gross_charge":81,"discounted_cash":44.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":74.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":69.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":67.23,"methodology":"fee schedule"}]}]},{"description":"SPE - ELECTROPHORESIS","code_information":[{"code":"84165","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.07,"maximum":77.76,"gross_charge":81,"discounted_cash":44.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":74.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":69.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":67.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":38.07,"methodology":"fee schedule"}]}]},{"description":"PROTEIN ELP, URINE RANDOM","code_information":[{"code":"84166","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":100.01,"maximum":131.52,"gross_charge":137,"discounted_cash":75.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":131.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":117.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":113.71,"methodology":"fee schedule"}]}]},{"description":"PROTEIN ELP, URINE RANDOM","code_information":[{"code":"84166","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.39,"maximum":131.52,"gross_charge":137,"discounted_cash":75.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":94.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":130.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":131.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":117.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":113.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":94.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":64.39,"methodology":"fee schedule"}]}]},{"description":"VITAMIN B-6","code_information":[{"code":"84207","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":73,"maximum":96,"gross_charge":100,"discounted_cash":55.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"}]}]},{"description":"VITAMIN B-6","code_information":[{"code":"84207","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":28.1,"maximum":100,"gross_charge":100,"discounted_cash":55.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":28.1,"methodology":"fee schedule"}]}]},{"description":"BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS","code_information":[{"code":"8421","type":"APR-DRG"}],"standard_charges":[{"minimum":25869,"maximum":25869,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25869,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS","code_information":[{"code":"8422","type":"APR-DRG"}],"standard_charges":[{"minimum":40235,"maximum":40235,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40235,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS","code_information":[{"code":"8423","type":"APR-DRG"}],"standard_charges":[{"minimum":72615,"maximum":72615,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72615,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS","code_information":[{"code":"8424","type":"APR-DRG"}],"standard_charges":[{"minimum":191061,"maximum":191061,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":191061,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RENIN DIRECT","code_information":[{"code":"84244","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":116.07,"maximum":152.64,"gross_charge":159,"discounted_cash":88.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.97,"methodology":"fee schedule"}]}]},{"description":"RENIN DIRECT","code_information":[{"code":"84244","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.99,"maximum":152.64,"gross_charge":159,"discounted_cash":88.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":116.8,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.99,"methodology":"fee schedule"}]}]},{"description":"RENIN PLASMA","code_information":[{"code":"84244","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":124.1,"maximum":163.2,"gross_charge":170,"discounted_cash":94.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":163.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":156.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.1,"methodology":"fee schedule"}]}]},{"description":"RENIN PLASMA","code_information":[{"code":"84244","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.99,"maximum":163.2,"gross_charge":170,"discounted_cash":94.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":116.8,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":163.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":156.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.99,"methodology":"fee schedule"}]}]},{"description":"SEX HORMONE BINDING GLOBULIN","code_information":[{"code":"84270","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":26.28,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"}]}]},{"description":"SEX HORMONE BINDING GLOBULIN","code_information":[{"code":"84270","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.73,"maximum":36,"gross_charge":36,"discounted_cash":19.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.73,"methodology":"fee schedule"}]}]},{"description":"SODIUM","code_information":[{"code":"84295","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.1,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"}]}]},{"description":"SODIUM","code_information":[{"code":"84295","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.81,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.81,"methodology":"fee schedule"}]}]},{"description":"ELECTROLYTES URINE","code_information":[{"code":"84300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":32.85,"maximum":43.2,"gross_charge":45,"discounted_cash":24.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":37.35,"methodology":"fee schedule"}]}]},{"description":"ELECTROLYTES URINE","code_information":[{"code":"84300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.06,"maximum":43.2,"gross_charge":45,"discounted_cash":24.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":37.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.06,"methodology":"fee schedule"}]}]},{"description":"SODIUM URINE","code_information":[{"code":"84300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":49.64,"maximum":65.28,"gross_charge":68,"discounted_cash":37.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":62.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":58.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":56.44,"methodology":"fee schedule"}]}]},{"description":"SODIUM URINE","code_information":[{"code":"84300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.06,"maximum":65.28,"gross_charge":68,"discounted_cash":37.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":62.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":58.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":56.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.06,"methodology":"fee schedule"}]}]},{"description":"SODIUM URINE KS","code_information":[{"code":"84300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.2,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"}]}]},{"description":"SODIUM URINE KS","code_information":[{"code":"84300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.06,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.88,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.06,"methodology":"fee schedule"}]}]},{"description":"INSULIN LIKE GROWTH FACTOR","code_information":[{"code":"84305","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":105.12,"maximum":138.24,"gross_charge":144,"discounted_cash":79.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":138.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":132.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":123.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":119.52,"methodology":"fee schedule"}]}]},{"description":"INSULIN LIKE GROWTH FACTOR","code_information":[{"code":"84305","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.26,"maximum":138.24,"gross_charge":144,"discounted_cash":79.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":112.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":136.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":138.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":132.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":123.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":119.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":99.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.26,"methodology":"fee schedule"}]}]},{"description":"EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT","code_information":[{"code":"8431","type":"APR-DRG"}],"standard_charges":[{"minimum":11097,"maximum":11097,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11097,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PORPHYRINS SERUM TOTAL","code_information":[{"code":"84311","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":45.26,"maximum":59.52,"gross_charge":62,"discounted_cash":34.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.46,"methodology":"fee schedule"}]}]},{"description":"PORPHYRINS SERUM TOTAL","code_information":[{"code":"84311","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.1,"maximum":59.52,"gross_charge":62,"discounted_cash":34.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43.03,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.1,"methodology":"fee schedule"}]}]},{"description":"BODY FLUID SPECIFIC GRAVITY","code_information":[{"code":"84315","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.71,"maximum":25.92,"gross_charge":27,"discounted_cash":14.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.41,"methodology":"fee schedule"}]}]},{"description":"BODY FLUID SPECIFIC GRAVITY","code_information":[{"code":"84315","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.28,"maximum":25.92,"gross_charge":27,"discounted_cash":14.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.28,"methodology":"fee schedule"}]}]},{"description":"EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT","code_information":[{"code":"8432","type":"APR-DRG"}],"standard_charges":[{"minimum":16211,"maximum":16211,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16211,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT","code_information":[{"code":"8433","type":"APR-DRG"}],"standard_charges":[{"minimum":20898,"maximum":20898,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20898,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT","code_information":[{"code":"8434","type":"APR-DRG"}],"standard_charges":[{"minimum":52114,"maximum":52114,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52114,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SULFATE URINE KS","code_information":[{"code":"84392","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.74,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"}]}]},{"description":"SULFATE URINE KS","code_information":[{"code":"84392","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.49,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.49,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONE, FREE","code_information":[{"code":"84402","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":160.6,"maximum":211.2,"gross_charge":220,"discounted_cash":121.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":180.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":202.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":189.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":182.6,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONE, FREE","code_information":[{"code":"84402","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.47,"maximum":211.2,"gross_charge":220,"discounted_cash":121.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":135.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":180.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":202.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":189.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":182.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.47,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONE,FREE(ADULT MALE)","code_information":[{"code":"84402","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":140.89,"maximum":185.28,"gross_charge":193,"discounted_cash":106.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":185.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":177.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":160.19,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONE,FREE(ADULT MALE)","code_information":[{"code":"84402","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.47,"maximum":185.28,"gross_charge":193,"discounted_cash":106.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":135.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":185.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":177.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":160.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.47,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONE TOTAL","code_information":[{"code":"84403","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":154.76,"maximum":203.52,"gross_charge":212,"discounted_cash":117.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":203.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":195.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":182.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":175.96,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONE TOTAL","code_information":[{"code":"84403","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.81,"maximum":203.52,"gross_charge":212,"discounted_cash":117.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":137.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":201.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":203.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":195.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":182.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":175.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.81,"methodology":"fee schedule"}]}]},{"description":"PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT","code_information":[{"code":"8441","type":"APR-DRG"}],"standard_charges":[{"minimum":9805,"maximum":9805,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9805,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT","code_information":[{"code":"8442","type":"APR-DRG"}],"standard_charges":[{"minimum":10935,"maximum":10935,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10935,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"VITAMIN B-1 THIAMINE PLASMA","code_information":[{"code":"84425","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":202.94,"maximum":266.88,"gross_charge":278,"discounted_cash":154.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":266.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":255.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":239.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":202.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":230.74,"methodology":"fee schedule"}]}]},{"description":"VITAMIN B-1 THIAMINE PLASMA","code_information":[{"code":"84425","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.23,"maximum":266.88,"gross_charge":278,"discounted_cash":154.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":112.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":266.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":255.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":239.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":202.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":230.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.23,"methodology":"fee schedule"}]}]},{"description":"VITAMIN B1 WHOLE BLOOD","code_information":[{"code":"84425","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":116.07,"maximum":152.64,"gross_charge":159,"discounted_cash":88.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.97,"methodology":"fee schedule"}]}]},{"description":"VITAMIN B1 WHOLE BLOOD","code_information":[{"code":"84425","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.23,"maximum":152.64,"gross_charge":159,"discounted_cash":88.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":112.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.23,"methodology":"fee schedule"}]}]},{"description":"PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT","code_information":[{"code":"8443","type":"APR-DRG"}],"standard_charges":[{"minimum":25851,"maximum":25851,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25851,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"T4 BY ICMA","code_information":[{"code":"84436","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":91.98,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"}]}]},{"description":"T4 BY ICMA","code_information":[{"code":"84436","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.87,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.87,"methodology":"fee schedule"}]}]},{"description":"T4 FREE","code_information":[{"code":"84439","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":82.49,"maximum":108.48,"gross_charge":113,"discounted_cash":62.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":93.79,"methodology":"fee schedule"}]}]},{"description":"T4 FREE","code_information":[{"code":"84439","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.02,"maximum":108.48,"gross_charge":113,"discounted_cash":62.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":93.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.02,"methodology":"fee schedule"}]}]},{"description":"PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT","code_information":[{"code":"8444","type":"APR-DRG"}],"standard_charges":[{"minimum":50152,"maximum":50152,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50152,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"THYROXINE BINDING GLOBULIN","code_information":[{"code":"84442","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":45.99,"maximum":60.48,"gross_charge":63,"discounted_cash":34.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.29,"methodology":"fee schedule"}]}]},{"description":"THYROXINE BINDING GLOBULIN","code_information":[{"code":"84442","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.78,"maximum":63,"gross_charge":63,"discounted_cash":34.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.78,"methodology":"fee schedule"}]}]},{"description":"CONG HYPOTHYROIDISM","code_information":[{"code":"84443","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":151.84,"maximum":199.68,"gross_charge":208,"discounted_cash":115.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":199.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":191.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":178.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":172.64,"methodology":"fee schedule"}]}]},{"description":"CONG HYPOTHYROIDISM","code_information":[{"code":"84443","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.8,"maximum":199.68,"gross_charge":208,"discounted_cash":115.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":197.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":199.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":191.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":178.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":172.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.8,"methodology":"fee schedule"}]}]},{"description":"THYROID STIMULATING IMMUNOGLOB","code_information":[{"code":"84445","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":328.5,"maximum":432,"gross_charge":450,"discounted_cash":249.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":432,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":369,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":414,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":387,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":328.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":373.5,"methodology":"fee schedule"}]}]},{"description":"THYROID STIMULATING IMMUNOGLOB","code_information":[{"code":"84445","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":50.86,"maximum":432,"gross_charge":450,"discounted_cash":249.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":270.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":427.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":432,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":369,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":414,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":387,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":328.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":373.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":310.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":50.86,"methodology":"fee schedule"}]}]},{"description":"VITAMIN E","code_information":[{"code":"84446","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":61.32,"maximum":80.64,"gross_charge":84,"discounted_cash":46.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":69.72,"methodology":"fee schedule"}]}]},{"description":"VITAMIN E","code_information":[{"code":"84446","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.18,"maximum":80.64,"gross_charge":84,"discounted_cash":46.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":75.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":69.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.18,"methodology":"fee schedule"}]}]},{"description":"AST","code_information":[{"code":"84450","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":55.48,"maximum":72.96,"gross_charge":76,"discounted_cash":42.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.08,"methodology":"fee schedule"}]}]},{"description":"AST","code_information":[{"code":"84450","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.18,"maximum":72.96,"gross_charge":76,"discounted_cash":42.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.18,"methodology":"fee schedule"}]}]},{"description":"ALT","code_information":[{"code":"84460","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":67.89,"maximum":89.28,"gross_charge":93,"discounted_cash":51.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":89.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":85.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":77.19,"methodology":"fee schedule"}]}]},{"description":"ALT","code_information":[{"code":"84460","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.3,"maximum":89.28,"gross_charge":93,"discounted_cash":51.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":89.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":85.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":77.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.3,"methodology":"fee schedule"}]}]},{"description":"TRANSFERRIN","code_information":[{"code":"84466","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":127.75,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"}]}]},{"description":"TRANSFERRIN","code_information":[{"code":"84466","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":133.59,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"}]}]},{"description":"TRANSFERRIN","code_information":[{"code":"84466","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.76,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":67.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.76,"methodology":"fee schedule"}]}]},{"description":"TRANSFERRIN","code_information":[{"code":"84466","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.76,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":67.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.76,"methodology":"fee schedule"}]}]},{"description":"TRIGLYCERIDE","code_information":[{"code":"84478","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":57.67,"maximum":75.84,"gross_charge":79,"discounted_cash":43.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.57,"methodology":"fee schedule"}]}]},{"description":"TRIGLYCERIDE","code_information":[{"code":"84478","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.74,"maximum":75.84,"gross_charge":79,"discounted_cash":43.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.74,"methodology":"fee schedule"}]}]},{"description":"T3 UPTAKE","code_information":[{"code":"84479","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":54.02,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"}]}]},{"description":"T3 UPTAKE","code_information":[{"code":"84479","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.47,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.47,"methodology":"fee schedule"}]}]},{"description":"T3 (TRIIODOTHYRONINE) TOTAL","code_information":[{"code":"84480","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":91.98,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"}]}]},{"description":"T3 (TRIIODOTHYRONINE) TOTAL","code_information":[{"code":"84480","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.18,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":75.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.18,"methodology":"fee schedule"}]}]},{"description":"T3 FREE","code_information":[{"code":"84481","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":133.59,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"}]}]},{"description":"T3 FREE","code_information":[{"code":"84481","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.94,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.94,"methodology":"fee schedule"}]}]},{"description":"T3 REVERSE","code_information":[{"code":"84482","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":86.87,"maximum":114.24,"gross_charge":119,"discounted_cash":65.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":114.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":102.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":98.77,"methodology":"fee schedule"}]}]},{"description":"T3 REVERSE","code_information":[{"code":"84482","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.76,"maximum":114.24,"gross_charge":119,"discounted_cash":65.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":83.72,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":114.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":102.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":98.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.76,"methodology":"fee schedule"}]}]},{"description":"TROPONIN POC","code_information":[{"code":"84484","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":101.47,"maximum":133.44,"gross_charge":139,"discounted_cash":77.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.37,"methodology":"fee schedule"}]}]},{"description":"TROPONIN POC","code_information":[{"code":"84484","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.47,"maximum":133.44,"gross_charge":139,"discounted_cash":77.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.47,"methodology":"fee schedule"}]}]},{"description":"BUN","code_information":[{"code":"84520","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":42.34,"maximum":55.68,"gross_charge":58,"discounted_cash":32.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.14,"methodology":"fee schedule"}]}]},{"description":"BUN","code_information":[{"code":"84520","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.95,"maximum":55.68,"gross_charge":58,"discounted_cash":32.14,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.95,"methodology":"fee schedule"}]}]},{"description":"URIC ACID","code_information":[{"code":"84550","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":42.34,"maximum":55.68,"gross_charge":58,"discounted_cash":32.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.14,"methodology":"fee schedule"}]}]},{"description":"URIC ACID","code_information":[{"code":"84550","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.52,"maximum":55.68,"gross_charge":58,"discounted_cash":32.14,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.52,"methodology":"fee schedule"}]}]},{"description":"SYNOVIAL URIC ACID","code_information":[{"code":"84560","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":26.28,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"}]}]},{"description":"SYNOVIAL URIC ACID","code_information":[{"code":"84560","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.08,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.08,"methodology":"fee schedule"}]}]},{"description":"URIC ACID URINE","code_information":[{"code":"84560","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.69,"maximum":50.88,"gross_charge":53,"discounted_cash":29.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.99,"methodology":"fee schedule"}]}]},{"description":"URIC ACID URINE","code_information":[{"code":"84560","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.08,"maximum":50.88,"gross_charge":53,"discounted_cash":29.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.08,"methodology":"fee schedule"}]}]},{"description":"URIC ACID URINE KS","code_information":[{"code":"84560","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.74,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"}]}]},{"description":"URIC ACID URINE KS","code_information":[{"code":"84560","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.08,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.08,"methodology":"fee schedule"}]}]},{"description":"VMA URINE (RANDOM)","code_information":[{"code":"84585","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":167.9,"maximum":220.8,"gross_charge":230,"discounted_cash":127.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":218.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":211.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.9,"methodology":"fee schedule"}]}]},{"description":"VMA URINE (RANDOM)","code_information":[{"code":"84585","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.5,"maximum":220.8,"gross_charge":230,"discounted_cash":127.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":82.34,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":218.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":211.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.5,"methodology":"fee schedule"}]}]},{"description":"ARGININE VASOPRESSIN HORMONE","code_information":[{"code":"84588","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":322.66,"maximum":424.32,"gross_charge":442,"discounted_cash":244.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":419.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":424.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":406.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":380.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":366.86,"methodology":"fee schedule"}]}]},{"description":"ARGININE VASOPRESSIN HORMONE","code_information":[{"code":"84588","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":33.94,"maximum":424.32,"gross_charge":442,"discounted_cash":244.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":180.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":419.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":424.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":362.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":406.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":380.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":322.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":366.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":304.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":33.94,"methodology":"fee schedule"}]}]},{"description":"VITAMIN A","code_information":[{"code":"84590","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.91,"maximum":64.32,"gross_charge":67,"discounted_cash":37.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":64.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.61,"methodology":"fee schedule"}]}]},{"description":"VITAMIN A","code_information":[{"code":"84590","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.61,"maximum":64.32,"gross_charge":67,"discounted_cash":37.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":64.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.61,"methodology":"fee schedule"}]}]},{"description":"ZINC","code_information":[{"code":"84630","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":83.95,"maximum":110.4,"gross_charge":115,"discounted_cash":63.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":110.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":105.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":95.45,"methodology":"fee schedule"}]}]},{"description":"ZINC","code_information":[{"code":"84630","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.39,"maximum":110.4,"gross_charge":115,"discounted_cash":63.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":109.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":110.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":105.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":95.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":79.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.39,"methodology":"fee schedule"}]}]},{"description":"C PEPTIDE","code_information":[{"code":"84681","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":89.79,"maximum":118.08,"gross_charge":123,"discounted_cash":68.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":118.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":105.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":102.09,"methodology":"fee schedule"}]}]},{"description":"C PEPTIDE","code_information":[{"code":"84681","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.81,"maximum":118.08,"gross_charge":123,"discounted_cash":68.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":116.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":118.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":105.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":102.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":84.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.81,"methodology":"fee schedule"}]}]},{"description":"HCG QUANT SERUM","code_information":[{"code":"84702","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":136.51,"maximum":179.52,"gross_charge":187,"discounted_cash":103.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":179.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":160.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":155.21,"methodology":"fee schedule"}]}]},{"description":"HCG QUANT SERUM","code_information":[{"code":"84702","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.05,"maximum":179.52,"gross_charge":187,"discounted_cash":103.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":79.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":179.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":160.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":155.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.05,"methodology":"fee schedule"}]}]},{"description":"HCG QUAL. SERUM","code_information":[{"code":"84703","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":69.35,"maximum":91.2,"gross_charge":95,"discounted_cash":52.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.85,"methodology":"fee schedule"}]}]},{"description":"HCG QUAL. SERUM","code_information":[{"code":"84703","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7.52,"maximum":91.2,"gross_charge":95,"discounted_cash":52.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39.94,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.52,"methodology":"fee schedule"}]}]},{"description":"BLEEDING TIME","code_information":[{"code":"85002","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":45.26,"maximum":59.52,"gross_charge":62,"discounted_cash":34.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.46,"methodology":"fee schedule"}]}]},{"description":"BLEEDING TIME","code_information":[{"code":"85002","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.82,"maximum":59.52,"gross_charge":62,"discounted_cash":34.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25.61,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.82,"methodology":"fee schedule"}]}]},{"description":"ADD MANUAL DIFF","code_information":[{"code":"85007","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.15,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"}]}]},{"description":"ADD MANUAL DIFF","code_information":[{"code":"85007","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.8,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.8,"methodology":"fee schedule"}]}]},{"description":"WBC DIFFERENTIAL MANUAL","code_information":[{"code":"85007","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.77,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"}]}]},{"description":"WBC DIFFERENTIAL MANUAL","code_information":[{"code":"85007","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.8,"maximum":47.04,"gross_charge":49,"discounted_cash":27.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.8,"methodology":"fee schedule"}]}]},{"description":"BLOOD SMEARS TO PATHOLOGIST","code_information":[{"code":"85008","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.24,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"}]}]},{"description":"BLOOD SMEARS TO PATHOLOGIST","code_information":[{"code":"85008","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.43,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.43,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES","code_information":[{"code":"8501","type":"APR-DRG"}],"standard_charges":[{"minimum":36910,"maximum":36910,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36910,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HEMATOCRIT","code_information":[{"code":"85014","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":42.34,"maximum":55.68,"gross_charge":58,"discounted_cash":32.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.14,"methodology":"fee schedule"}]}]},{"description":"HEMATOCRIT","code_information":[{"code":"85014","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.37,"maximum":55.68,"gross_charge":58,"discounted_cash":32.14,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12.59,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.37,"methodology":"fee schedule"}]}]},{"description":"HEMOGLOBIN","code_information":[{"code":"85018","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":42.34,"maximum":55.68,"gross_charge":58,"discounted_cash":32.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.14,"methodology":"fee schedule"}]}]},{"description":"HEMOGLOBIN","code_information":[{"code":"85018","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.37,"maximum":55.68,"gross_charge":58,"discounted_cash":32.14,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12.59,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.37,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES","code_information":[{"code":"8502","type":"APR-DRG"}],"standard_charges":[{"minimum":40894,"maximum":40894,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40894,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CBC W/MANUAL DIFF","code_information":[{"code":"85025","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":70.81,"maximum":93.12,"gross_charge":97,"discounted_cash":53.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":93.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":89.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":83.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":80.51,"methodology":"fee schedule"}]}]},{"description":"CBC W/MANUAL DIFF","code_information":[{"code":"85025","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7.77,"maximum":93.12,"gross_charge":97,"discounted_cash":53.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":92.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":93.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":89.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":83.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":80.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.77,"methodology":"fee schedule"}]}]},{"description":"CBC W/O DIFF","code_information":[{"code":"85027","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":59.86,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"}]}]},{"description":"CBC W/O DIFF","code_information":[{"code":"85027","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.47,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.47,"methodology":"fee schedule"}]}]},{"description":"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES","code_information":[{"code":"8503","type":"APR-DRG"}],"standard_charges":[{"minimum":57821,"maximum":57821,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57821,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES","code_information":[{"code":"8504","type":"APR-DRG"}],"standard_charges":[{"minimum":117385,"maximum":117385,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":117385,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RBC","code_information":[{"code":"85041","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":26.28,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"}]}]},{"description":"RBC","code_information":[{"code":"85041","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.02,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.02,"methodology":"fee schedule"}]}]},{"description":"RETICYTE COUNT AUTO W ADD'L","code_information":[{"code":"85046","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":63.51,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"}]}]},{"description":"RETICYTE COUNT AUTO W ADD'L","code_information":[{"code":"85046","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.57,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29.59,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.57,"methodology":"fee schedule"}]}]},{"description":"EOSINOPHIL COUNT TOTAL","code_information":[{"code":"85048","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":59.86,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"}]}]},{"description":"EOSINOPHIL COUNT TOTAL","code_information":[{"code":"85048","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.54,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.54,"methodology":"fee schedule"}]}]},{"description":"WBC","code_information":[{"code":"85048","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.24,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"}]}]},{"description":"WBC","code_information":[{"code":"85048","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.54,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.54,"methodology":"fee schedule"}]}]},{"description":"PLATELET COUNT","code_information":[{"code":"85049","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"PLATELET COUNT","code_information":[{"code":"85049","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.48,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.48,"methodology":"fee schedule"}]}]},{"description":"ANTITHROMBIN III ACTIVITY","code_information":[{"code":"85300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":60.59,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"}]}]},{"description":"ANTITHROMBIN III ACTIVITY","code_information":[{"code":"85300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.85,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":62.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.85,"methodology":"fee schedule"}]}]},{"description":"AT ACTIVITY","code_information":[{"code":"85300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":65.7,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"}]}]},{"description":"AT ACTIVITY","code_information":[{"code":"85300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.85,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":62.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.85,"methodology":"fee schedule"}]}]},{"description":"ANTITHROMBIN ANTIGEN (AT)","code_information":[{"code":"85301","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":83.22,"maximum":109.44,"gross_charge":114,"discounted_cash":63.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.62,"methodology":"fee schedule"}]}]},{"description":"ANTITHROMBIN ANTIGEN (AT)","code_information":[{"code":"85301","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.81,"maximum":109.44,"gross_charge":114,"discounted_cash":63.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.81,"methodology":"fee schedule"}]}]},{"description":"PROTEIN C ANTIGEN","code_information":[{"code":"85302","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":217.54,"maximum":286.08,"gross_charge":298,"discounted_cash":165.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":286.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":274.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":256.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":247.34,"methodology":"fee schedule"}]}]},{"description":"PROTEIN C ANTIGEN","code_information":[{"code":"85302","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.01,"maximum":286.08,"gross_charge":298,"discounted_cash":165.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.8,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":286.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":274.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":256.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":247.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":205.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.01,"methodology":"fee schedule"}]}]},{"description":"PROTEIN C ACTIVITY","code_information":[{"code":"85303","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":217.54,"maximum":286.08,"gross_charge":298,"discounted_cash":165.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":286.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":274.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":256.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":247.34,"methodology":"fee schedule"}]}]},{"description":"PROTEIN C ACTIVITY","code_information":[{"code":"85303","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.84,"maximum":286.08,"gross_charge":298,"discounted_cash":165.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":73.51,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":283.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":286.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":274.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":256.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":247.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":205.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.84,"methodology":"fee schedule"}]}]},{"description":"PROTEIN S ANTIGEN TOTAL","code_information":[{"code":"85305","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":137.24,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"}]}]},{"description":"PROTEIN S ANTIGEN TOTAL","code_information":[{"code":"85305","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.61,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.61,"methodology":"fee schedule"}]}]},{"description":"PROTEIN S","code_information":[{"code":"85306","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":137.24,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"}]}]},{"description":"PROTEIN S","code_information":[{"code":"85306","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.32,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":81.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.32,"methodology":"fee schedule"}]}]},{"description":"PROTEIN S ANTIGEN, FREE","code_information":[{"code":"85306","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":65.7,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"}]}]},{"description":"PROTEIN S ANTIGEN, FREE","code_information":[{"code":"85306","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.32,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":81.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.32,"methodology":"fee schedule"}]}]},{"description":"ACTIVATED PROTEIN RESISTANCE V","code_information":[{"code":"85307","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":65.7,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"}]}]},{"description":"ACTIVATED PROTEIN RESISTANCE V","code_information":[{"code":"85307","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.32,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":81.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.32,"methodology":"fee schedule"}]}]},{"description":"SOLUBLE FIBRIN MONOMER","code_information":[{"code":"85366","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"SOLUBLE FIBRIN MONOMER","code_information":[{"code":"85366","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":44.85,"maximum":65,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":65,"methodology":"fee schedule"}]}]},{"description":"D-DIMER","code_information":[{"code":"85379","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":81.03,"maximum":106.56,"gross_charge":111,"discounted_cash":61.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"}]}]},{"description":"D-DIMER","code_information":[{"code":"85379","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.18,"maximum":106.56,"gross_charge":111,"discounted_cash":61.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.18,"methodology":"fee schedule"}]}]},{"description":"D-DIMER QUANT","code_information":[{"code":"85379","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":93.44,"maximum":122.88,"gross_charge":128,"discounted_cash":70.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":122.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.24,"methodology":"fee schedule"}]}]},{"description":"D-DIMER QUANT","code_information":[{"code":"85379","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.18,"maximum":122.88,"gross_charge":128,"discounted_cash":70.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":122.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.18,"methodology":"fee schedule"}]}]},{"description":"FIBRINOGEN","code_information":[{"code":"85384","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"FIBRINOGEN","code_information":[{"code":"85384","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.72,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":51.63,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.72,"methodology":"fee schedule"}]}]},{"description":"SPECIAL COAGULATION INTERP","code_information":[{"code":"85390","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":31.39,"maximum":41.28,"gross_charge":43,"discounted_cash":23.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.69,"methodology":"fee schedule"}]}]},{"description":"SPECIAL COAGULATION INTERP","code_information":[{"code":"85390","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.21,"maximum":43,"gross_charge":43,"discounted_cash":23.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.21,"methodology":"fee schedule"}]}]},{"description":"LMW HEPARIN","code_information":[{"code":"85520","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":162.79,"maximum":214.08,"gross_charge":223,"discounted_cash":123.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":214.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":205.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":191.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":185.09,"methodology":"fee schedule"}]}]},{"description":"LMW HEPARIN","code_information":[{"code":"85520","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.09,"maximum":214.08,"gross_charge":223,"discounted_cash":123.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":69.53,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":211.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":214.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":182.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":205.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":191.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":185.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":153.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.09,"methodology":"fee schedule"}]}]},{"description":"PROTIME/INR","code_information":[{"code":"85610","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":44.53,"maximum":58.56,"gross_charge":61,"discounted_cash":33.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":58.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":56.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":52.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":50.63,"methodology":"fee schedule"}]}]},{"description":"PROTIME/INR","code_information":[{"code":"85610","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.29,"maximum":58.56,"gross_charge":61,"discounted_cash":33.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":58.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":56.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":52.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":50.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.29,"methodology":"fee schedule"}]}]},{"description":"PROTIME MIXING STUDIES","code_information":[{"code":"85611","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":33.58,"maximum":44.16,"gross_charge":46,"discounted_cash":25.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":42.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":38.18,"methodology":"fee schedule"}]}]},{"description":"PROTIME MIXING STUDIES","code_information":[{"code":"85611","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.94,"maximum":44.16,"gross_charge":46,"discounted_cash":25.49,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.94,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":42.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":38.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.94,"methodology":"fee schedule"}]}]},{"description":"DDVVT","code_information":[{"code":"85613","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.83,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"}]}]},{"description":"DDVVT","code_information":[{"code":"85613","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.58,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.58,"methodology":"fee schedule"}]}]},{"description":"DRVVT","code_information":[{"code":"85613","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":54.02,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"}]}]},{"description":"DRVVT","code_information":[{"code":"85613","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.58,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.58,"methodology":"fee schedule"}]}]},{"description":"RUSSELL VIPER VENOM","code_information":[{"code":"85613","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":72.27,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"}]}]},{"description":"RUSSELL VIPER VENOM","code_information":[{"code":"85613","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.58,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.58,"methodology":"fee schedule"}]}]},{"description":"ESR","code_information":[{"code":"85651","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.88,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"}]}]},{"description":"ESR","code_information":[{"code":"85651","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.27,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.27,"methodology":"fee schedule"}]}]},{"description":"ESR AUTO","code_information":[{"code":"85652","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.01,"maximum":35.52,"gross_charge":37,"discounted_cash":20.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":35.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":31.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":30.71,"methodology":"fee schedule"}]}]},{"description":"ESR AUTO","code_information":[{"code":"85652","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.7,"maximum":35.52,"gross_charge":37,"discounted_cash":20.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14.34,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":35.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":35.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":31.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":30.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.7,"methodology":"fee schedule"}]}]},{"description":"THROMBIN TIME","code_information":[{"code":"85670","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":34.31,"maximum":45.12,"gross_charge":47,"discounted_cash":26.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.01,"methodology":"fee schedule"}]}]},{"description":"THROMBIN TIME","code_information":[{"code":"85670","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.77,"maximum":45.12,"gross_charge":47,"discounted_cash":26.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.77,"methodology":"fee schedule"}]}]},{"description":"APTT","code_information":[{"code":"85730","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":66.43,"maximum":87.36,"gross_charge":91,"discounted_cash":50.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":87.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":83.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":78.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":75.53,"methodology":"fee schedule"}]}]},{"description":"APTT","code_information":[{"code":"85730","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.01,"maximum":87.36,"gross_charge":91,"discounted_cash":50.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":87.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":83.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":78.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":75.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.01,"methodology":"fee schedule"}]}]},{"description":"PARTIAL THROMBOPLASTIN TIME","code_information":[{"code":"85730","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.24,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"}]}]},{"description":"PARTIAL THROMBOPLASTIN TIME","code_information":[{"code":"85730","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.01,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.01,"methodology":"fee schedule"}]}]},{"description":"PTT","code_information":[{"code":"85730","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":59.86,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"}]}]},{"description":"PTT","code_information":[{"code":"85730","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.01,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.01,"methodology":"fee schedule"}]}]},{"description":"ALLERGEN, PISTASHIO NUT IGE","code_information":[{"code":"86003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.2,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"}]}]},{"description":"ALLERGEN, PISTASHIO NUT IGE","code_information":[{"code":"86003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.22,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.22,"methodology":"fee schedule"}]}]},{"description":"ALLERGEN, WHEAT IGE","code_information":[{"code":"86003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.93,"maximum":39.36,"gross_charge":41,"discounted_cash":22.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.03,"methodology":"fee schedule"}]}]},{"description":"ALLERGEN, WHEAT IGE","code_information":[{"code":"86003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.22,"maximum":39.36,"gross_charge":41,"discounted_cash":22.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.22,"methodology":"fee schedule"}]}]},{"description":"CHILDHOOD ALLERGEN X1","code_information":[{"code":"86003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":26.28,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"}]}]},{"description":"CHILDHOOD ALLERGEN X1","code_information":[{"code":"86003","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.22,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.22,"methodology":"fee schedule"}]}]},{"description":"REHABILITATION","code_information":[{"code":"8601","type":"APR-DRG"}],"standard_charges":[{"minimum":19471,"maximum":19471,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19471,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REHABILITATION","code_information":[{"code":"8602","type":"APR-DRG"}],"standard_charges":[{"minimum":21276,"maximum":21276,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21276,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"REHABILITATION","code_information":[{"code":"8603","type":"APR-DRG"}],"standard_charges":[{"minimum":45744,"maximum":45744,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45744,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALDP - ANA AB","code_information":[{"code":"86038","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.24,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"}]}]},{"description":"ALDP - ANA AB","code_information":[{"code":"86038","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.09,"maximum":84.48,"gross_charge":88,"discounted_cash":48.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":83.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.09,"methodology":"fee schedule"}]}]},{"description":"ANA WITH REFLEX TO EIGHT AUTOA","code_information":[{"code":"86038","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":110.23,"maximum":144.96,"gross_charge":151,"discounted_cash":83.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":125.33,"methodology":"fee schedule"}]}]},{"description":"ANA WITH REFLEX TO EIGHT AUTOA","code_information":[{"code":"86038","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.09,"maximum":144.96,"gross_charge":151,"discounted_cash":83.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":125.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.09,"methodology":"fee schedule"}]}]},{"description":"LCFP ANA","code_information":[{"code":"86038","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.78,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"}]}]},{"description":"LCFP ANA","code_information":[{"code":"86038","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.09,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.09,"methodology":"fee schedule"}]}]},{"description":"CSSP - ANA IGG BY IFA","code_information":[{"code":"86039","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.97,"maximum":85.44,"gross_charge":89,"discounted_cash":49.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":81.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":76.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.87,"methodology":"fee schedule"}]}]},{"description":"CSSP - ANA IGG BY IFA","code_information":[{"code":"86039","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.16,"maximum":85.44,"gross_charge":89,"discounted_cash":49.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":59.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":81.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":76.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.16,"methodology":"fee schedule"}]}]},{"description":"REHABILITATION","code_information":[{"code":"8604","type":"APR-DRG"}],"standard_charges":[{"minimum":56469,"maximum":56469,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56469,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ACETYLCHOLINE REC BINDING AB","code_information":[{"code":"86041","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":181.04,"maximum":238.08,"gross_charge":248,"discounted_cash":137.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":228.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":213.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":205.84,"methodology":"fee schedule"}]}]},{"description":"ACETYLCHOLINE REC BINDING AB","code_information":[{"code":"86041","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":116.56,"maximum":238.08,"gross_charge":248,"discounted_cash":137.42,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":228.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":213.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":205.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":171.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":116.56,"methodology":"fee schedule"}]}]},{"description":"ACETYLCHOLINE REC BLOCKING AB","code_information":[{"code":"86042","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":181.04,"maximum":238.08,"gross_charge":248,"discounted_cash":137.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":228.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":213.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":205.84,"methodology":"fee schedule"}]}]},{"description":"ACETYLCHOLINE REC BLOCKING AB","code_information":[{"code":"86042","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":116.56,"maximum":238.08,"gross_charge":248,"discounted_cash":137.42,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":228.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":213.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":205.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":171.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":116.56,"methodology":"fee schedule"}]}]},{"description":"ACETYLCHOLINE RECEPTOR MOD AB","code_information":[{"code":"86043","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":91.25,"maximum":120,"gross_charge":125,"discounted_cash":69.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":103.75,"methodology":"fee schedule"}]}]},{"description":"ACETYLCHOLINE RECEPTOR MOD AB","code_information":[{"code":"86043","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":181.04,"maximum":238.08,"gross_charge":248,"discounted_cash":137.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":228.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":213.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":205.84,"methodology":"fee schedule"}]}]},{"description":"ACETYLCHOLINE RECEPTOR MOD AB","code_information":[{"code":"86043","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":58.75,"maximum":120,"gross_charge":125,"discounted_cash":69.27,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":103.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":58.75,"methodology":"fee schedule"}]}]},{"description":"ACETYLCHOLINE RECEPTOR MOD AB","code_information":[{"code":"86043","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":116.56,"maximum":238.08,"gross_charge":248,"discounted_cash":137.42,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":203.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":228.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":213.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":205.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":171.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":116.56,"methodology":"fee schedule"}]}]},{"description":"ASO TITER","code_information":[{"code":"86060","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":46.72,"maximum":61.44,"gross_charge":64,"discounted_cash":35.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"}]}]},{"description":"ASO TITER","code_information":[{"code":"86060","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":61.44,"gross_charge":64,"discounted_cash":35.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"}]}]},{"description":"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS","code_information":[{"code":"8611","type":"APR-DRG"}],"standard_charges":[{"minimum":9438,"maximum":9438,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9438,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS","code_information":[{"code":"8612","type":"APR-DRG"}],"standard_charges":[{"minimum":15637,"maximum":15637,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15637,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS","code_information":[{"code":"8613","type":"APR-DRG"}],"standard_charges":[{"minimum":32938,"maximum":32938,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32938,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS","code_information":[{"code":"8614","type":"APR-DRG"}],"standard_charges":[{"minimum":36927,"maximum":36927,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36927,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CRP","code_information":[{"code":"86140","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":49.64,"maximum":65.28,"gross_charge":68,"discounted_cash":37.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":62.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":58.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":56.44,"methodology":"fee schedule"}]}]},{"description":"CRP","code_information":[{"code":"86140","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.18,"maximum":65.28,"gross_charge":68,"discounted_cash":37.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":62.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":58.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":56.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.18,"methodology":"fee schedule"}]}]},{"description":"C-REACTIVE PROTEIN HIGH SENSIT","code_information":[{"code":"86141","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":127.75,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"}]}]},{"description":"C-REACTIVE PROTEIN HIGH SENSIT","code_information":[{"code":"86141","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.95,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.95,"methodology":"fee schedule"}]}]},{"description":"BETA 2 GLYCOPROTEIN 1, IGG","code_information":[{"code":"86146","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":113.15,"maximum":148.8,"gross_charge":155,"discounted_cash":85.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":142.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":133.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":128.65,"methodology":"fee schedule"}]}]},{"description":"BETA 2 GLYCOPROTEIN 1, IGG","code_information":[{"code":"86146","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.45,"maximum":148.8,"gross_charge":155,"discounted_cash":85.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":135.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":142.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":133.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":128.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.45,"methodology":"fee schedule"}]}]},{"description":"ANTICARDIOLIPIN AB, IGA, QN","code_information":[{"code":"86147","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":127.75,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"}]}]},{"description":"ANTICARDIOLIPIN AB, IGA, QN","code_information":[{"code":"86147","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.45,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":135.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.45,"methodology":"fee schedule"}]}]},{"description":"ANTICARDIOLIPIN AB, IGG, QN","code_information":[{"code":"86147","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":113.15,"maximum":148.8,"gross_charge":155,"discounted_cash":85.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":142.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":133.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":128.65,"methodology":"fee schedule"}]}]},{"description":"ANTICARDIOLIPIN AB, IGG, QN","code_information":[{"code":"86147","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.45,"maximum":148.8,"gross_charge":155,"discounted_cash":85.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":135.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":147.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":148.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":142.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":133.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":128.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.45,"methodology":"fee schedule"}]}]},{"description":"APAB - G","code_information":[{"code":"86148","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":79.57,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"}]}]},{"description":"APAB - G","code_information":[{"code":"86148","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.07,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":85.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.07,"methodology":"fee schedule"}]}]},{"description":"COLD AB SCREEN","code_information":[{"code":"86156","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":59.13,"maximum":77.76,"gross_charge":81,"discounted_cash":44.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":74.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":69.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":67.23,"methodology":"fee schedule"}]}]},{"description":"COLD AB SCREEN","code_information":[{"code":"86156","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.07,"maximum":77.76,"gross_charge":81,"discounted_cash":44.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":77.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":74.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":69.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":67.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.07,"methodology":"fee schedule"}]}]},{"description":"C1 ESTERASE INHIBITOR TOTAL","code_information":[{"code":"86160","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":61.32,"maximum":80.64,"gross_charge":84,"discounted_cash":46.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":69.72,"methodology":"fee schedule"}]}]},{"description":"C1 ESTERASE INHIBITOR TOTAL","code_information":[{"code":"86160","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12,"maximum":80.64,"gross_charge":84,"discounted_cash":46.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":69.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12,"methodology":"fee schedule"}]}]},{"description":"COMPLEMENT C3","code_information":[{"code":"86160","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":106.58,"maximum":140.16,"gross_charge":146,"discounted_cash":80.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":121.18,"methodology":"fee schedule"}]}]},{"description":"COMPLEMENT C3","code_information":[{"code":"86160","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12,"maximum":140.16,"gross_charge":146,"discounted_cash":80.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12,"methodology":"fee schedule"}]}]},{"description":"LCFP C3","code_information":[{"code":"86160","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.05,"maximum":81.6,"gross_charge":85,"discounted_cash":47.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":70.55,"methodology":"fee schedule"}]}]},{"description":"LCFP C3","code_information":[{"code":"86160","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12,"maximum":81.6,"gross_charge":85,"discounted_cash":47.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":70.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12,"methodology":"fee schedule"}]}]},{"description":"COMPLEMENT TOTAL (CH50)","code_information":[{"code":"86162","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":178.12,"maximum":234.24,"gross_charge":244,"discounted_cash":135.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":231.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":234.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":224.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":209.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":202.52,"methodology":"fee schedule"}]}]},{"description":"COMPLEMENT TOTAL (CH50)","code_information":[{"code":"86162","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.32,"maximum":234.24,"gross_charge":244,"discounted_cash":135.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":107.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":231.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":234.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":224.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":209.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":202.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.32,"methodology":"fee schedule"}]}]},{"description":"CYCLIC CITRULLINATED PEPTIDEAB","code_information":[{"code":"86200","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":97.82,"maximum":128.64,"gross_charge":134,"discounted_cash":74.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":123.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":115.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":111.22,"methodology":"fee schedule"}]}]},{"description":"CYCLIC CITRULLINATED PEPTIDEAB","code_information":[{"code":"86200","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.95,"maximum":128.64,"gross_charge":134,"discounted_cash":74.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":123.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":115.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":111.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":92.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.95,"methodology":"fee schedule"}]}]},{"description":"OTHER AFTERCARE AND CONVALESCENCE","code_information":[{"code":"8621","type":"APR-DRG"}],"standard_charges":[{"minimum":12799,"maximum":12799,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12799,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"OTHER AFTERCARE AND CONVALESCENCE","code_information":[{"code":"8622","type":"APR-DRG"}],"standard_charges":[{"minimum":14738,"maximum":14738,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14738,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANTI-DSDNA (DOUBLE STRANDED)","code_information":[{"code":"86225","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":121.18,"maximum":159.36,"gross_charge":166,"discounted_cash":91.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":152.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":142.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":137.78,"methodology":"fee schedule"}]}]},{"description":"ANTI-DSDNA (DOUBLE STRANDED)","code_information":[{"code":"86225","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.74,"maximum":159.36,"gross_charge":166,"discounted_cash":91.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":152.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":142.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":137.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.74,"methodology":"fee schedule"}]}]},{"description":"OTHER AFTERCARE AND CONVALESCENCE","code_information":[{"code":"8623","type":"APR-DRG"}],"standard_charges":[{"minimum":21461,"maximum":21461,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21461,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ENDOMYSIAL ABS, IGA","code_information":[{"code":"86231","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":67.16,"maximum":88.32,"gross_charge":92,"discounted_cash":50.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":84.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":76.36,"methodology":"fee schedule"}]}]},{"description":"ENDOMYSIAL ABS, IGA","code_information":[{"code":"86231","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":43.24,"maximum":88.32,"gross_charge":92,"discounted_cash":50.98,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":84.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":43.24,"methodology":"fee schedule"}]}]},{"description":"CENTROMERE B ANTIBODY","code_information":[{"code":"86235","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":170.82,"maximum":224.64,"gross_charge":234,"discounted_cash":129.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":222.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":224.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":215.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":201.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":194.22,"methodology":"fee schedule"}]}]},{"description":"CENTROMERE B ANTIBODY","code_information":[{"code":"86235","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.93,"maximum":224.64,"gross_charge":234,"discounted_cash":129.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":222.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":224.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":215.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":201.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":194.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":161.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.93,"methodology":"fee schedule"}]}]},{"description":"CSSP -SCL-70 ENA AB IGG","code_information":[{"code":"86235","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":102.93,"maximum":135.36,"gross_charge":141,"discounted_cash":78.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":135.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":129.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":121.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":117.03,"methodology":"fee schedule"}]}]},{"description":"CSSP -SCL-70 ENA AB IGG","code_information":[{"code":"86235","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.93,"maximum":135.36,"gross_charge":141,"discounted_cash":78.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":135.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":129.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":121.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":117.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":97.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.93,"methodology":"fee schedule"}]}]},{"description":"RIBOSOMAL P AUTOANTIBODY","code_information":[{"code":"86235","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":117.53,"maximum":154.56,"gross_charge":161,"discounted_cash":89.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":148.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":138.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":133.63,"methodology":"fee schedule"}]}]},{"description":"RIBOSOMAL P AUTOANTIBODY","code_information":[{"code":"86235","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.93,"maximum":154.56,"gross_charge":161,"discounted_cash":89.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":152.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":148.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":138.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":133.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.93,"methodology":"fee schedule"}]}]},{"description":"OTHER AFTERCARE AND CONVALESCENCE","code_information":[{"code":"8624","type":"APR-DRG"}],"standard_charges":[{"minimum":23608,"maximum":23608,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23608,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ALDP - SMOOTH MUSCLE AB","code_information":[{"code":"86255","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":67.16,"maximum":88.32,"gross_charge":92,"discounted_cash":50.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":84.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":76.36,"methodology":"fee schedule"}]}]},{"description":"ALDP - SMOOTH MUSCLE AB","code_information":[{"code":"86255","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":43.24,"maximum":88.32,"gross_charge":92,"discounted_cash":50.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":84.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":43.24,"methodology":"fee schedule"}]}]},{"description":"EAE - RADIOIMMUNOASSAY NON-AB","code_information":[{"code":"86255","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":1257.79,"maximum":1654.08,"gross_charge":1723,"discounted_cash":954.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1654.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1412.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1585.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1481.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1257.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1430.09,"methodology":"fee schedule"}]}]},{"description":"EAE - RADIOIMMUNOASSAY NON-AB","code_information":[{"code":"86255","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.01,"maximum":1654.08,"gross_charge":1723,"discounted_cash":954.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1654.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1412.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1585.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1481.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1257.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1430.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1188.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":809.81,"methodology":"fee schedule"}]}]},{"description":"STRIATED MUSCLE ANTIBODY","code_information":[{"code":"86255","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":137.24,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"}]}]},{"description":"STRIATED MUSCLE ANTIBODY","code_information":[{"code":"86255","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.01,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":88.36,"methodology":"fee schedule"}]}]},{"description":"ANCA PANEL","code_information":[{"code":"86256","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":120.45,"maximum":158.4,"gross_charge":165,"discounted_cash":91.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"}]}]},{"description":"ANCA PANEL","code_information":[{"code":"86256","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.01,"maximum":158.4,"gross_charge":165,"discounted_cash":91.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":77.55,"methodology":"fee schedule"}]}]},{"description":"SMOOTH MUSCLE AB TITER","code_information":[{"code":"86256","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":67.16,"maximum":88.32,"gross_charge":92,"discounted_cash":50.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":84.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":76.36,"methodology":"fee schedule"}]}]},{"description":"SMOOTH MUSCLE AB TITER","code_information":[{"code":"86256","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":43.24,"maximum":88.32,"gross_charge":92,"discounted_cash":50.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":84.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":43.24,"methodology":"fee schedule"}]}]},{"description":"CA 15-3","code_information":[{"code":"86300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":110.96,"maximum":145.92,"gross_charge":152,"discounted_cash":84.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":145.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":139.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":126.16,"methodology":"fee schedule"}]}]},{"description":"CA 15-3","code_information":[{"code":"86300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.81,"maximum":145.92,"gross_charge":152,"discounted_cash":84.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":144.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":145.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":139.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":130.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":126.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.81,"methodology":"fee schedule"}]}]},{"description":"CA 27-29","code_information":[{"code":"86300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":208.78,"maximum":274.56,"gross_charge":286,"discounted_cash":158.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":274.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":234.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":263.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":245.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":237.38,"methodology":"fee schedule"}]}]},{"description":"CA 27-29","code_information":[{"code":"86300","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.81,"maximum":274.56,"gross_charge":286,"discounted_cash":158.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":271.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":274.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":234.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":263.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":245.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":208.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":237.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":197.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.81,"methodology":"fee schedule"}]}]},{"description":"CA 19-9","code_information":[{"code":"86301","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":216.81,"maximum":285.12,"gross_charge":297,"discounted_cash":164.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":285.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":243.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":273.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":255.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":246.51,"methodology":"fee schedule"}]}]},{"description":"CA 19-9","code_information":[{"code":"86301","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.81,"maximum":285.12,"gross_charge":297,"discounted_cash":164.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":282.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":285.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":243.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":273.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":255.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":216.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":246.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":204.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.81,"methodology":"fee schedule"}]}]},{"description":"CA 125","code_information":[{"code":"86304","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":86.87,"maximum":114.24,"gross_charge":119,"discounted_cash":65.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":114.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":102.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":98.77,"methodology":"fee schedule"}]}]},{"description":"CA 125","code_information":[{"code":"86304","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.81,"maximum":114.24,"gross_charge":119,"discounted_cash":65.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":113.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":114.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":109.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":102.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":98.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.81,"methodology":"fee schedule"}]}]},{"description":"MONO TEST","code_information":[{"code":"86308","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"MONO TEST","code_information":[{"code":"86308","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.18,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.18,"methodology":"fee schedule"}]}]},{"description":"NEONATAL AFTERCARE","code_information":[{"code":"8631","type":"APR-DRG"}],"standard_charges":[{"minimum":18527,"maximum":18527,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18527,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CHROMOGRANIN A","code_information":[{"code":"86316","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":198.56,"maximum":261.12,"gross_charge":272,"discounted_cash":150.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":261.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":223.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":250.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":233.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":225.76,"methodology":"fee schedule"}]}]},{"description":"CHROMOGRANIN A","code_information":[{"code":"86316","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":20.81,"maximum":261.12,"gross_charge":272,"discounted_cash":150.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":261.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":223.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":250.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":233.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":225.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.81,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS B SURFACE AB, QUANT","code_information":[{"code":"86317","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":85.41,"maximum":112.32,"gross_charge":117,"discounted_cash":64.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":112.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":100.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.11,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS B SURFACE AB, QUANT","code_information":[{"code":"86317","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.99,"maximum":112.32,"gross_charge":117,"discounted_cash":64.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":79.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":111.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":112.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":100.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":80.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.99,"methodology":"fee schedule"}]}]},{"description":"H. PYLORI","code_information":[{"code":"86318","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":46.72,"maximum":61.44,"gross_charge":64,"discounted_cash":35.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"}]}]},{"description":"H. PYLORI","code_information":[{"code":"86318","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.09,"maximum":64,"gross_charge":64,"discounted_cash":35.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.09,"methodology":"fee schedule"}]}]},{"description":"NEONATAL AFTERCARE","code_information":[{"code":"8632","type":"APR-DRG"}],"standard_charges":[{"minimum":44482,"maximum":44482,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44482,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NEONATAL AFTERCARE","code_information":[{"code":"8633","type":"APR-DRG"}],"standard_charges":[{"minimum":89246,"maximum":89246,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89246,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"FLCGAM - IMMUNO FIXATION","code_information":[{"code":"86334","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":127.02,"maximum":167.04,"gross_charge":174,"discounted_cash":96.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":167.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":160.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":144.42,"methodology":"fee schedule"}]}]},{"description":"FLCGAM - IMMUNO FIXATION","code_information":[{"code":"86334","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":81.78,"maximum":167.04,"gross_charge":174,"discounted_cash":96.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":118.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":167.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":160.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":144.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":81.78,"methodology":"fee schedule"}]}]},{"description":"IMMUNO FIX","code_information":[{"code":"86334","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":110.23,"maximum":144.96,"gross_charge":151,"discounted_cash":83.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":125.33,"methodology":"fee schedule"}]}]},{"description":"IMMUNO FIX","code_information":[{"code":"86334","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":70.97,"maximum":144.96,"gross_charge":151,"discounted_cash":83.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":118.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":125.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":70.97,"methodology":"fee schedule"}]}]},{"description":"IMMUNOFIX CRYOGLOBULIN","code_information":[{"code":"86334","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.83,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"}]}]},{"description":"IMMUNOFIX CRYOGLOBULIN","code_information":[{"code":"86334","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":33.37,"maximum":71,"gross_charge":71,"discounted_cash":39.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":33.37,"methodology":"fee schedule"}]}]},{"description":"BJ-IMMUNOFIX ELP URINE","code_information":[{"code":"86335","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":160.6,"maximum":211.2,"gross_charge":220,"discounted_cash":121.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":180.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":202.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":189.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":182.6,"methodology":"fee schedule"}]}]},{"description":"BJ-IMMUNOFIX ELP URINE","code_information":[{"code":"86335","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":103.4,"maximum":211.2,"gross_charge":220,"discounted_cash":121.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":155.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":180.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":202.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":189.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":182.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":103.4,"methodology":"fee schedule"}]}]},{"description":"IMMUNOFIX - URINE","code_information":[{"code":"86335","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":64.97,"maximum":85.44,"gross_charge":89,"discounted_cash":49.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":81.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":76.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.87,"methodology":"fee schedule"}]}]},{"description":"IMMUNOFIX - URINE","code_information":[{"code":"86335","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":41.83,"maximum":89,"gross_charge":89,"discounted_cash":49.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":84.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":85.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":81.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":76.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":73.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":41.83,"methodology":"fee schedule"}]}]},{"description":"NEONATAL AFTERCARE","code_information":[{"code":"8634","type":"APR-DRG"}],"standard_charges":[{"minimum":148797,"maximum":148797,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":148797,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"ANTIPANCREATIC ISLET CELLS","code_information":[{"code":"86341","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":200.02,"maximum":263.04,"gross_charge":274,"discounted_cash":151.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":263.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":252.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":235.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":227.42,"methodology":"fee schedule"}]}]},{"description":"ANTIPANCREATIC ISLET CELLS","code_information":[{"code":"86341","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.57,"maximum":263.04,"gross_charge":274,"discounted_cash":151.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":125.2,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":263.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":252.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":235.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":227.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":189.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.57,"methodology":"fee schedule"}]}]},{"description":"EAE - FLUORESCENT ABS","code_information":[{"code":"86341","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":116.07,"maximum":152.64,"gross_charge":159,"discounted_cash":88.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.97,"methodology":"fee schedule"}]}]},{"description":"EAE - FLUORESCENT ABS","code_information":[{"code":"86341","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.57,"maximum":152.64,"gross_charge":159,"discounted_cash":88.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":125.2,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.57,"methodology":"fee schedule"}]}]},{"description":"GAD-65 AUTOANTIBODY","code_information":[{"code":"86341","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.91,"maximum":64.32,"gross_charge":67,"discounted_cash":37.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":64.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.61,"methodology":"fee schedule"}]}]},{"description":"GAD-65 AUTOANTIBODY","code_information":[{"code":"86341","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.57,"maximum":67,"gross_charge":67,"discounted_cash":37.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":64.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.57,"methodology":"fee schedule"}]}]},{"description":"MICROSOMAL LIVER-KIDNEY AB","code_information":[{"code":"86376","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":81.76,"maximum":107.52,"gross_charge":112,"discounted_cash":62.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":107.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":96.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.96,"methodology":"fee schedule"}]}]},{"description":"MICROSOMAL LIVER-KIDNEY AB","code_information":[{"code":"86376","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.55,"maximum":107.52,"gross_charge":112,"discounted_cash":62.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":106.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":107.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":96.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.55,"methodology":"fee schedule"}]}]},{"description":"THYROID PEROXIDASE ANTIBODY","code_information":[{"code":"86376","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":123.37,"maximum":162.24,"gross_charge":169,"discounted_cash":93.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":162.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":138.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":155.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":145.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":140.27,"methodology":"fee schedule"}]}]},{"description":"THYROID PEROXIDASE ANTIBODY","code_information":[{"code":"86376","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.55,"maximum":162.24,"gross_charge":169,"discounted_cash":93.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":160.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":162.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":138.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":155.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":145.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":140.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":116.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.55,"methodology":"fee schedule"}]}]},{"description":"RA LATEX QUAL","code_information":[{"code":"86430","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.04,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"}]}]},{"description":"RA LATEX QUAL","code_information":[{"code":"86430","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.14,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.14,"methodology":"fee schedule"}]}]},{"description":"LCFP RF","code_information":[{"code":"86431","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":31.39,"maximum":41.28,"gross_charge":43,"discounted_cash":23.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.69,"methodology":"fee schedule"}]}]},{"description":"LCFP RF","code_information":[{"code":"86431","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.67,"maximum":41.28,"gross_charge":43,"discounted_cash":23.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.67,"methodology":"fee schedule"}]}]},{"description":"RHEUMATOID FACTOR","code_information":[{"code":"86431","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.78,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"}]}]},{"description":"RHEUMATOID FACTOR","code_information":[{"code":"86431","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.67,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.67,"methodology":"fee schedule"}]}]},{"description":"QUANTIFERON GOLD","code_information":[{"code":"86480","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":324.85,"maximum":427.2,"gross_charge":445,"discounted_cash":246.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":427.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":364.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":409.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":382.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":324.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":369.35,"methodology":"fee schedule"}]}]},{"description":"QUANTIFERON GOLD","code_information":[{"code":"86480","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":61.98,"maximum":427.2,"gross_charge":445,"discounted_cash":246.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":329.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":422.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":427.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":364.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":409.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":382.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":324.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":369.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":307.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":61.98,"methodology":"fee schedule"}]}]},{"description":"TUBER PPD 5 U/0.1ML MDV","code_information":[{"code":"86580","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.286,"maximum":17.472,"gross_charge":18.2,"discounted_cash":10.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.11,"methodology":"fee schedule"}]}]},{"description":"TUBER PPD 5 U/0.1ML MDV","code_information":[{"code":"86580","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.554,"maximum":18.2,"gross_charge":18.2,"discounted_cash":10.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18.2,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.56,"methodology":"fee schedule"}]}]},{"description":"RAPID PLASMA REAGIN (RPR)","code_information":[{"code":"86592","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.82,"maximum":32.64,"gross_charge":34,"discounted_cash":18.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":32.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.22,"methodology":"fee schedule"}]}]},{"description":"RAPID PLASMA REAGIN (RPR)","code_information":[{"code":"86592","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.27,"maximum":32.64,"gross_charge":34,"discounted_cash":18.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":32.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.27,"methodology":"fee schedule"}]}]},{"description":"RPR (SYPHILLUS SEROLOGY)","code_information":[{"code":"86592","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":41.61,"maximum":54.72,"gross_charge":57,"discounted_cash":31.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":54.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":52.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":47.31,"methodology":"fee schedule"}]}]},{"description":"RPR (SYPHILLUS SEROLOGY)","code_information":[{"code":"86592","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.27,"maximum":54.72,"gross_charge":57,"discounted_cash":31.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":54.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":54.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":52.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":47.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.27,"methodology":"fee schedule"}]}]},{"description":"SYPHYLLIS QUAL","code_information":[{"code":"86592","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.09,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"}]}]},{"description":"SYPHYLLIS QUAL","code_information":[{"code":"86592","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.27,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.27,"methodology":"fee schedule"}]}]},{"description":"SYPHYLLISQUAL","code_information":[{"code":"86592","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.36,"maximum":30.72,"gross_charge":32,"discounted_cash":17.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.56,"methodology":"fee schedule"}]}]},{"description":"SYPHYLLISQUAL","code_information":[{"code":"86592","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.27,"maximum":30.72,"gross_charge":32,"discounted_cash":17.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.27,"methodology":"fee schedule"}]}]},{"description":"BLASTOMYCES AB, EIA","code_information":[{"code":"86612","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":235.06,"maximum":309.12,"gross_charge":322,"discounted_cash":178.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":296.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":267.26,"methodology":"fee schedule"}]}]},{"description":"BLASTOMYCES AB, EIA","code_information":[{"code":"86612","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.9,"maximum":309.12,"gross_charge":322,"discounted_cash":178.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":296.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":267.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.9,"methodology":"fee schedule"}]}]},{"description":"BORD AB IGA","code_information":[{"code":"86615","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":72.27,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"}]}]},{"description":"BORD AB IGA","code_information":[{"code":"86615","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.19,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.19,"methodology":"fee schedule"}]}]},{"description":"LYME IGG WESTERN BLOT","code_information":[{"code":"86617","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":118.26,"maximum":155.52,"gross_charge":162,"discounted_cash":89.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":153.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":155.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":134.46,"methodology":"fee schedule"}]}]},{"description":"LYME IGG WESTERN BLOT","code_information":[{"code":"86617","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.49,"maximum":155.52,"gross_charge":162,"discounted_cash":89.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":82.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":153.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":155.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":134.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.49,"methodology":"fee schedule"}]}]},{"description":"LYME(B BURGDORFERI) AB IGG/IGM","code_information":[{"code":"86618","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":106.58,"maximum":140.16,"gross_charge":146,"discounted_cash":80.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":121.18,"methodology":"fee schedule"}]}]},{"description":"LYME(B BURGDORFERI) AB IGG/IGM","code_information":[{"code":"86618","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.03,"maximum":140.16,"gross_charge":146,"discounted_cash":80.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90.46,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.03,"methodology":"fee schedule"}]}]},{"description":"COCCIDIOIDES AB CF AND ID X3","code_information":[{"code":"86635","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":502.97,"maximum":661.44,"gross_charge":689,"discounted_cash":381.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":661.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":564.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":633.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":592.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":502.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":571.87,"methodology":"fee schedule"}]}]},{"description":"COCCIDIOIDES AB CF AND ID X3","code_information":[{"code":"86635","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.47,"maximum":661.44,"gross_charge":689,"discounted_cash":381.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":654.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":661.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":564.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":633.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":592.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":502.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":571.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":475.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.47,"methodology":"fee schedule"}]}]},{"description":"COCCIDIOIDES AB EIA RFLX","code_information":[{"code":"86635","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":167.9,"maximum":220.8,"gross_charge":230,"discounted_cash":127.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":218.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":211.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.9,"methodology":"fee schedule"}]}]},{"description":"COCCIDIOIDES AB EIA RFLX","code_information":[{"code":"86635","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.47,"maximum":220.8,"gross_charge":230,"discounted_cash":127.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":218.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":211.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.47,"methodology":"fee schedule"}]}]},{"description":"COCCIDIOIDES ANTIBODY, CF","code_information":[{"code":"86635","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":32.12,"maximum":42.24,"gross_charge":44,"discounted_cash":24.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"}]}]},{"description":"COCCIDIOIDES ANTIBODY, CF","code_information":[{"code":"86635","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.47,"maximum":44,"gross_charge":44,"discounted_cash":24.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.47,"methodology":"fee schedule"}]}]},{"description":"CYTOMEGALOVIRUS AB IGG","code_information":[{"code":"86644","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":132.13,"maximum":173.76,"gross_charge":181,"discounted_cash":100.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":173.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":166.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":155.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":150.23,"methodology":"fee schedule"}]}]},{"description":"CYTOMEGALOVIRUS AB IGG","code_information":[{"code":"86644","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.39,"maximum":173.76,"gross_charge":181,"discounted_cash":100.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":173.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":166.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":155.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":150.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.39,"methodology":"fee schedule"}]}]},{"description":"CYTOMEGALOVIRUS AB IGM","code_information":[{"code":"86645","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":91.98,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"}]}]},{"description":"CYTOMEGALOVIRUS AB IGM","code_information":[{"code":"86645","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.85,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.85,"methodology":"fee schedule"}]}]},{"description":"EBV AB","code_information":[{"code":"86663","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"EBV AB","code_information":[{"code":"86663","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.12,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":69.69,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.12,"methodology":"fee schedule"}]}]},{"description":"EBV NUCLEAR","code_information":[{"code":"86664","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":101.47,"maximum":133.44,"gross_charge":139,"discounted_cash":77.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.37,"methodology":"fee schedule"}]}]},{"description":"EBV NUCLEAR","code_information":[{"code":"86664","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.29,"maximum":133.44,"gross_charge":139,"discounted_cash":77.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":81.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.29,"methodology":"fee schedule"}]}]},{"description":"EBV VCA 1","code_information":[{"code":"86665","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":164.25,"maximum":216,"gross_charge":225,"discounted_cash":124.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":207,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":186.75,"methodology":"fee schedule"}]}]},{"description":"EBV VCA 1","code_information":[{"code":"86665","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":18.14,"maximum":216,"gross_charge":225,"discounted_cash":124.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":96.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":207,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":186.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.14,"methodology":"fee schedule"}]}]},{"description":"EHRLICHIA CHAFFEENSIS AB IGM","code_information":[{"code":"86666","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":58.4,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"}]}]},{"description":"EHRLICHIA CHAFFEENSIS AB IGM","code_information":[{"code":"86666","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.18,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.18,"methodology":"fee schedule"}]}]},{"description":"H. PYLORI IGG","code_information":[{"code":"86677","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"H. PYLORI IGG","code_information":[{"code":"86677","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.85,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.85,"methodology":"fee schedule"}]}]},{"description":"HV12 REFLEX, WESTERN BLOT","code_information":[{"code":"86689","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":108.04,"maximum":142.08,"gross_charge":148,"discounted_cash":82.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":142.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":136.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":127.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.84,"methodology":"fee schedule"}]}]},{"description":"HV12 REFLEX, WESTERN BLOT","code_information":[{"code":"86689","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.35,"maximum":142.08,"gross_charge":148,"discounted_cash":82.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":102.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":142.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":136.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":127.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.35,"methodology":"fee schedule"}]}]},{"description":"H SIMPLEX IGM","code_information":[{"code":"86694","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":118.99,"maximum":156.48,"gross_charge":163,"discounted_cash":90.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":156.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":140.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":135.29,"methodology":"fee schedule"}]}]},{"description":"H SIMPLEX IGM","code_information":[{"code":"86694","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.39,"maximum":156.48,"gross_charge":163,"discounted_cash":90.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":156.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":140.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":135.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":112.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.39,"methodology":"fee schedule"}]}]},{"description":"HERPES SIMPLEX VIRUS IGM AB","code_information":[{"code":"86694","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":127.02,"maximum":167.04,"gross_charge":174,"discounted_cash":96.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":167.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":160.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":144.42,"methodology":"fee schedule"}]}]},{"description":"HERPES SIMPLEX VIRUS IGM AB","code_information":[{"code":"86694","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.39,"maximum":167.04,"gross_charge":174,"discounted_cash":96.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":165.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":167.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":142.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":160.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":149.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":144.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.39,"methodology":"fee schedule"}]}]},{"description":"H SIMPLEX IGG","code_information":[{"code":"86695","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":140.16,"maximum":184.32,"gross_charge":192,"discounted_cash":106.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":184.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":159.36,"methodology":"fee schedule"}]}]},{"description":"H SIMPLEX IGG","code_information":[{"code":"86695","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.19,"maximum":184.32,"gross_charge":192,"discounted_cash":106.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":184.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":132.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.19,"methodology":"fee schedule"}]}]},{"description":"HERPES SIMPLEX VIRUS 2 IGG","code_information":[{"code":"86696","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":140.16,"maximum":184.32,"gross_charge":192,"discounted_cash":106.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":184.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":159.36,"methodology":"fee schedule"}]}]},{"description":"HERPES SIMPLEX VIRUS 2 IGG","code_information":[{"code":"86696","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.35,"maximum":184.32,"gross_charge":192,"discounted_cash":106.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":102.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":184.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":176.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":159.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":132.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.35,"methodology":"fee schedule"}]}]},{"description":"HISTOPLASMA ABS, QN, DID","code_information":[{"code":"86698","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":69.35,"maximum":91.2,"gross_charge":95,"discounted_cash":52.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.85,"methodology":"fee schedule"}]}]},{"description":"HISTOPLASMA ABS, QN, DID","code_information":[{"code":"86698","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.79,"maximum":91.2,"gross_charge":95,"discounted_cash":52.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":73.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.79,"methodology":"fee schedule"}]}]},{"description":"HIV RAPID","code_information":[{"code":"86703","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":124.1,"maximum":163.2,"gross_charge":170,"discounted_cash":94.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":163.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":156.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.1,"methodology":"fee schedule"}]}]},{"description":"HIV RAPID","code_information":[{"code":"86703","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.71,"maximum":163.2,"gross_charge":170,"discounted_cash":94.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":161.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":163.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":156.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":146.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.71,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS B CORE ANTIBODY TOTA","code_information":[{"code":"86704","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":58.4,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS B CORE ANTIBODY TOTA","code_information":[{"code":"86704","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.05,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.05,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS B CORE ANTIBODY IGM","code_information":[{"code":"86705","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":65.7,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS B CORE ANTIBODY IGM","code_information":[{"code":"86705","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.77,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":62.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.77,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS B SURFACE ANTIB QUAL","code_information":[{"code":"86706","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":77.38,"maximum":101.76,"gross_charge":106,"discounted_cash":58.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":101.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":97.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":91.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.98,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS B SURFACE ANTIB QUAL","code_information":[{"code":"86706","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.74,"maximum":101.76,"gross_charge":106,"discounted_cash":58.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":101.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":97.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":91.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.74,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS A VIRUS TOTAL","code_information":[{"code":"86708","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS A VIRUS TOTAL","code_information":[{"code":"86708","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.39,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65.81,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.39,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS A ANTIBODY, IGM","code_information":[{"code":"86709","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.78,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS A ANTIBODY, IGM","code_information":[{"code":"86709","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.26,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":59.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.26,"methodology":"fee schedule"}]}]},{"description":"LEGIONELLA PNEUMOPHILA AB","code_information":[{"code":"86713","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":128.48,"maximum":168.96,"gross_charge":176,"discounted_cash":97.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":144.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":151.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":146.08,"methodology":"fee schedule"}]}]},{"description":"LEGIONELLA PNEUMOPHILA AB","code_information":[{"code":"86713","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.3,"maximum":168.96,"gross_charge":176,"discounted_cash":97.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":81.27,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":167.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":144.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":151.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":146.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":121.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.3,"methodology":"fee schedule"}]}]},{"description":"MUMPS VIRUS ANTIBODY IGG","code_information":[{"code":"86735","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":133.59,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"}]}]},{"description":"MUMPS VIRUS ANTIBODY IGG","code_information":[{"code":"86735","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.05,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":69.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.05,"methodology":"fee schedule"}]}]},{"description":"MYCOPLASMA PNEUMONIAE IGG AB","code_information":[{"code":"86738","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":72.27,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"}]}]},{"description":"MYCOPLASMA PNEUMONIAE IGG AB","code_information":[{"code":"86738","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.24,"maximum":95.04,"gross_charge":99,"discounted_cash":54.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.24,"methodology":"fee schedule"}]}]},{"description":"MYCOPLASMA PNEUMONIAE IGM RAP","code_information":[{"code":"86738","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":135.78,"maximum":178.56,"gross_charge":186,"discounted_cash":103.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":178.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":171.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":154.38,"methodology":"fee schedule"}]}]},{"description":"MYCOPLASMA PNEUMONIAE IGM RAP","code_information":[{"code":"86738","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.24,"maximum":178.56,"gross_charge":186,"discounted_cash":103.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":178.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":171.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":154.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.24,"methodology":"fee schedule"}]}]},{"description":"PARVOVIRUS 1","code_information":[{"code":"86747","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.96,"maximum":49.92,"gross_charge":52,"discounted_cash":28.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.16,"methodology":"fee schedule"}]}]},{"description":"PARVOVIRUS 1","code_information":[{"code":"86747","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.03,"maximum":52,"gross_charge":52,"discounted_cash":28.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.03,"methodology":"fee schedule"}]}]},{"description":"RICKETTSIA AB IGG","code_information":[{"code":"86757","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":186.15,"maximum":244.8,"gross_charge":255,"discounted_cash":141.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":234.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":219.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":211.65,"methodology":"fee schedule"}]}]},{"description":"RICKETTSIA AB IGG","code_information":[{"code":"86757","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.35,"maximum":244.8,"gross_charge":255,"discounted_cash":141.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":102.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":242.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":244.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":234.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":219.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":211.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":175.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.35,"methodology":"fee schedule"}]}]},{"description":"RUBELLA","code_information":[{"code":"86762","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.36,"maximum":30.72,"gross_charge":32,"discounted_cash":17.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.56,"methodology":"fee schedule"}]}]},{"description":"RUBELLA","code_information":[{"code":"86762","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":82.49,"maximum":108.48,"gross_charge":113,"discounted_cash":62.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":93.79,"methodology":"fee schedule"}]}]},{"description":"RUBELLA","code_information":[{"code":"86762","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.39,"maximum":32,"gross_charge":32,"discounted_cash":17.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.39,"methodology":"fee schedule"}]}]},{"description":"RUBELLA","code_information":[{"code":"86762","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.39,"maximum":108.48,"gross_charge":113,"discounted_cash":62.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":93.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.39,"methodology":"fee schedule"}]}]},{"description":"RUBELLA ANTIBODY IGG","code_information":[{"code":"86762","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":73.73,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"}]}]},{"description":"RUBELLA ANTIBODY IGG","code_information":[{"code":"86762","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.39,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.39,"methodology":"fee schedule"}]}]},{"description":"RUBEOLA (MEASLES) ANTIBODY IGG","code_information":[{"code":"86765","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":56.21,"maximum":73.92,"gross_charge":77,"discounted_cash":42.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":73.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":66.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.91,"methodology":"fee schedule"}]}]},{"description":"RUBEOLA (MEASLES) ANTIBODY IGG","code_information":[{"code":"86765","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.88,"maximum":73.92,"gross_charge":77,"discounted_cash":42.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":73.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":66.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.88,"methodology":"fee schedule"}]}]},{"description":"TREPONEMA PALLIDUM AB","code_information":[{"code":"86780","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.96,"maximum":49.92,"gross_charge":52,"discounted_cash":28.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.16,"methodology":"fee schedule"}]}]},{"description":"TREPONEMA PALLIDUM AB","code_information":[{"code":"86780","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.24,"maximum":52,"gross_charge":52,"discounted_cash":28.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":49.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.24,"methodology":"fee schedule"}]}]},{"description":"VARICELLA ZOSTER IGG ANTIBODY","code_information":[{"code":"86787","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":71.54,"maximum":94.08,"gross_charge":98,"discounted_cash":54.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.34,"methodology":"fee schedule"}]}]},{"description":"VARICELLA ZOSTER IGG ANTIBODY","code_information":[{"code":"86787","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":12.88,"maximum":94.08,"gross_charge":98,"discounted_cash":54.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":68.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.88,"methodology":"fee schedule"}]}]},{"description":"WEST NILE VIRUS IGM","code_information":[{"code":"86788","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":107.31,"maximum":141.12,"gross_charge":147,"discounted_cash":81.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":141.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":135.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.01,"methodology":"fee schedule"}]}]},{"description":"WEST NILE VIRUS IGM","code_information":[{"code":"86788","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.85,"maximum":141.12,"gross_charge":147,"discounted_cash":81.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":139.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":141.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":135.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.85,"methodology":"fee schedule"}]}]},{"description":"WEST NILE VIRUS IGG","code_information":[{"code":"86789","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":78.11,"maximum":102.72,"gross_charge":107,"discounted_cash":59.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":102.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":98.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":88.81,"methodology":"fee schedule"}]}]},{"description":"WEST NILE VIRUS IGG","code_information":[{"code":"86789","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.39,"maximum":102.72,"gross_charge":107,"discounted_cash":59.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":101.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":102.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":98.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":88.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.39,"methodology":"fee schedule"}]}]},{"description":"THYROGLOBULIN AUTOANTIBODY","code_information":[{"code":"86800","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":102.2,"maximum":134.4,"gross_charge":140,"discounted_cash":77.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":116.2,"methodology":"fee schedule"}]}]},{"description":"THYROGLOBULIN AUTOANTIBODY","code_information":[{"code":"86800","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.91,"maximum":134.4,"gross_charge":140,"discounted_cash":77.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":84.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":116.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.91,"methodology":"fee schedule"}]}]},{"description":"THYROGLOBULIN BY IMA","code_information":[{"code":"86800","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":118.99,"maximum":156.48,"gross_charge":163,"discounted_cash":90.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":156.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":140.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":135.29,"methodology":"fee schedule"}]}]},{"description":"THYROGLOBULIN BY IMA","code_information":[{"code":"86800","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.91,"maximum":156.48,"gross_charge":163,"discounted_cash":90.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":84.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":154.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":156.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":140.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":135.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":112.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.91,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS C ANTIBODY","code_information":[{"code":"86803","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS C ANTIBODY","code_information":[{"code":"86803","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.27,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":75.8,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.27,"methodology":"fee schedule"}]}]},{"description":"HLA-B27, BLOOD","code_information":[{"code":"86812","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":143.08,"maximum":188.16,"gross_charge":196,"discounted_cash":108.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":188.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":180.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":168.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":162.68,"methodology":"fee schedule"}]}]},{"description":"HLA-B27, BLOOD","code_information":[{"code":"86812","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.81,"maximum":188.16,"gross_charge":196,"discounted_cash":108.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":137.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":186.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":188.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":180.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":168.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":162.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.81,"methodology":"fee schedule"}]}]},{"description":"ANTIBODY SCREEN","code_information":[{"code":"86850","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":131.4,"maximum":172.8,"gross_charge":180,"discounted_cash":99.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.4,"methodology":"fee schedule"}]}]},{"description":"ANTIBODY SCREEN","code_information":[{"code":"86850","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.77,"maximum":172.8,"gross_charge":180,"discounted_cash":99.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78.6,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.77,"methodology":"fee schedule"}]}]},{"description":"ELUTION CHARGE","code_information":[{"code":"86860","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":148.19,"maximum":194.88,"gross_charge":203,"discounted_cash":112.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":194.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":186.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":174.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":168.49,"methodology":"fee schedule"}]}]},{"description":"ELUTION CHARGE","code_information":[{"code":"86860","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":95.41,"maximum":203,"gross_charge":203,"discounted_cash":112.49,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":203,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":194.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":186.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":174.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":168.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":95.41,"methodology":"fee schedule"}]}]},{"description":"ANITBODY ID","code_information":[{"code":"86870","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":294.19,"maximum":386.88,"gross_charge":403,"discounted_cash":223.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":382.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":386.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":370.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":346.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":334.49,"methodology":"fee schedule"}]}]},{"description":"ANITBODY ID","code_information":[{"code":"86870","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":189.41,"maximum":403,"gross_charge":403,"discounted_cash":223.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":403,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":382.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":386.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":370.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":346.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":334.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":278.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":189.41,"methodology":"fee schedule"}]}]},{"description":"ANTIBODY PANEL ID","code_information":[{"code":"86870","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":358.43,"maximum":471.36,"gross_charge":491,"discounted_cash":272.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":471.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":402.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":451.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":422.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":358.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":407.53,"methodology":"fee schedule"}]}]},{"description":"ANTIBODY PANEL ID","code_information":[{"code":"86870","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":230.77,"maximum":471.36,"gross_charge":491,"discounted_cash":272.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":460.05,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":466.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":471.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":402.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":451.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":422.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":358.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":407.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":230.77,"methodology":"fee schedule"}]}]},{"description":"DAT, IGG","code_information":[{"code":"86880","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.2,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"}]}]},{"description":"DAT, IGG","code_information":[{"code":"86880","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.39,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.39,"methodology":"fee schedule"}]}]},{"description":"DIRECT COOMBS","code_information":[{"code":"86880","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":60.59,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"}]}]},{"description":"DIRECT COOMBS","code_information":[{"code":"86880","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.39,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.39,"methodology":"fee schedule"}]}]},{"description":"DIRECT COOMBS - SO","code_information":[{"code":"86880","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":31.39,"maximum":41.28,"gross_charge":43,"discounted_cash":23.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.69,"methodology":"fee schedule"}]}]},{"description":"DIRECT COOMBS - SO","code_information":[{"code":"86880","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.39,"maximum":41.28,"gross_charge":43,"discounted_cash":23.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.39,"methodology":"fee schedule"}]}]},{"description":"ANTIBODY TITER","code_information":[{"code":"86886","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.93,"maximum":39.36,"gross_charge":41,"discounted_cash":22.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.03,"methodology":"fee schedule"}]}]},{"description":"ANTIBODY TITER","code_information":[{"code":"86886","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.18,"maximum":39.36,"gross_charge":41,"discounted_cash":22.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.18,"methodology":"fee schedule"}]}]},{"description":"ABO","code_information":[{"code":"86900","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":30.66,"maximum":40.32,"gross_charge":42,"discounted_cash":23.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"}]}]},{"description":"ABO","code_information":[{"code":"86900","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":54.75,"maximum":72,"gross_charge":75,"discounted_cash":41.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":64.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":62.25,"methodology":"fee schedule"}]}]},{"description":"ABO","code_information":[{"code":"86900","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.99,"maximum":40.32,"gross_charge":42,"discounted_cash":23.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15.88,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.99,"methodology":"fee schedule"}]}]},{"description":"ABO","code_information":[{"code":"86900","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.99,"maximum":72,"gross_charge":75,"discounted_cash":41.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15.88,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":64.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":62.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.99,"methodology":"fee schedule"}]}]},{"description":"RH","code_information":[{"code":"86901","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":27.74,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"}]}]},{"description":"RH","code_information":[{"code":"86901","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":67.89,"maximum":89.28,"gross_charge":93,"discounted_cash":51.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":89.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":85.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":77.19,"methodology":"fee schedule"}]}]},{"description":"RH","code_information":[{"code":"86901","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.99,"maximum":36.48,"gross_charge":38,"discounted_cash":21.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15.88,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.99,"methodology":"fee schedule"}]}]},{"description":"RH","code_information":[{"code":"86901","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2.99,"maximum":89.28,"gross_charge":93,"discounted_cash":51.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15.88,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":89.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":85.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":77.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.99,"methodology":"fee schedule"}]}]},{"description":"ANTIGEN TYPING I","code_information":[{"code":"86902","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.78,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"}]}]},{"description":"ANTIGEN TYPING I","code_information":[{"code":"86902","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.35,"maximum":82.56,"gross_charge":86,"discounted_cash":47.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":79.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":59.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.35,"methodology":"fee schedule"}]}]},{"description":"ANTIGEN TYPING SEND OUT","code_information":[{"code":"86905","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":21.17,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"}]}]},{"description":"ANTIGEN TYPING SEND OUT","code_information":[{"code":"86905","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.83,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.34,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.83,"methodology":"fee schedule"}]}]},{"description":"EXTENDED PHENOTYPE","code_information":[{"code":"86905","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":73.73,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"}]}]},{"description":"EXTENDED PHENOTYPE","code_information":[{"code":"86905","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":3.83,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.34,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.83,"methodology":"fee schedule"}]}]},{"description":"RH PHENOTYPE","code_information":[{"code":"86906","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":79.57,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"}]}]},{"description":"RH PHENOTYPE","code_information":[{"code":"86906","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":7.75,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":41.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.75,"methodology":"fee schedule"}]}]},{"description":"IMMEDIATE SPIN CROSSMATCH","code_information":[{"code":"86920","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":343.1,"maximum":451.2,"gross_charge":470,"discounted_cash":260.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":446.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":451.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":432.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":404.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":343.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":390.1,"methodology":"fee schedule"}]}]},{"description":"IMMEDIATE SPIN CROSSMATCH","code_information":[{"code":"86920","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":208.5,"maximum":451.2,"gross_charge":470,"discounted_cash":260.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":208.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":446.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":451.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":432.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":404.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":343.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":390.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":324.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":220.9,"methodology":"fee schedule"}]}]},{"description":"ANTI HUMAN GLOBULIN XMAT","code_information":[{"code":"86922","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":343.1,"maximum":451.2,"gross_charge":470,"discounted_cash":260.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":446.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":451.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":432.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":404.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":343.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":390.1,"methodology":"fee schedule"}]}]},{"description":"ANTI HUMAN GLOBULIN XMAT","code_information":[{"code":"86922","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":208.5,"maximum":451.2,"gross_charge":470,"discounted_cash":260.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":208.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":446.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":451.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":385.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":432.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":404.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":343.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":390.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":324.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":220.9,"methodology":"fee schedule"}]}]},{"description":"IRRADIATION CHARGE","code_information":[{"code":"86945","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":176.66,"maximum":232.32,"gross_charge":242,"discounted_cash":134.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":232.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":222.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":208.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":200.86,"methodology":"fee schedule"}]}]},{"description":"IRRADIATION CHARGE","code_information":[{"code":"86945","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":53.46,"maximum":232.32,"gross_charge":242,"discounted_cash":134.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53.46,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":229.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":232.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":222.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":208.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":200.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":166.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":113.74,"methodology":"fee schedule"}]}]},{"description":"ANITBODY ID EXTENDED","code_information":[{"code":"86970","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"ANITBODY ID EXTENDED","code_information":[{"code":"86970","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":30.55,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53.46,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"HISTORICAL TYPE UNIT SEARCH","code_information":[{"code":"86999","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":73.73,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"}]}]},{"description":"HISTORICAL TYPE UNIT SEARCH","code_information":[{"code":"86999","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.98,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":47.47,"methodology":"fee schedule"}]}]},{"description":"CULT BLOOD AEROBIC","code_information":[{"code":"87040","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":94.17,"maximum":123.84,"gross_charge":129,"discounted_cash":71.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":123.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":118.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":107.07,"methodology":"fee schedule"}]}]},{"description":"CULT BLOOD AEROBIC","code_information":[{"code":"87040","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.32,"maximum":123.84,"gross_charge":129,"discounted_cash":71.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":122.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":123.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":118.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":107.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.32,"methodology":"fee schedule"}]}]},{"description":"CULT STOOL","code_information":[{"code":"87045","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":56.21,"maximum":73.92,"gross_charge":77,"discounted_cash":42.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":73.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":66.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.91,"methodology":"fee schedule"}]}]},{"description":"CULT STOOL","code_information":[{"code":"87045","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":59.86,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"}]}]},{"description":"CULT STOOL","code_information":[{"code":"87045","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.44,"maximum":73.92,"gross_charge":77,"discounted_cash":42.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":73.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":66.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.44,"methodology":"fee schedule"}]}]},{"description":"CULT STOOL","code_information":[{"code":"87045","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.44,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.44,"methodology":"fee schedule"}]}]},{"description":"CULT STOOL ADD'L","code_information":[{"code":"87046","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":39.42,"maximum":51.84,"gross_charge":54,"discounted_cash":29.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"}]}]},{"description":"CULT STOOL ADD'L","code_information":[{"code":"87046","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.44,"maximum":51.84,"gross_charge":54,"discounted_cash":29.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.44,"methodology":"fee schedule"}]}]},{"description":"CULTURE CAMPYLOBACTER STOOL","code_information":[{"code":"87046","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.88,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"}]}]},{"description":"CULTURE CAMPYLOBACTER STOOL","code_information":[{"code":"87046","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.44,"maximum":53.76,"gross_charge":56,"discounted_cash":31.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.44,"methodology":"fee schedule"}]}]},{"description":"CULT BODY FLUID","code_information":[{"code":"87070","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":95.63,"maximum":125.76,"gross_charge":131,"discounted_cash":72.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":125.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":120.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":112.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":108.73,"methodology":"fee schedule"}]}]},{"description":"CULT BODY FLUID","code_information":[{"code":"87070","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.62,"maximum":125.76,"gross_charge":131,"discounted_cash":72.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":125.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":120.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":112.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":108.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.62,"methodology":"fee schedule"}]}]},{"description":"CULT ANAEROBIC","code_information":[{"code":"87075","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":87.6,"maximum":115.2,"gross_charge":120,"discounted_cash":66.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":110.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":103.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":99.6,"methodology":"fee schedule"}]}]},{"description":"CULT ANAEROBIC","code_information":[{"code":"87075","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.47,"maximum":115.2,"gross_charge":120,"discounted_cash":66.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.3,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":115.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":110.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":103.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":99.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.47,"methodology":"fee schedule"}]}]},{"description":"CULTURE ANAEROBE ONLY","code_information":[{"code":"87075","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":101.47,"maximum":133.44,"gross_charge":139,"discounted_cash":77.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.37,"methodology":"fee schedule"}]}]},{"description":"CULTURE ANAEROBE ONLY","code_information":[{"code":"87075","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":9.47,"maximum":133.44,"gross_charge":139,"discounted_cash":77.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.3,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.47,"methodology":"fee schedule"}]}]},{"description":"BORDETELLA PERTUSSIS ORG ID","code_information":[{"code":"87077","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":63.51,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"}]}]},{"description":"BORDETELLA PERTUSSIS ORG ID","code_information":[{"code":"87077","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.08,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42.91,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.08,"methodology":"fee schedule"}]}]},{"description":"ORGANISM ID #1","code_information":[{"code":"87077","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":77.38,"maximum":101.76,"gross_charge":106,"discounted_cash":58.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":101.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":97.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":91.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.98,"methodology":"fee schedule"}]}]},{"description":"ORGANISM ID #1","code_information":[{"code":"87077","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.08,"maximum":101.76,"gross_charge":106,"discounted_cash":58.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42.91,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":100.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":101.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":97.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":91.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":73.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.08,"methodology":"fee schedule"}]}]},{"description":"CULT GRP B STREP","code_information":[{"code":"87081","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":61.32,"maximum":80.64,"gross_charge":84,"discounted_cash":46.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":69.72,"methodology":"fee schedule"}]}]},{"description":"CULT GRP B STREP","code_information":[{"code":"87081","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":6.63,"maximum":80.64,"gross_charge":84,"discounted_cash":46.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":69.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.63,"methodology":"fee schedule"}]}]},{"description":"CULT URINE","code_information":[{"code":"87086","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":73.73,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"}]}]},{"description":"CULT URINE","code_information":[{"code":"87086","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.07,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.07,"methodology":"fee schedule"}]}]},{"description":"CULTURE URINE IDENTIFICATION","code_information":[{"code":"87088","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":73.73,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"}]}]},{"description":"CULTURE URINE IDENTIFICATION","code_information":[{"code":"87088","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.09,"maximum":96.96,"gross_charge":101,"discounted_cash":55.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.09,"methodology":"fee schedule"}]}]},{"description":"ORG ID URINE","code_information":[{"code":"87088","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":78.84,"maximum":103.68,"gross_charge":108,"discounted_cash":59.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":103.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":99.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":89.64,"methodology":"fee schedule"}]}]},{"description":"ORG ID URINE","code_information":[{"code":"87088","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.09,"maximum":103.68,"gross_charge":108,"discounted_cash":59.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":102.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":103.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":99.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":89.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.09,"methodology":"fee schedule"}]}]},{"description":"CULTURE FUNGUS","code_information":[{"code":"87102","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":83.22,"maximum":109.44,"gross_charge":114,"discounted_cash":63.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.62,"methodology":"fee schedule"}]}]},{"description":"CULTURE FUNGUS","code_information":[{"code":"87102","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.41,"maximum":109.44,"gross_charge":114,"discounted_cash":63.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.41,"methodology":"fee schedule"}]}]},{"description":"FUNGUS IDENTIFICATION","code_information":[{"code":"87106","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":44.53,"maximum":58.56,"gross_charge":61,"discounted_cash":33.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":58.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":56.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":52.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":50.63,"methodology":"fee schedule"}]}]},{"description":"FUNGUS IDENTIFICATION","code_information":[{"code":"87106","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.32,"maximum":58.56,"gross_charge":61,"discounted_cash":33.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":58.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":56.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":52.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":50.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.32,"methodology":"fee schedule"}]}]},{"description":"CULTURE IMMUNOLOGIC TYPING","code_information":[{"code":"87147","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":33.58,"maximum":44.16,"gross_charge":46,"discounted_cash":25.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":42.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":38.18,"methodology":"fee schedule"}]}]},{"description":"CULTURE IMMUNOLOGIC TYPING","code_information":[{"code":"87147","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.18,"maximum":44.16,"gross_charge":46,"discounted_cash":25.49,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":42.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":39.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":38.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.18,"methodology":"fee schedule"}]}]},{"description":"PENICILLIN BINDING PROTEIN 2","code_information":[{"code":"87147","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":191.99,"maximum":252.48,"gross_charge":263,"discounted_cash":145.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":252.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":241.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":226.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":218.29,"methodology":"fee schedule"}]}]},{"description":"PENICILLIN BINDING PROTEIN 2","code_information":[{"code":"87147","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.18,"maximum":252.48,"gross_charge":263,"discounted_cash":145.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":249.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":252.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":241.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":226.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":218.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":181.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.18,"methodology":"fee schedule"}]}]},{"description":"PINWORM PREP","code_information":[{"code":"87172","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":58.4,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"}]}]},{"description":"PINWORM PREP","code_information":[{"code":"87172","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.27,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.27,"methodology":"fee schedule"}]}]},{"description":"O&P SMEAR","code_information":[{"code":"87177","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":51.83,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"}]}]},{"description":"O&P SMEAR","code_information":[{"code":"87177","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.9,"maximum":68.16,"gross_charge":71,"discounted_cash":39.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.9,"methodology":"fee schedule"}]}]},{"description":"MIC GRAM NEG","code_information":[{"code":"87186","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":94.9,"maximum":124.8,"gross_charge":130,"discounted_cash":72.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":124.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":119.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":111.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":107.9,"methodology":"fee schedule"}]}]},{"description":"MIC GRAM NEG","code_information":[{"code":"87186","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":8.65,"maximum":124.8,"gross_charge":130,"discounted_cash":72.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":123.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":124.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":119.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":111.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":107.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.65,"methodology":"fee schedule"}]}]},{"description":"GRAM STAIN","code_information":[{"code":"87205","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.15,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"}]}]},{"description":"GRAM STAIN","code_information":[{"code":"87205","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":54.75,"maximum":72,"gross_charge":75,"discounted_cash":41.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":64.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":62.25,"methodology":"fee schedule"}]}]},{"description":"GRAM STAIN","code_information":[{"code":"87205","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.27,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.27,"methodology":"fee schedule"}]}]},{"description":"GRAM STAIN","code_information":[{"code":"87205","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.27,"maximum":72,"gross_charge":75,"discounted_cash":41.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":71.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":64.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":62.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.27,"methodology":"fee schedule"}]}]},{"description":"MALARIA SMEAR","code_information":[{"code":"87207","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":45.99,"maximum":60.48,"gross_charge":63,"discounted_cash":34.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.29,"methodology":"fee schedule"}]}]},{"description":"MALARIA SMEAR","code_information":[{"code":"87207","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.61,"maximum":60.48,"gross_charge":63,"discounted_cash":34.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.61,"methodology":"fee schedule"}]}]},{"description":"O&P STAIN","code_information":[{"code":"87209","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":167.9,"maximum":220.8,"gross_charge":230,"discounted_cash":127.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":218.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":211.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.9,"methodology":"fee schedule"}]}]},{"description":"O&P STAIN","code_information":[{"code":"87209","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":17.98,"maximum":220.8,"gross_charge":230,"discounted_cash":127.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95.51,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":218.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":220.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":211.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":197.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.98,"methodology":"fee schedule"}]}]},{"description":"WET PREP","code_information":[{"code":"87210","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"WET PREP","code_information":[{"code":"87210","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.82,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.82,"methodology":"fee schedule"}]}]},{"description":"KOH PREP","code_information":[{"code":"87220","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":43.07,"maximum":56.64,"gross_charge":59,"discounted_cash":32.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":56.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":54.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.97,"methodology":"fee schedule"}]}]},{"description":"KOH PREP","code_information":[{"code":"87220","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":4.27,"maximum":56.64,"gross_charge":59,"discounted_cash":32.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":56.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":54.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.27,"methodology":"fee schedule"}]}]},{"description":"VIRAL CULTURE (REFLEX)","code_information":[{"code":"87252","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"VIRAL CULTURE (REFLEX)","code_information":[{"code":"87252","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":247.47,"maximum":325.44,"gross_charge":339,"discounted_cash":187.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":325.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":311.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":291.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":281.37,"methodology":"fee schedule"}]}]},{"description":"VIRAL CULTURE (REFLEX)","code_information":[{"code":"87252","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":26.07,"maximum":66,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":26.07,"methodology":"fee schedule"}]}]},{"description":"VIRAL CULTURE (REFLEX)","code_information":[{"code":"87252","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":26.07,"maximum":325.44,"gross_charge":339,"discounted_cash":187.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":138.47,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":322.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":325.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":311.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":291.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":281.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":233.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":26.07,"methodology":"fee schedule"}]}]},{"description":"ASPERGILLUS ANTIGEN, SERUM","code_information":[{"code":"87305","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":116.07,"maximum":152.64,"gross_charge":159,"discounted_cash":88.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.97,"methodology":"fee schedule"}]}]},{"description":"ASPERGILLUS ANTIGEN, SERUM","code_information":[{"code":"87305","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.98,"maximum":152.64,"gross_charge":159,"discounted_cash":88.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.98,"methodology":"fee schedule"}]}]},{"description":"C DIFF A & B","code_information":[{"code":"87324","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":102.2,"maximum":134.4,"gross_charge":140,"discounted_cash":77.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":116.2,"methodology":"fee schedule"}]}]},{"description":"C DIFF A & B","code_information":[{"code":"87324","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.98,"maximum":134.4,"gross_charge":140,"discounted_cash":77.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":116.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.98,"methodology":"fee schedule"}]}]},{"description":"C. DIFFICILE TOXIN EIA","code_information":[{"code":"87324","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":67.89,"maximum":89.28,"gross_charge":93,"discounted_cash":51.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":89.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":85.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":77.19,"methodology":"fee schedule"}]}]},{"description":"C. DIFFICILE TOXIN EIA","code_information":[{"code":"87324","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.98,"maximum":89.28,"gross_charge":93,"discounted_cash":51.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":88.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":89.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":85.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":79.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":77.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.98,"methodology":"fee schedule"}]}]},{"description":"CRYPTO AG","code_information":[{"code":"87328","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"CRYPTO AG","code_information":[{"code":"87328","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.82,"maximum":66,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.82,"methodology":"fee schedule"}]}]},{"description":"CRYPTOSPORIDIUM ANTIGEN BY IMM","code_information":[{"code":"87328","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":95.63,"maximum":125.76,"gross_charge":131,"discounted_cash":72.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":125.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":120.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":112.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":108.73,"methodology":"fee schedule"}]}]},{"description":"CRYPTOSPORIDIUM ANTIGEN BY IMM","code_information":[{"code":"87328","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.82,"maximum":125.76,"gross_charge":131,"discounted_cash":72.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":73.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":124.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":125.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":120.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":112.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":95.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":108.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":90.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.82,"methodology":"fee schedule"}]}]},{"description":"GIARDIA AG","code_information":[{"code":"87329","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"GIARDIA AG","code_information":[{"code":"87329","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.98,"maximum":63.64,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.98,"methodology":"fee schedule"}]}]},{"description":"GIARDIA ANTIGEN","code_information":[{"code":"87329","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":119.72,"maximum":157.44,"gross_charge":164,"discounted_cash":90.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":157.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":150.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.12,"methodology":"fee schedule"}]}]},{"description":"GIARDIA ANTIGEN","code_information":[{"code":"87329","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.98,"maximum":157.44,"gross_charge":164,"discounted_cash":90.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":157.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":150.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.98,"methodology":"fee schedule"}]}]},{"description":"HELICOBACTER PYLORI STOOL ANTI","code_information":[{"code":"87338","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":112.42,"maximum":147.84,"gross_charge":154,"discounted_cash":85.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":147.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":141.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":127.82,"methodology":"fee schedule"}]}]},{"description":"HELICOBACTER PYLORI STOOL ANTI","code_information":[{"code":"87338","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.38,"maximum":147.84,"gross_charge":154,"discounted_cash":85.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":147.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":141.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":127.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.38,"methodology":"fee schedule"}]}]},{"description":"HBSAG","code_information":[{"code":"87340","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":59.86,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"}]}]},{"description":"HBSAG","code_information":[{"code":"87340","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.33,"maximum":78.72,"gross_charge":82,"discounted_cash":45.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.33,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS B SURFACE ANTIGEN","code_information":[{"code":"87340","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":55.48,"maximum":72.96,"gross_charge":76,"discounted_cash":42.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.08,"methodology":"fee schedule"}]}]},{"description":"HEPATITIS B SURFACE ANTIGEN","code_information":[{"code":"87340","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":10.33,"maximum":72.96,"gross_charge":76,"discounted_cash":42.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":72.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":69.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.33,"methodology":"fee schedule"}]}]},{"description":"HIV 1/2 AG/AB COMBO","code_information":[{"code":"87389","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":133.59,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"}]}]},{"description":"HIV 1/2 AG/AB COMBO","code_information":[{"code":"87389","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.08,"maximum":175.68,"gross_charge":183,"discounted_cash":101.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":127.9,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24.08,"methodology":"fee schedule"}]}]},{"description":"ROTAVIRUS ANTIGEN","code_information":[{"code":"87425","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":106.58,"maximum":140.16,"gross_charge":146,"discounted_cash":80.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":121.18,"methodology":"fee schedule"}]}]},{"description":"ROTAVIRUS ANTIGEN","code_information":[{"code":"87425","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":11.98,"maximum":140.16,"gross_charge":146,"discounted_cash":80.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":134.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":121.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":100.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.98,"methodology":"fee schedule"}]}]},{"description":"SARS-COV-2 AG INHOUSE B","code_information":[{"code":"87426","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":39.42,"maximum":51.84,"gross_charge":54,"discounted_cash":29.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"}]}]},{"description":"SARS-COV-2 AG INHOUSE B","code_information":[{"code":"87426","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.38,"maximum":54,"gross_charge":54,"discounted_cash":29.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.38,"methodology":"fee schedule"}]}]},{"description":"STREP SCREEN A RAPID","code_information":[{"code":"87430","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":137.24,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"}]}]},{"description":"STREP SCREEN A RAPID","code_information":[{"code":"87430","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.81,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.81,"methodology":"fee schedule"}]}]},{"description":"CHLAMYDIA PROBE","code_information":[{"code":"87486","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":210.24,"maximum":276.48,"gross_charge":288,"discounted_cash":159.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":273.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":276.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":236.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":264.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":247.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":210.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":239.04,"methodology":"fee schedule"}]}]},{"description":"CHLAMYDIA PROBE","code_information":[{"code":"87486","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":276.48,"gross_charge":288,"discounted_cash":159.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":273.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":276.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":236.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":264.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":247.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":210.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":239.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"CHLAMYDIA PROBE","code_information":[{"code":"87491","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":316.09,"maximum":415.68,"gross_charge":433,"discounted_cash":239.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"}]}]},{"description":"CHLAMYDIA PROBE","code_information":[{"code":"87491","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":415.68,"gross_charge":433,"discounted_cash":239.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"CDIFF AMP PROBE","code_information":[{"code":"87493","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":48.18,"maximum":63.36,"gross_charge":66,"discounted_cash":36.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"}]}]},{"description":"CDIFF AMP PROBE","code_information":[{"code":"87493","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.27,"maximum":66,"gross_charge":66,"discounted_cash":36.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":66,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":62.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":63.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":60.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":56.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.27,"methodology":"fee schedule"}]}]},{"description":"CLOSTRIDIUM DIFFICILE TOXIN","code_information":[{"code":"87493","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":271.56,"maximum":357.12,"gross_charge":372,"discounted_cash":206.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":353.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":357.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":305.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":342.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":319.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":308.76,"methodology":"fee schedule"}]}]},{"description":"CLOSTRIDIUM DIFFICILE TOXIN","code_information":[{"code":"87493","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":37.27,"maximum":357.12,"gross_charge":372,"discounted_cash":206.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":197.97,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":353.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":357.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":305.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":342.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":319.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":308.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":256.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.27,"methodology":"fee schedule"}]}]},{"description":"CYTOMEGALOVIRUS","code_information":[{"code":"87496","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":101.47,"maximum":133.44,"gross_charge":139,"discounted_cash":77.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.37,"methodology":"fee schedule"}]}]},{"description":"CYTOMEGALOVIRUS","code_information":[{"code":"87496","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":139,"gross_charge":139,"discounted_cash":77.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":139,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":132.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":133.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":115.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"CMV, QUANT RT PCR","code_information":[{"code":"87497","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":215.35,"maximum":283.2,"gross_charge":295,"discounted_cash":163.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":280.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":283.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":271.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.85,"methodology":"fee schedule"}]}]},{"description":"CMV, QUANT RT PCR","code_information":[{"code":"87497","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":42.84,"maximum":283.2,"gross_charge":295,"discounted_cash":163.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":227.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":280.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":283.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":271.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":42.84,"methodology":"fee schedule"}]}]},{"description":"INFLUENZA A & B BY PCR","code_information":[{"code":"87502","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":478.15,"maximum":628.8,"gross_charge":655,"discounted_cash":362.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":628.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":537.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":602.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":563.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":478.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":543.65,"methodology":"fee schedule"}]}]},{"description":"INFLUENZA A & B BY PCR","code_information":[{"code":"87502","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":95.8,"maximum":628.8,"gross_charge":655,"discounted_cash":362.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":508.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":622.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":628.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":537.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":602.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":563.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":478.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":543.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":451.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":95.8,"methodology":"fee schedule"}]}]},{"description":"GI COMPLETE PANEL BY PCR","code_information":[{"code":"87507","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":2252.78,"maximum":2962.56,"gross_charge":3086,"discounted_cash":1709.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2962.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2530.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2839.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2653.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2252.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2561.38,"methodology":"fee schedule"}]}]},{"description":"GI COMPLETE PANEL BY PCR","code_information":[{"code":"87507","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":416.78,"maximum":2962.56,"gross_charge":3086,"discounted_cash":1709.96,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2213.81,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2931.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2962.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2530.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2839.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2653.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2252.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2561.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2129.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":416.78,"methodology":"fee schedule"}]}]},{"description":"HCV RNA QUANT BY PCR","code_information":[{"code":"87522","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":211.7,"maximum":278.4,"gross_charge":290,"discounted_cash":160.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":266.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":249.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":240.7,"methodology":"fee schedule"}]}]},{"description":"HCV RNA QUANT BY PCR","code_information":[{"code":"87522","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":42.84,"maximum":278.4,"gross_charge":290,"discounted_cash":160.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":227.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":266.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":249.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":240.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":200.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":42.84,"methodology":"fee schedule"}]}]},{"description":"HEP C VIRUS RNA QUANT BY PCR","code_information":[{"code":"87522","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":198.56,"maximum":261.12,"gross_charge":272,"discounted_cash":150.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":261.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":223.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":250.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":233.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":225.76,"methodology":"fee schedule"}]}]},{"description":"HEP C VIRUS RNA QUANT BY PCR","code_information":[{"code":"87522","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":42.84,"maximum":261.12,"gross_charge":272,"discounted_cash":150.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":227.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":258.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":261.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":223.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":250.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":233.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":225.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":187.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":42.84,"methodology":"fee schedule"}]}]},{"description":"HSV DNA TYPE 1","code_information":[{"code":"87529","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":150.38,"maximum":197.76,"gross_charge":206,"discounted_cash":114.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":197.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":189.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":177.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":170.98,"methodology":"fee schedule"}]}]},{"description":"HSV DNA TYPE 1","code_information":[{"code":"87529","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":197.83,"maximum":260.16,"gross_charge":271,"discounted_cash":150.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":260.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":249.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":233.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":197.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":224.93,"methodology":"fee schedule"}]}]},{"description":"HSV DNA TYPE 1","code_information":[{"code":"87529","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":197.76,"gross_charge":206,"discounted_cash":114.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":195.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":197.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":168.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":189.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":177.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":170.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":142.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"HSV DNA TYPE 1","code_information":[{"code":"87529","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":260.16,"gross_charge":271,"discounted_cash":150.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":260.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":222.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":249.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":233.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":197.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":224.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":186.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"HVZAM - HSV1+2","code_information":[{"code":"87529","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":320.47,"maximum":421.44,"gross_charge":439,"discounted_cash":243.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":421.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":359.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":403.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":377.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":320.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":364.37,"methodology":"fee schedule"}]}]},{"description":"HVZAM - HSV1+2","code_information":[{"code":"87529","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":421.44,"gross_charge":439,"discounted_cash":243.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":417.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":421.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":359.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":403.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":377.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":320.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":364.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":302.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"M. PNEUMO PROBE","code_information":[{"code":"87581","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":210.24,"maximum":276.48,"gross_charge":288,"discounted_cash":159.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":273.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":276.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":236.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":264.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":247.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":210.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":239.04,"methodology":"fee schedule"}]}]},{"description":"M. PNEUMO PROBE","code_information":[{"code":"87581","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":276.48,"gross_charge":288,"discounted_cash":159.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":273.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":276.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":236.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":264.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":247.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":210.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":239.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"CULT GONORRHEA","code_information":[{"code":"87591","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":316.09,"maximum":415.68,"gross_charge":433,"discounted_cash":239.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"}]}]},{"description":"CULT GONORRHEA","code_information":[{"code":"87591","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":415.68,"gross_charge":433,"discounted_cash":239.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"HPV DNA PROBE HI RISK","code_information":[{"code":"87624","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":178.85,"maximum":235.2,"gross_charge":245,"discounted_cash":135.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":225.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":203.35,"methodology":"fee schedule"}]}]},{"description":"HPV DNA PROBE HI RISK","code_information":[{"code":"87624","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":235.2,"gross_charge":245,"discounted_cash":135.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":225.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":203.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"HVP HIGH RISK","code_information":[{"code":"87624","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":194.18,"maximum":255.36,"gross_charge":266,"discounted_cash":147.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":252.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":255.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":244.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":220.78,"methodology":"fee schedule"}]}]},{"description":"HVP HIGH RISK","code_information":[{"code":"87624","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":255.36,"gross_charge":266,"discounted_cash":147.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":252.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":255.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":244.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":228.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":194.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":220.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":183.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"HPV GENOTYPE 16/18","code_information":[{"code":"87625","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":178.85,"maximum":235.2,"gross_charge":245,"discounted_cash":135.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":225.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":203.35,"methodology":"fee schedule"}]}]},{"description":"HPV GENOTYPE 16/18","code_information":[{"code":"87625","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.55,"maximum":235.2,"gross_charge":245,"discounted_cash":135.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":215.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":232.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":235.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":225.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":203.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":169.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":40.55,"methodology":"fee schedule"}]}]},{"description":"RESP VIRUS TARGET","code_information":[{"code":"87632","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":1789.23,"maximum":2352.96,"gross_charge":2451,"discounted_cash":1358.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2328.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2009.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2254.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2107.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1789.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2034.33,"methodology":"fee schedule"}]}]},{"description":"RESP VIRUS TARGET","code_information":[{"code":"87632","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":218.06,"maximum":2352.96,"gross_charge":2451,"discounted_cash":1358.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1158.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2328.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2352.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2009.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2254.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2107.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1789.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2034.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1691.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":218.06,"methodology":"fee schedule"}]}]},{"description":"RESP VIRUS TARGET","code_information":[{"code":"87633","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":1654.18,"maximum":2175.36,"gross_charge":2266,"discounted_cash":1255.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2152.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2175.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1858.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2084.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1948.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1654.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1880.78,"methodology":"fee schedule"}]}]},{"description":"RESP VIRUS TARGET","code_information":[{"code":"87633","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":416.78,"maximum":2213.81,"gross_charge":2266,"discounted_cash":1255.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2213.81,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2152.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2175.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1858.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2084.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1948.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1654.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1880.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1563.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":416.78,"methodology":"fee schedule"}]}]},{"description":"STAPH A DNA PROBE","code_information":[{"code":"87640","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":172.28,"maximum":226.56,"gross_charge":236,"discounted_cash":130.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":226.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":193.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":217.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":202.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":195.88,"methodology":"fee schedule"}]}]},{"description":"STAPH A DNA PROBE","code_information":[{"code":"87640","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":226.56,"gross_charge":236,"discounted_cash":130.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":226.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":193.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":217.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":202.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":195.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":162.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"MRSA BY PCR","code_information":[{"code":"87641","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":122.64,"maximum":161.28,"gross_charge":168,"discounted_cash":93.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":161.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":144.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":139.44,"methodology":"fee schedule"}]}]},{"description":"MRSA BY PCR","code_information":[{"code":"87641","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":168,"gross_charge":168,"discounted_cash":93.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":159.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":161.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":144.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":139.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"B. PERTUSSIS NUCLEIC ACID (PHL","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":219.73,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"}]}]},{"description":"B. PERTUSSIS NUCLEIC ACID (PHL","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"BORDETELLA PERTUSSIS AG","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":316.82,"maximum":416.64,"gross_charge":434,"discounted_cash":240.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":416.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":399.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":373.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":360.22,"methodology":"fee schedule"}]}]},{"description":"BORDETELLA PERTUSSIS AG","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":416.64,"gross_charge":434,"discounted_cash":240.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":412.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":416.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":399.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":373.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":360.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":299.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"DNA PROBE 1","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":311.71,"maximum":409.92,"gross_charge":427,"discounted_cash":236.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":409.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":392.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":367.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":311.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":354.41,"methodology":"fee schedule"}]}]},{"description":"DNA PROBE 1","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":409.92,"gross_charge":427,"discounted_cash":236.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":405.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":409.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":392.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":367.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":311.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":354.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":294.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"HVZAM - VZV","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":160.6,"maximum":211.2,"gross_charge":220,"discounted_cash":121.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":180.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":202.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":189.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":182.6,"methodology":"fee schedule"}]}]},{"description":"HVZAM - VZV","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":211.2,"gross_charge":220,"discounted_cash":121.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":209,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":211.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":180.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":202.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":189.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":160.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":182.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"TBD BABESIA SPECIES PCR","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":227.03,"maximum":298.56,"gross_charge":311,"discounted_cash":172.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":295.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":298.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":286.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":267.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":258.13,"methodology":"fee schedule"}]}]},{"description":"TBD BABESIA SPECIES PCR","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":298.56,"gross_charge":311,"discounted_cash":172.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":295.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":298.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":286.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":267.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":258.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":214.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"VARICELLA ZOSTER AMP MOLECULAR","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":166.44,"maximum":218.88,"gross_charge":228,"discounted_cash":126.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":216.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":218.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":209.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":189.24,"methodology":"fee schedule"}]}]},{"description":"VARICELLA ZOSTER AMP MOLECULAR","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":218.88,"gross_charge":228,"discounted_cash":126.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":216.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":218.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":209.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":189.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":157.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"VARICELLA ZOSTER VIRUS (PCR)","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":265.72,"maximum":349.44,"gross_charge":364,"discounted_cash":201.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":349.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":334.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":313.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":302.12,"methodology":"fee schedule"}]}]},{"description":"VARICELLA ZOSTER VIRUS (PCR)","code_information":[{"code":"87798","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":35.09,"maximum":349.44,"gross_charge":364,"discounted_cash":201.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":186.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":345.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":349.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":334.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":313.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":265.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":302.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":251.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":35.09,"methodology":"fee schedule"}]}]},{"description":"BK VIRUS BY RT-PCR QUANTITATIV","code_information":[{"code":"87799","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":406.61,"maximum":534.72,"gross_charge":557,"discounted_cash":308.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":534.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":456.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":512.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":479.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":406.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":462.31,"methodology":"fee schedule"}]}]},{"description":"BK VIRUS BY RT-PCR QUANTITATIV","code_information":[{"code":"87799","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":42.84,"maximum":534.72,"gross_charge":557,"discounted_cash":308.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":227.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":529.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":534.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":456.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":512.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":479.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":406.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":462.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":384.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":42.84,"methodology":"fee schedule"}]}]},{"description":"INFLUENZA A AG","code_information":[{"code":"87804","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":135.05,"maximum":177.6,"gross_charge":185,"discounted_cash":102.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":177.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":170.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":153.55,"methodology":"fee schedule"}]}]},{"description":"INFLUENZA A AG","code_information":[{"code":"87804","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.55,"maximum":177.6,"gross_charge":185,"discounted_cash":102.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":87.91,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":175.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":177.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":170.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":153.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":127.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.55,"methodology":"fee schedule"}]}]},{"description":"RSV","code_information":[{"code":"87807","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":108.77,"maximum":143.04,"gross_charge":149,"discounted_cash":82.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":143.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":137.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":128.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":123.67,"methodology":"fee schedule"}]}]},{"description":"RSV","code_information":[{"code":"87807","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":13.1,"maximum":143.04,"gross_charge":149,"discounted_cash":82.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":69.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":141.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":143.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":137.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":128.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":123.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":102.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.1,"methodology":"fee schedule"}]}]},{"description":"CRYPTOCOCCUS ANTIGEN","code_information":[{"code":"87899","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":81.03,"maximum":106.56,"gross_charge":111,"discounted_cash":61.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"}]}]},{"description":"CRYPTOCOCCUS ANTIGEN","code_information":[{"code":"87899","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.07,"maximum":106.56,"gross_charge":111,"discounted_cash":61.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":85.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.07,"methodology":"fee schedule"}]}]},{"description":"LEGIONELLA AG URINE","code_information":[{"code":"87899","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":110.23,"maximum":144.96,"gross_charge":151,"discounted_cash":83.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":125.33,"methodology":"fee schedule"}]}]},{"description":"LEGIONELLA AG URINE","code_information":[{"code":"87899","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.07,"maximum":144.96,"gross_charge":151,"discounted_cash":83.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":85.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":143.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":125.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.07,"methodology":"fee schedule"}]}]},{"description":"STOOL TOXIN ASSAY","code_information":[{"code":"87899","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":40.15,"maximum":52.8,"gross_charge":55,"discounted_cash":30.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"}]}]},{"description":"STOOL TOXIN ASSAY","code_information":[{"code":"87899","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.07,"maximum":55,"gross_charge":55,"discounted_cash":30.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":50.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.07,"methodology":"fee schedule"}]}]},{"description":"STREP PNEUMONIAE ANTIGEN","code_information":[{"code":"87899","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":79.57,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"}]}]},{"description":"STREP PNEUMONIAE ANTIGEN","code_information":[{"code":"87899","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":16.07,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":85.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.07,"methodology":"fee schedule"}]}]},{"description":"HCV GENOTYPE (PCR/PROBE)","code_information":[{"code":"87902","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":1445.4,"maximum":1900.8,"gross_charge":1980,"discounted_cash":1097.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1900.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1623.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1821.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1702.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1445.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1643.4,"methodology":"fee schedule"}]}]},{"description":"HCV GENOTYPE (PCR/PROBE)","code_information":[{"code":"87902","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":257.45,"maximum":1900.8,"gross_charge":1980,"discounted_cash":1097.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1367.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1881,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1900.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1623.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1821.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1702.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1445.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1643.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1366.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":257.45,"methodology":"fee schedule"}]}]},{"description":"PATHOLOGY FLUID-AA","code_information":[{"code":"88104","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":158.41,"maximum":208.32,"gross_charge":217,"discounted_cash":120.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":208.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":199.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":186.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.11,"methodology":"fee schedule"}]}]},{"description":"PATHOLOGY FLUID-AA","code_information":[{"code":"88104","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":101.99,"maximum":208.32,"gross_charge":217,"discounted_cash":120.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":115.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":206.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":208.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":199.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":186.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":101.99,"methodology":"fee schedule"}]}]},{"description":"CYTOPATH LIQ.","code_information":[{"code":"88112","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":63.51,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"}]}]},{"description":"CYTOPATH LIQ.","code_information":[{"code":"88112","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":40.89,"maximum":87,"gross_charge":87,"discounted_cash":48.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":40.89,"methodology":"fee schedule"}]}]},{"description":"IMMUNOPHENOTYPE SCREEN 1 RLFX","code_information":[{"code":"88184","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":298.57,"maximum":392.64,"gross_charge":409,"discounted_cash":226.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":392.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":335.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":376.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":351.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":339.47,"methodology":"fee schedule"}]}]},{"description":"IMMUNOPHENOTYPE SCREEN 1 RLFX","code_information":[{"code":"88184","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":192.23,"maximum":392.64,"gross_charge":409,"discounted_cash":226.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":202.63,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":388.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":392.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":335.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":376.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":351.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":298.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":339.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":282.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":192.23,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS ONLY","code_information":[{"code":"88300","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":75.19,"maximum":98.88,"gross_charge":103,"discounted_cash":57.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":98.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":94.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":88.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":85.49,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS ONLY","code_information":[{"code":"88300","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":34.48,"maximum":98.88,"gross_charge":103,"discounted_cash":57.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":97.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":98.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":84.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":94.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":88.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":85.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":48.41,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS/MICRO LII","code_information":[{"code":"88302","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":125.56,"maximum":165.12,"gross_charge":172,"discounted_cash":95.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":165.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":158.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":142.76,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS/MICRO LII","code_information":[{"code":"88302","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":72.95,"maximum":165.12,"gross_charge":172,"discounted_cash":95.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":165.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":158.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":147.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":142.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":118.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS/MICRO L3","code_information":[{"code":"88304","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":157.68,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS/MICRO L3","code_information":[{"code":"88304","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":89.16,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":89.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":101.52,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS/MICRO L4","code_information":[{"code":"88305","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":159.14,"maximum":209.28,"gross_charge":218,"discounted_cash":120.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":209.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":200.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":187.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.94,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS/MICRO L4","code_information":[{"code":"88305","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":98.28,"maximum":209.28,"gross_charge":218,"discounted_cash":120.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":98.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":207.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":209.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":200.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":187.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":180.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":150.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":102.46,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS/MICRO L5","code_information":[{"code":"88307","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":809.57,"maximum":1064.64,"gross_charge":1109,"discounted_cash":614.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":909.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1020.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":953.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":809.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":920.47,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS/MICRO L5","code_information":[{"code":"88307","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":521.23,"maximum":1064.64,"gross_charge":1109,"discounted_cash":614.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":600.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":909.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1020.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":953.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":809.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":920.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":765.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":521.23,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS/MICRO L6","code_information":[{"code":"88309","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":1128.58,"maximum":1484.16,"gross_charge":1546,"discounted_cash":856.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1468.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1267.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1422.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1329.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1128.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1283.18,"methodology":"fee schedule"}]}]},{"description":"SURG PATH GROSS/MICRO L6","code_information":[{"code":"88309","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":726.62,"maximum":1484.16,"gross_charge":1546,"discounted_cash":856.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":856.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1468.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1484.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1267.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1422.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1329.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1128.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1283.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1066.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":726.62,"methodology":"fee schedule"}]}]},{"description":"DECALCIFACATION PROC","code_information":[{"code":"88311","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":26.28,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"}]}]},{"description":"DECALCIFACATION PROC","code_information":[{"code":"88311","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":16.92,"maximum":34.56,"gross_charge":36,"discounted_cash":19.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":25.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.92,"methodology":"fee schedule"}]}]},{"description":"SPECIAL STAINS GROUP 1","code_information":[{"code":"88312","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":82.49,"maximum":108.48,"gross_charge":113,"discounted_cash":62.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":93.79,"methodology":"fee schedule"}]}]},{"description":"SPECIAL STAINS GROUP 1","code_information":[{"code":"88312","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":53.11,"maximum":113,"gross_charge":113,"discounted_cash":62.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":113,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":103.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":93.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":53.11,"methodology":"fee schedule"}]}]},{"description":"SPECIAL STAINS GROUP 2","code_information":[{"code":"88313","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":69.35,"maximum":91.2,"gross_charge":95,"discounted_cash":52.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.85,"methodology":"fee schedule"}]}]},{"description":"SPECIAL STAINS GROUP 2","code_information":[{"code":"88313","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":44.65,"maximum":95,"gross_charge":95,"discounted_cash":52.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"}]}]},{"description":"MYELOPEROXIDASE STAIN","code_information":[{"code":"88319","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":112.42,"maximum":147.84,"gross_charge":154,"discounted_cash":85.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":147.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":141.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":127.82,"methodology":"fee schedule"}]}]},{"description":"MYELOPEROXIDASE STAIN","code_information":[{"code":"88319","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":72.38,"maximum":154,"gross_charge":154,"discounted_cash":85.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":154,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":147.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":141.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":127.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":72.38,"methodology":"fee schedule"}]}]},{"description":"IMMUNOHISTOCHEM EACH AB","code_information":[{"code":"88341","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":79.57,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"}]}]},{"description":"IMMUNOHISTOCHEM EACH AB","code_information":[{"code":"88341","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":51.23,"maximum":109,"gross_charge":109,"discounted_cash":60.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":109,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":51.23,"methodology":"fee schedule"}]}]},{"description":"IMMUNOHISTOCHEM INITIAL AB","code_information":[{"code":"88342","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":79.57,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"}]}]},{"description":"IMMUNOHISTOCHEM INITIAL AB","code_information":[{"code":"88342","type":"CPT"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":51.23,"maximum":109,"gross_charge":109,"discounted_cash":60.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":109,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":51.23,"methodology":"fee schedule"}]}]},{"description":"HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS","code_information":[{"code":"8901","type":"APR-DRG"}],"standard_charges":[{"minimum":19400,"maximum":19400,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19400,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS","code_information":[{"code":"8902","type":"APR-DRG"}],"standard_charges":[{"minimum":19445,"maximum":19445,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19445,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS","code_information":[{"code":"8903","type":"APR-DRG"}],"standard_charges":[{"minimum":24443,"maximum":24443,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24443,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS","code_information":[{"code":"8904","type":"APR-DRG"}],"standard_charges":[{"minimum":78696,"maximum":78696,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78696,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"BODY FLUID CELL COUNT","code_information":[{"code":"89051","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":49.64,"maximum":65.28,"gross_charge":68,"discounted_cash":37.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":62.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":58.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":56.44,"methodology":"fee schedule"}]}]},{"description":"BODY FLUID CELL COUNT","code_information":[{"code":"89051","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.6,"maximum":65.28,"gross_charge":68,"discounted_cash":37.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":64.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":65.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":62.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":58.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":56.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.6,"methodology":"fee schedule"}]}]},{"description":"SYNOVIAL FLUID CELL COUNT","code_information":[{"code":"89051","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":29.2,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"}]}]},{"description":"SYNOVIAL FLUID CELL COUNT","code_information":[{"code":"89051","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.6,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.6,"methodology":"fee schedule"}]}]},{"description":"SYNOVIAL FLUID CRYSTALS","code_information":[{"code":"89060","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":71.54,"maximum":94.08,"gross_charge":98,"discounted_cash":54.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.34,"methodology":"fee schedule"}]}]},{"description":"SYNOVIAL FLUID CRYSTALS","code_information":[{"code":"89060","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.93,"maximum":94.08,"gross_charge":98,"discounted_cash":54.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":46.06,"methodology":"fee schedule"}]}]},{"description":"EOSINOPHIL NASAL","code_information":[{"code":"89190","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":56.21,"maximum":73.92,"gross_charge":77,"discounted_cash":42.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":73.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":66.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.91,"methodology":"fee schedule"}]}]},{"description":"EOSINOPHIL NASAL","code_information":[{"code":"89190","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":5.79,"maximum":73.92,"gross_charge":77,"discounted_cash":42.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":73.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":73.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":66.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.79,"methodology":"fee schedule"}]}]},{"description":"HIV WITH MAJOR HIV RELATED CONDITION","code_information":[{"code":"8921","type":"APR-DRG"}],"standard_charges":[{"minimum":13861,"maximum":13861,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13861,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH MAJOR HIV RELATED CONDITION","code_information":[{"code":"8922","type":"APR-DRG"}],"standard_charges":[{"minimum":15380,"maximum":15380,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15380,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH MAJOR HIV RELATED CONDITION","code_information":[{"code":"8923","type":"APR-DRG"}],"standard_charges":[{"minimum":30633,"maximum":30633,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30633,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH MAJOR HIV RELATED CONDITION","code_information":[{"code":"8924","type":"APR-DRG"}],"standard_charges":[{"minimum":33430,"maximum":33430,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33430,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS","code_information":[{"code":"8931","type":"APR-DRG"}],"standard_charges":[{"minimum":15229,"maximum":15229,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15229,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS","code_information":[{"code":"8932","type":"APR-DRG"}],"standard_charges":[{"minimum":17678,"maximum":17678,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17678,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS","code_information":[{"code":"8933","type":"APR-DRG"}],"standard_charges":[{"minimum":24223,"maximum":24223,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24223,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS","code_information":[{"code":"8934","type":"APR-DRG"}],"standard_charges":[{"minimum":41374,"maximum":41374,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":41374,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS","code_information":[{"code":"8941","type":"APR-DRG"}],"standard_charges":[{"minimum":11785,"maximum":11785,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11785,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS","code_information":[{"code":"8942","type":"APR-DRG"}],"standard_charges":[{"minimum":16487,"maximum":16487,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16487,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS","code_information":[{"code":"8943","type":"APR-DRG"}],"standard_charges":[{"minimum":21153,"maximum":21153,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21153,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS","code_information":[{"code":"8944","type":"APR-DRG"}],"standard_charges":[{"minimum":32883,"maximum":32883,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32883,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RABIES IMM PF 300UN/ML 3ML SDV","code_information":[{"code":"90375","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4292.4,"maximum":5644.8,"gross_charge":5880,"discounted_cash":3258.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5586,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5644.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4821.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5409.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5056.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4292.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4880.4,"methodology":"fee schedule"}]}]},{"description":"RABIES IMM PF 300UN/ML 3ML SDV","code_information":[{"code":"90375","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":375.62,"maximum":5644.8,"gross_charge":5880,"discounted_cash":3258.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":375.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5586,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5644.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4821.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5409.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5056.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4292.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4880.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4057.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2763.6,"methodology":"fee schedule"}]}]},{"description":"RABIES RIG PF 300U/ML 1ML SDV","code_information":[{"code":"90375","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1430.8,"maximum":1881.6,"gross_charge":1960,"discounted_cash":1086.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1862,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1881.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1607.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1803.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1685.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1430.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1626.8,"methodology":"fee schedule"}]}]},{"description":"RABIES RIG PF 300U/ML 1ML SDV","code_information":[{"code":"90375","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":375.62,"maximum":1881.6,"gross_charge":1960,"discounted_cash":1086.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":375.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1862,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1881.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1607.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1803.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1685.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1430.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1626.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1352.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":921.2,"methodology":"fee schedule"}]}]},{"description":"RABIES RIG PF 300U/ML 5ML SDV","code_information":[{"code":"90375","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7154,"maximum":9408,"gross_charge":9800,"discounted_cash":5430.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9310,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8036,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9016,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8428,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7154,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8134,"methodology":"fee schedule"}]}]},{"description":"RABIES RIG PF 300U/ML 5ML SDV","code_information":[{"code":"90375","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":375.62,"maximum":9408,"gross_charge":9800,"discounted_cash":5430.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":375.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9310,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9408,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8036,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9016,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8428,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7154,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8134,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6762,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4606,"methodology":"fee schedule"}]}]},{"description":"NIRSEVIMAB-ALIP 100 MG/ML SYR","code_information":[{"code":"90380","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":867.24,"maximum":1140.48,"gross_charge":1188,"discounted_cash":658.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1128.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1140.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":974.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1092.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1021.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":867.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":986.04,"methodology":"fee schedule"}]}]},{"description":"NIRSEVIMAB-ALIP 100 MG/ML SYR","code_information":[{"code":"90380","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":558.36,"maximum":1140.48,"gross_charge":1188,"discounted_cash":658.28,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1128.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1140.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":974.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1092.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1021.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":867.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":986.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":819.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":558.36,"methodology":"fee schedule"}]}]},{"description":"PNEU 13-VAL CRM 0.5ML SYR","code_information":[{"code":"90670","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":281.7143,"maximum":370.4736,"gross_charge":385.91,"discounted_cash":213.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":366.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":370.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":355.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":320.31,"methodology":"fee schedule"}]}]},{"description":"PNEU 13-VAL CRM 0.5ML SYR","code_information":[{"code":"90670","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":181.3777,"maximum":370.4736,"gross_charge":385.91,"discounted_cash":213.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":348.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":366.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":370.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":355.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":331.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":320.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":266.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":181.38,"methodology":"fee schedule"}]}]},{"description":"RABIES VAC (AVIAN) 1 ML","code_information":[{"code":"90675","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":596.0523,"maximum":783.8496,"gross_charge":816.51,"discounted_cash":452.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":751.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":702.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":596.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.71,"methodology":"fee schedule"}]}]},{"description":"RABIES VAC (AVIAN) 1 ML","code_information":[{"code":"90675","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":383.7597,"maximum":783.8496,"gross_charge":816.51,"discounted_cash":452.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":479.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":751.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":702.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":596.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":563.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":383.76,"methodology":"fee schedule"}]}]},{"description":"RABIES VAC HUM DIPLOID PF2.5","code_information":[{"code":"90675","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":496.8088,"maximum":653.3376,"gross_charge":680.56,"discounted_cash":377.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":646.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":653.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":558.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":626.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":585.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":496.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":564.87,"methodology":"fee schedule"}]}]},{"description":"RABIES VAC HUM DIPLOID PF2.5","code_information":[{"code":"90675","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":319.8632,"maximum":653.3376,"gross_charge":680.56,"discounted_cash":377.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":479.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":646.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":653.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":558.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":626.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":585.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":496.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":564.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":469.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":319.87,"methodology":"fee schedule"}]}]},{"description":"PNEUMOL 20-VAL CONJUG 0.5 ML","code_information":[{"code":"90677","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":457.71,"maximum":601.92,"gross_charge":627,"discounted_cash":347.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":601.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":514.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":576.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":539.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":457.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":520.41,"methodology":"fee schedule"}]}]},{"description":"PNEUMOL 20-VAL CONJUG 0.5 ML","code_information":[{"code":"90677","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":294.69,"maximum":601.92,"gross_charge":627,"discounted_cash":347.43,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":595.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":601.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":514.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":576.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":539.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":457.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":520.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":432.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":294.69,"methodology":"fee schedule"}]}]},{"description":"FLUARIX QUAD 2023-2024 SYRINGE","code_information":[{"code":"90686","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":86.14,"maximum":113.28,"gross_charge":118,"discounted_cash":65.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":113.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":108.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":101.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.94,"methodology":"fee schedule"}]}]},{"description":"FLUARIX QUAD 2023-2024 SYRINGE","code_information":[{"code":"90686","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":29.05,"maximum":113.28,"gross_charge":118,"discounted_cash":65.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29.05,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":112.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":113.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":108.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":101.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":55.46,"methodology":"fee schedule"}]}]},{"description":"FLUAD QUAD 2023-2024 SYRINGE","code_information":[{"code":"90694","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":237.98,"maximum":312.96,"gross_charge":326,"discounted_cash":180.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":309.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":312.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":267.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":299.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":280.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":270.58,"methodology":"fee schedule"}]}]},{"description":"FLUAD QUAD 2023-2024 SYRINGE","code_information":[{"code":"90694","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":96.77,"maximum":312.96,"gross_charge":326,"discounted_cash":180.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":96.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":309.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":312.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":267.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":299.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":280.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":270.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":224.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":153.22,"methodology":"fee schedule"}]}]},{"description":"MEASLES MU & RUB VAC.5 ML","code_information":[{"code":"90707","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":119.8952,"maximum":157.6704,"gross_charge":164.24,"discounted_cash":91.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.11,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.32,"methodology":"fee schedule"}]}]},{"description":"MEASLES MU & RUB VAC.5 ML","code_information":[{"code":"90707","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":77.1928,"maximum":157.6704,"gross_charge":164.24,"discounted_cash":91.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":93.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":134.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.11,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":119.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":77.2,"methodology":"fee schedule"}]}]},{"description":"TET/DIP TOXOIDS ADULT TD0.5ML","code_information":[{"code":"90714","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":39.4346,"maximum":51.8592,"gross_charge":54.02,"discounted_cash":29.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.7,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.84,"methodology":"fee schedule"}]}]},{"description":"TET/DIP TOXOIDS ADULT TD0.5ML","code_information":[{"code":"90714","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":25.3894,"maximum":51.8592,"gross_charge":54.02,"discounted_cash":29.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.7,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.39,"methodology":"fee schedule"}]}]},{"description":"TDAP 10+YRS 0.5ML SYRNG","code_information":[{"code":"90715","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":140.1162,"maximum":184.2624,"gross_charge":191.94,"discounted_cash":106.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":182.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":184.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":176.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":159.32,"methodology":"fee schedule"}]}]},{"description":"TDAP 10+YRS 0.5ML SYRNG","code_information":[{"code":"90715","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":50.62,"maximum":184.2624,"gross_charge":191.94,"discounted_cash":106.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":182.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":184.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":176.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":159.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":132.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":90.22,"methodology":"fee schedule"}]}]},{"description":"PNEU 23-VAL P-SAC VAC 0.5ML","code_information":[{"code":"90732","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":146.1533,"maximum":192.2016,"gross_charge":200.21,"discounted_cash":110.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":190.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":192.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":184.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":172.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":166.18,"methodology":"fee schedule"}]}]},{"description":"PNEU 23-VAL P-SAC VAC 0.5ML","code_information":[{"code":"90732","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":94.0987,"maximum":192.2016,"gross_charge":200.21,"discounted_cash":110.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":180.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":190.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":192.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":184.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":172.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":166.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":138.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":94.1,"methodology":"fee schedule"}]}]},{"description":"PNEU 23-VAL P-SAC VAC 25MCG","code_information":[{"code":"90732","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":170.9368,"maximum":224.7936,"gross_charge":234.16,"discounted_cash":129.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":222.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":224.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":215.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":201.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":194.36,"methodology":"fee schedule"}]}]},{"description":"PNEU 23-VAL P-SAC VAC 25MCG","code_information":[{"code":"90732","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":110.0552,"maximum":224.7936,"gross_charge":234.16,"discounted_cash":129.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":180.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":222.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":224.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":192.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":215.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":201.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":194.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":161.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":110.06,"methodology":"fee schedule"}]}]},{"description":"HEP B PED/ADULT 5MCG/0.5ML SDV","code_information":[{"code":"90744","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":37.1497,"maximum":48.8544,"gross_charge":50.89,"discounted_cash":28.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.24,"methodology":"fee schedule"}]}]},{"description":"HEP B PED/ADULT 5MCG/0.5ML SDV","code_information":[{"code":"90744","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":23.9183,"maximum":48.8544,"gross_charge":50.89,"discounted_cash":28.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.92,"methodology":"fee schedule"}]}]},{"description":"HEP B VIRUS VACPF(PED)10MCG/0","code_information":[{"code":"90744","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":37.4928,"maximum":49.3056,"gross_charge":51.36,"discounted_cash":28.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.26,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.63,"methodology":"fee schedule"}]}]},{"description":"HEP B VIRUS VACPF(PED)10MCG/0","code_information":[{"code":"90744","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":24.1392,"maximum":49.3056,"gross_charge":51.36,"discounted_cash":28.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.26,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24.14,"methodology":"fee schedule"}]}]},{"description":"HEP B VACC ADULT 10MCG/1ML","code_information":[{"code":"90746","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":87.7971,"maximum":115.4592,"gross_charge":120.27,"discounted_cash":66.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":115.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":110.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":103.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":99.83,"methodology":"fee schedule"}]}]},{"description":"HEP B VACC ADULT 10MCG/1ML","code_information":[{"code":"90746","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":56.5269,"maximum":115.4592,"gross_charge":120.27,"discounted_cash":66.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":115.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":110.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":103.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":99.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":82.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":56.53,"methodology":"fee schedule"}]}]},{"description":"HEP B VIRUS VAC PF 20 MCG/ML","code_information":[{"code":"90746","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":87.819,"maximum":115.488,"gross_charge":120.3,"discounted_cash":66.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":115.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":110.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":103.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":99.85,"methodology":"fee schedule"}]}]},{"description":"HEP B VIRUS VAC PF 20 MCG/ML","code_information":[{"code":"90746","type":"CPT"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":56.541,"maximum":115.488,"gross_charge":120.3,"discounted_cash":66.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":95.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":115.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":110.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":103.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":87.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":99.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":56.55,"methodology":"fee schedule"}]}]},{"description":"CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9101","type":"APR-DRG"}],"standard_charges":[{"minimum":54502,"maximum":54502,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54502,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9102","type":"APR-DRG"}],"standard_charges":[{"minimum":60558,"maximum":60558,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60558,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9103","type":"APR-DRG"}],"standard_charges":[{"minimum":82135,"maximum":82135,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":82135,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9104","type":"APR-DRG"}],"standard_charges":[{"minimum":124836,"maximum":124836,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":124836,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9111","type":"APR-DRG"}],"standard_charges":[{"minimum":35114,"maximum":35114,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35114,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9112","type":"APR-DRG"}],"standard_charges":[{"minimum":43645,"maximum":43645,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":43645,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9113","type":"APR-DRG"}],"standard_charges":[{"minimum":55489,"maximum":55489,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55489,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9114","type":"APR-DRG"}],"standard_charges":[{"minimum":142570,"maximum":142570,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":142570,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9121","type":"APR-DRG"}],"standard_charges":[{"minimum":42035,"maximum":42035,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42035,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9122","type":"APR-DRG"}],"standard_charges":[{"minimum":48856,"maximum":48856,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":48856,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9123","type":"APR-DRG"}],"standard_charges":[{"minimum":63005,"maximum":63005,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63005,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA","code_information":[{"code":"9124","type":"APR-DRG"}],"standard_charges":[{"minimum":109946,"maximum":109946,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":109946,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"CPR ER","code_information":[{"code":"92950","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":629.26,"maximum":827.52,"gross_charge":862,"discounted_cash":477.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":818.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":827.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":793.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":741.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":629.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":715.46,"methodology":"fee schedule"}]}]},{"description":"CPR ER","code_information":[{"code":"92950","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":405.14,"maximum":862,"gross_charge":862,"discounted_cash":477.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":862,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":818.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":827.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":706.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":793.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":741.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":629.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":715.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":594.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":405.14,"methodology":"fee schedule"}]}]},{"description":"CARDIOVERSION EXTERNAL ER","code_information":[{"code":"92960","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":609.55,"maximum":801.6,"gross_charge":835,"discounted_cash":462.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":793.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":801.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":684.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":768.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":718.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":693.05,"methodology":"fee schedule"}]}]},{"description":"CARDIOVERSION EXTERNAL ER","code_information":[{"code":"92960","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":392.45,"maximum":801.6,"gross_charge":835,"discounted_cash":462.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":558.47,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":793.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":801.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":684.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":768.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":718.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":609.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":693.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":576.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":392.45,"methodology":"fee schedule"}]}]},{"description":"EKG 12 LEAD","code_information":[{"code":"93005","type":"CPT"},{"code":"0730","type":"RC"}],"standard_charges":[{"minimum":166.44,"maximum":218.88,"gross_charge":228,"discounted_cash":126.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":216.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":218.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":209.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":189.24,"methodology":"fee schedule"}]}]},{"description":"EKG 12 LEAD","code_information":[{"code":"93005","type":"CPT"},{"code":"0730","type":"RC"}],"standard_charges":[{"minimum":22.87,"maximum":218.88,"gross_charge":228,"discounted_cash":126.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":216.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":218.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":209.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":189.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":157.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":107.16,"methodology":"fee schedule"}]}]},{"description":"MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE","code_information":[{"code":"9301","type":"APR-DRG"}],"standard_charges":[{"minimum":12835,"maximum":12835,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12835,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXERCISE TEST - TREADMILL","code_information":[{"code":"93017","type":"CPT"},{"code":"0482","type":"RC"}],"standard_charges":[{"minimum":565.02,"maximum":743.04,"gross_charge":774,"discounted_cash":428.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":735.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":743.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":634.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":712.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":665.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":565.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":642.42,"methodology":"fee schedule"}]}]},{"description":"EXERCISE TEST - TREADMILL","code_information":[{"code":"93017","type":"CPT"},{"code":"0482","type":"RC"}],"standard_charges":[{"minimum":121.56,"maximum":743.04,"gross_charge":774,"discounted_cash":428.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":121.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":735.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":743.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":634.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":712.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":665.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":565.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":642.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":534.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":363.78,"methodology":"fee schedule"}]}]},{"description":"MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE","code_information":[{"code":"9302","type":"APR-DRG"}],"standard_charges":[{"minimum":15474,"maximum":15474,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15474,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE","code_information":[{"code":"9303","type":"APR-DRG"}],"standard_charges":[{"minimum":24290,"maximum":24290,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24290,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE","code_information":[{"code":"9304","type":"APR-DRG"}],"standard_charges":[{"minimum":63133,"maximum":63133,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63133,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"RHYTHM STRIP","code_information":[{"code":"93041","type":"CPT"},{"code":"0730","type":"RC"}],"standard_charges":[{"minimum":45.26,"maximum":59.52,"gross_charge":62,"discounted_cash":34.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.46,"methodology":"fee schedule"}]}]},{"description":"RHYTHM STRIP","code_information":[{"code":"93041","type":"CPT"},{"code":"0730","type":"RC"}],"standard_charges":[{"minimum":20.45,"maximum":59.52,"gross_charge":62,"discounted_cash":34.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.14,"methodology":"fee schedule"}]}]},{"description":"HOLTER MONITOR 24 HR","code_information":[{"code":"93225","type":"CPT"},{"code":"0731","type":"RC"}],"standard_charges":[{"minimum":165.71,"maximum":217.92,"gross_charge":227,"discounted_cash":125.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":217.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":208.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":195.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":188.41,"methodology":"fee schedule"}]}]},{"description":"HOLTER MONITOR 24 HR","code_information":[{"code":"93225","type":"CPT"},{"code":"0731","type":"RC"}],"standard_charges":[{"minimum":69.8,"maximum":217.92,"gross_charge":227,"discounted_cash":125.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":69.8,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":217.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":208.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":195.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":188.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":156.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":106.69,"methodology":"fee schedule"}]}]},{"description":"HOLTER MONITOR 48 HR","code_information":[{"code":"93226","type":"CPT"},{"code":"0731","type":"RC"}],"standard_charges":[{"minimum":165.71,"maximum":217.92,"gross_charge":227,"discounted_cash":125.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":217.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":208.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":195.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":188.41,"methodology":"fee schedule"}]}]},{"description":"HOLTER MONITOR 48 HR","code_information":[{"code":"93226","type":"CPT"},{"code":"0731","type":"RC"}],"standard_charges":[{"minimum":106.69,"maximum":217.92,"gross_charge":227,"discounted_cash":125.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":143.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":215.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":217.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":186.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":208.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":195.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":165.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":188.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":156.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":106.69,"methodology":"fee schedule"}]}]},{"description":"EVENT MONITOR","code_information":[{"code":"93270","type":"CPT"},{"code":"0731","type":"RC"}],"standard_charges":[{"minimum":58.4,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"}]}]},{"description":"EVENT MONITOR","code_information":[{"code":"93270","type":"CPT"},{"code":"0731","type":"RC"}],"standard_charges":[{"minimum":31.28,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.6,"methodology":"fee schedule"}]}]},{"description":"ECHO COMP WO CONT","code_information":[{"code":"93306","type":"CPT"},{"code":"0483","type":"RC"}],"standard_charges":[{"minimum":886.95,"maximum":1166.4,"gross_charge":1215,"discounted_cash":673.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1166.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":996.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1117.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":886.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1008.45,"methodology":"fee schedule"}]}]},{"description":"ECHO COMP WO CONT","code_information":[{"code":"93306","type":"CPT"},{"code":"0483","type":"RC"}],"standard_charges":[{"minimum":571.05,"maximum":1166.4,"gross_charge":1215,"discounted_cash":673.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":580.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1154.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1166.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":996.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1117.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1044.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":886.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1008.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":838.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":571.05,"methodology":"fee schedule"}]}]},{"description":"ECHO 2D WO CONT","code_information":[{"code":"93307","type":"CPT"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":272.29,"maximum":358.08,"gross_charge":373,"discounted_cash":206.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":358.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":305.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":343.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":320.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":309.59,"methodology":"fee schedule"}]}]},{"description":"ECHO 2D WO CONT","code_information":[{"code":"93307","type":"CPT"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":175.31,"maximum":358.08,"gross_charge":373,"discounted_cash":206.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":350.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":354.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":358.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":305.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":343.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":320.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":309.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":257.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":175.31,"methodology":"fee schedule"}]}]},{"description":"FOLLOW-UP ECHO STUDY WO CONT","code_information":[{"code":"93308","type":"CPT"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":294.19,"maximum":386.88,"gross_charge":403,"discounted_cash":223.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":382.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":386.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":370.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":346.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":334.49,"methodology":"fee schedule"}]}]},{"description":"FOLLOW-UP ECHO STUDY WO CONT","code_information":[{"code":"93308","type":"CPT"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":189.41,"maximum":386.88,"gross_charge":403,"discounted_cash":223.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":267.2,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":382.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":386.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":330.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":370.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":346.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":334.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":278.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":189.41,"methodology":"fee schedule"}]}]},{"description":"CAROTID COMP","code_information":[{"code":"93880","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":775.26,"maximum":1019.52,"gross_charge":1062,"discounted_cash":588.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":870.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":977.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":913.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":775.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":881.46,"methodology":"fee schedule"}]}]},{"description":"CAROTID COMP","code_information":[{"code":"93880","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":499.14,"maximum":1019.52,"gross_charge":1062,"discounted_cash":588.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":569.3,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1008.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":870.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":977.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":913.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":775.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":881.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":732.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":499.14,"methodology":"fee schedule"}]}]},{"description":"US ANKLE/BRACHIAL INDEX PADNET","code_information":[{"code":"93923","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":743.87,"maximum":978.24,"gross_charge":1019,"discounted_cash":564.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":978.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":835.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":937.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":876.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":743.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":845.77,"methodology":"fee schedule"}]}]},{"description":"US ANKLE/BRACHIAL INDEX PADNET","code_information":[{"code":"93923","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":389.97,"maximum":978.24,"gross_charge":1019,"discounted_cash":564.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":389.97,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":968.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":978.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":835.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":937.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":876.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":743.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":845.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":703.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":478.93,"methodology":"fee schedule"}]}]},{"description":"ART DOPPLER W STRESS","code_information":[{"code":"93924","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":907.39,"maximum":1193.28,"gross_charge":1243,"discounted_cash":688.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1180.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1193.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1019.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1143.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":907.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1031.69,"methodology":"fee schedule"}]}]},{"description":"ART DOPPLER W STRESS","code_information":[{"code":"93924","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":493.48,"maximum":1193.28,"gross_charge":1243,"discounted_cash":688.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":493.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1180.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1193.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1019.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1143.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1068.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":907.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1031.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":857.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":584.21,"methodology":"fee schedule"}]}]},{"description":"US ANKLE/BRACHIAL INDEX W STRE","code_information":[{"code":"93924","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":894.25,"maximum":1176,"gross_charge":1225,"discounted_cash":678.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1163.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1176,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1004.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1127,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":894.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1016.75,"methodology":"fee schedule"}]}]},{"description":"US ANKLE/BRACHIAL INDEX W STRE","code_information":[{"code":"93924","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":493.48,"maximum":1176,"gross_charge":1225,"discounted_cash":678.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":493.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1163.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1176,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1004.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1127,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":894.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1016.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":845.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":575.75,"methodology":"fee schedule"}]}]},{"description":"ARTERIAL DUPLEX LWR EXT BIL","code_information":[{"code":"93925","type":"CPT"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":1244.65,"maximum":1636.8,"gross_charge":1705,"discounted_cash":944.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1619.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1398.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1568.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1466.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1244.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1415.15,"methodology":"fee schedule"}]}]},{"description":"ARTERIAL DUPLEX LWR EXT BIL","code_information":[{"code":"93925","type":"CPT"},{"code":"0480","type":"RC"}],"standard_charges":[{"minimum":764.31,"maximum":1636.8,"gross_charge":1705,"discounted_cash":944.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":764.31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1619.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1398.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1568.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1466.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1244.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1415.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1176.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":801.35,"methodology":"fee schedule"}]}]},{"description":"CV ARTERIAL DUPLEX LEGS BI","code_information":[{"code":"93925","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":1244.65,"maximum":1636.8,"gross_charge":1705,"discounted_cash":944.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1619.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1398.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1568.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1466.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1244.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1415.15,"methodology":"fee schedule"}]}]},{"description":"CV ARTERIAL DUPLEX LEGS BI","code_information":[{"code":"93925","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":764.31,"maximum":1636.8,"gross_charge":1705,"discounted_cash":944.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":764.31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1619.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1398.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1568.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1466.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1244.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1415.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1176.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":801.35,"methodology":"fee schedule"}]}]},{"description":"CV ARTERIAL DUPLEX LEG UNI","code_information":[{"code":"93926","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":716.86,"maximum":942.72,"gross_charge":982,"discounted_cash":544.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":942.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":805.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":903.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":844.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":716.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":815.06,"methodology":"fee schedule"}]}]},{"description":"CV ARTERIAL DUPLEX LEG UNI","code_information":[{"code":"93926","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":446.54,"maximum":942.72,"gross_charge":982,"discounted_cash":544.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":446.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":932.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":942.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":805.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":903.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":844.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":716.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":815.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":677.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":461.54,"methodology":"fee schedule"}]}]},{"description":"CV ARTERIAL DUPLEX ARMS BI","code_information":[{"code":"93930","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":1624.98,"maximum":2136.96,"gross_charge":2226,"discounted_cash":1233.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2136.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1825.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2047.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1914.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1624.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1847.58,"methodology":"fee schedule"}]}]},{"description":"CV ARTERIAL DUPLEX ARMS BI","code_information":[{"code":"93930","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":590.97,"maximum":2136.96,"gross_charge":2226,"discounted_cash":1233.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":590.97,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2114.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2136.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1825.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2047.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1914.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1624.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1847.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1535.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1046.22,"methodology":"fee schedule"}]}]},{"description":"CV ARTERIAL DUPLEX ARM UNI","code_information":[{"code":"93931","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":738.03,"maximum":970.56,"gross_charge":1011,"discounted_cash":560.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":960.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":970.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":829.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":930.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":869.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":738.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":839.13,"methodology":"fee schedule"}]}]},{"description":"CV ARTERIAL DUPLEX ARM UNI","code_information":[{"code":"93931","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":370.71,"maximum":970.56,"gross_charge":1011,"discounted_cash":560.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":370.71,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":960.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":970.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":829.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":930.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":869.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":738.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":839.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":697.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":475.17,"methodology":"fee schedule"}]}]},{"description":"CV VENOUS DUPLEX ARMS BI","code_information":[{"code":"93970","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":851.91,"maximum":1120.32,"gross_charge":1167,"discounted_cash":646.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1120.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":956.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1073.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1003.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":851.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":968.61,"methodology":"fee schedule"}]}]},{"description":"CV VENOUS DUPLEX ARMS BI","code_information":[{"code":"93970","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":548.49,"maximum":1120.32,"gross_charge":1167,"discounted_cash":646.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":574.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1108.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1120.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":956.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1073.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1003.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":851.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":968.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":805.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":548.49,"methodology":"fee schedule"}]}]},{"description":"VEIN MAPPING LT","code_information":[{"code":"93970","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":688.39,"maximum":905.28,"gross_charge":943,"discounted_cash":522.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":895.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":905.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":773.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":867.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":810.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":688.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":782.69,"methodology":"fee schedule"}]}]},{"description":"VEIN MAPPING LT","code_information":[{"code":"93970","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":443.21,"maximum":905.28,"gross_charge":943,"discounted_cash":522.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":574.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":895.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":905.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":773.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":867.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":810.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":688.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":782.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":650.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":443.21,"methodology":"fee schedule"}]}]},{"description":"CV VENOUS DUPLEX UNI","code_information":[{"code":"93971","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":575.97,"maximum":757.44,"gross_charge":789,"discounted_cash":437.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":749.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":757.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":646.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":725.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":678.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":575.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":654.87,"methodology":"fee schedule"}]}]},{"description":"CV VENOUS DUPLEX UNI","code_information":[{"code":"93971","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":358.68,"maximum":757.44,"gross_charge":789,"discounted_cash":437.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":358.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":749.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":757.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":646.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":725.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":678.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":575.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":654.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":544.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":370.83,"methodology":"fee schedule"}]}]},{"description":"VENOUS DUPLEX ARM LT","code_information":[{"code":"93971","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":564.29,"maximum":742.08,"gross_charge":773,"discounted_cash":428.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":734.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":742.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":633.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":711.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":664.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":564.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":641.59,"methodology":"fee schedule"}]}]},{"description":"VENOUS DUPLEX ARM LT","code_information":[{"code":"93971","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":358.68,"maximum":742.08,"gross_charge":773,"discounted_cash":428.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":358.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":734.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":742.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":633.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":711.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":664.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":564.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":641.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":533.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":363.31,"methodology":"fee schedule"}]}]},{"description":"ART VEN ABD PELV SCRT CNT COMP","code_information":[{"code":"93975","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":967.25,"maximum":1272,"gross_charge":1325,"discounted_cash":734.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1258.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1272,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1086.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1219,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":967.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1099.75,"methodology":"fee schedule"}]}]},{"description":"ART VEN ABD PELV SCRT CNT COMP","code_information":[{"code":"93975","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":622.75,"maximum":1272,"gross_charge":1325,"discounted_cash":734.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":783.53,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1258.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1272,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1086.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1219,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1139.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":967.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1099.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":914.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":622.75,"methodology":"fee schedule"}]}]},{"description":"VL DUPLEX ABD PEL RET COMP","code_information":[{"code":"93975","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":1275.31,"maximum":1677.12,"gross_charge":1747,"discounted_cash":968.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1677.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1432.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1607.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1502.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1275.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1450.01,"methodology":"fee schedule"}]}]},{"description":"VL DUPLEX ABD PEL RET COMP","code_information":[{"code":"93975","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":783.53,"maximum":1677.12,"gross_charge":1747,"discounted_cash":968.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":783.53,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1659.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1677.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1432.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1607.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1502.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1275.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1450.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1205.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":821.09,"methodology":"fee schedule"}]}]},{"description":"ART VEN ABD PELV SCRT CNT LTD","code_information":[{"code":"93976","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":862.86,"maximum":1134.72,"gross_charge":1182,"discounted_cash":654.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":969.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1087.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1016.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":862.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":981.06,"methodology":"fee schedule"}]}]},{"description":"ART VEN ABD PELV SCRT CNT LTD","code_information":[{"code":"93976","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":444.14,"maximum":1134.72,"gross_charge":1182,"discounted_cash":654.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":444.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1122.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1134.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":969.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1087.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1016.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":862.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":981.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":815.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":555.54,"methodology":"fee schedule"}]}]},{"description":"VL DIALYSIS ACCESS SITE","code_information":[{"code":"93990","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":809.57,"maximum":1064.64,"gross_charge":1109,"discounted_cash":614.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":909.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1020.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":953.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":809.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":920.47,"methodology":"fee schedule"}]}]},{"description":"VL DIALYSIS ACCESS SITE","code_information":[{"code":"93990","type":"CPT"},{"code":"0921","type":"RC"}],"standard_charges":[{"minimum":458.59,"maximum":1064.64,"gross_charge":1109,"discounted_cash":614.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":458.59,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1053.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1064.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":909.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1020.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":953.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":809.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":920.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":765.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":521.23,"methodology":"fee schedule"}]}]},{"description":"MDI/NEBULIZER SMALL VOL ER","code_information":[{"code":"94640","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":73,"maximum":96,"gross_charge":100,"discounted_cash":55.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"}]}]},{"description":"MDI/NEBULIZER SMALL VOL ER","code_information":[{"code":"94640","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":47,"maximum":96,"gross_charge":100,"discounted_cash":55.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49.35,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":47,"methodology":"fee schedule"}]}]},{"description":"EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9501","type":"APR-DRG"}],"standard_charges":[{"minimum":24115,"maximum":24115,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24115,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9502","type":"APR-DRG"}],"standard_charges":[{"minimum":36957,"maximum":36957,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":36957,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9503","type":"APR-DRG"}],"standard_charges":[{"minimum":163833,"maximum":163833,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":163833,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9504","type":"APR-DRG"}],"standard_charges":[{"minimum":166883,"maximum":166883,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":166883,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9511","type":"APR-DRG"}],"standard_charges":[{"minimum":21257,"maximum":21257,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21257,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9512","type":"APR-DRG"}],"standard_charges":[{"minimum":30071,"maximum":30071,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30071,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9513","type":"APR-DRG"}],"standard_charges":[{"minimum":37401,"maximum":37401,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37401,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9514","type":"APR-DRG"}],"standard_charges":[{"minimum":97928,"maximum":97928,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":97928,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9521","type":"APR-DRG"}],"standard_charges":[{"minimum":14267,"maximum":14267,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14267,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9522","type":"APR-DRG"}],"standard_charges":[{"minimum":19828,"maximum":19828,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":19828,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9523","type":"APR-DRG"}],"standard_charges":[{"minimum":31636,"maximum":31636,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31636,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS","code_information":[{"code":"9524","type":"APR-DRG"}],"standard_charges":[{"minimum":71929,"maximum":71929,"setting":"inpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71929,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}]}]},{"description":"MULTIPLE SLEEP LATENCY MSLT","code_information":[{"code":"95805","type":"CPT"},{"code":"0740","type":"RC"}],"standard_charges":[{"minimum":1948.37,"maximum":2562.24,"gross_charge":2669,"discounted_cash":1478.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2562.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2188.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2455.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2295.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1948.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2215.27,"methodology":"fee schedule"}]}]},{"description":"MULTIPLE SLEEP LATENCY MSLT","code_information":[{"code":"95805","type":"CPT"},{"code":"0740","type":"RC"}],"standard_charges":[{"minimum":1254.43,"maximum":2562.24,"gross_charge":2669,"discounted_cash":1478.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1278.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2535.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2562.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2188.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2455.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2295.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1948.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2215.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1841.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1254.43,"methodology":"fee schedule"}]}]},{"description":"POLYSOMNOGRAPHY","code_information":[{"code":"95810","type":"CPT"},{"code":"0920","type":"RC"}],"standard_charges":[{"minimum":2909.78,"maximum":3826.56,"gross_charge":3986,"discounted_cash":2208.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3786.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3826.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3268.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3667.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3427.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2909.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3308.38,"methodology":"fee schedule"}]}]},{"description":"POLYSOMNOGRAPHY","code_information":[{"code":"95810","type":"CPT"},{"code":"0920","type":"RC"}],"standard_charges":[{"minimum":1750.05,"maximum":3826.56,"gross_charge":3986,"discounted_cash":2208.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1750.05,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3786.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3826.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3268.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3667.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3427.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2909.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3308.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2750.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1873.42,"methodology":"fee schedule"}]}]},{"description":"SLEEP STUDY W BIPAP OR CPAP","code_information":[{"code":"95811","type":"CPT"},{"code":"0740","type":"RC"}],"standard_charges":[{"minimum":3130.97,"maximum":4117.44,"gross_charge":4289,"discounted_cash":2376.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4074.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4117.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3516.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3945.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3688.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3130.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3559.87,"methodology":"fee schedule"}]}]},{"description":"SLEEP STUDY W BIPAP OR CPAP","code_information":[{"code":"95811","type":"CPT"},{"code":"0740","type":"RC"}],"standard_charges":[{"minimum":1829.48,"maximum":4117.44,"gross_charge":4289,"discounted_cash":2376.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1829.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4074.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4117.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3516.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3945.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3688.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3130.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3559.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2959.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2015.83,"methodology":"fee schedule"}]}]},{"description":"SLEEP STUDY W CPAP LTD","code_information":[{"code":"95811","type":"CPT"},{"code":"0920","type":"RC"}],"standard_charges":[{"minimum":3130.97,"maximum":4117.44,"gross_charge":4289,"discounted_cash":2376.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4074.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4117.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3516.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3945.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3688.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3130.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3559.87,"methodology":"fee schedule"}]}]},{"description":"SLEEP STUDY W CPAP LTD","code_information":[{"code":"95811","type":"CPT"},{"code":"0920","type":"RC"}],"standard_charges":[{"minimum":1829.48,"maximum":4117.44,"gross_charge":4289,"discounted_cash":2376.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1829.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4074.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4117.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3516.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3945.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3688.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3130.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3559.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2959.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2015.83,"methodology":"fee schedule"}]}]},{"description":"EEG EXTENDED WAKE 41-60 MN","code_information":[{"code":"95812","type":"CPT"},{"code":"0740","type":"RC"}],"standard_charges":[{"minimum":1243.92,"maximum":1635.84,"gross_charge":1704,"discounted_cash":944.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1618.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1635.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1397.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1567.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1465.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1243.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1414.32,"methodology":"fee schedule"}]}]},{"description":"EEG EXTENDED WAKE 41-60 MN","code_information":[{"code":"95812","type":"CPT"},{"code":"0740","type":"RC"}],"standard_charges":[{"minimum":800.88,"maximum":1635.84,"gross_charge":1704,"discounted_cash":944.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1019.47,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1618.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1635.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1397.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1567.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1465.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1243.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1414.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1175.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":800.88,"methodology":"fee schedule"}]}]},{"description":"EEG AWAKE AND DROWSY","code_information":[{"code":"95816","type":"CPT"},{"code":"0740","type":"RC"}],"standard_charges":[{"minimum":1123.47,"maximum":1477.44,"gross_charge":1539,"discounted_cash":852.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1477.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1261.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1415.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1323.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1123.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1277.37,"methodology":"fee schedule"}]}]},{"description":"EEG AWAKE AND DROWSY","code_information":[{"code":"95816","type":"CPT"},{"code":"0740","type":"RC"}],"standard_charges":[{"minimum":723.33,"maximum":1477.44,"gross_charge":1539,"discounted_cash":852.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1133.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1462.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1477.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1261.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1415.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1323.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1123.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1277.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1061.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":723.33,"methodology":"fee schedule"}]}]},{"description":"EEG AWAKE ASLEEP 20-40 MN","code_information":[{"code":"95819","type":"CPT"},{"code":"0740","type":"RC"}],"standard_charges":[{"minimum":1306.7,"maximum":1718.4,"gross_charge":1790,"discounted_cash":991.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1700.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1718.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1467.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1646.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1539.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1306.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1485.7,"methodology":"fee schedule"}]}]},{"description":"EEG AWAKE ASLEEP 20-40 MN","code_information":[{"code":"95819","type":"CPT"},{"code":"0740","type":"RC"}],"standard_charges":[{"minimum":841.3,"maximum":1718.4,"gross_charge":1790,"discounted_cash":991.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1398.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1700.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1718.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1467.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1646.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1539.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1306.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1485.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1235.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":841.3,"methodology":"fee schedule"}]}]},{"description":"IV HYD 1ST HR (31-90M) ER","code_information":[{"code":"96360","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":461.36,"maximum":606.72,"gross_charge":632,"discounted_cash":350.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":606.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":518.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":581.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":543.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":461.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":524.56,"methodology":"fee schedule"}]}]},{"description":"IV HYD 1ST HR (31-90M) ER","code_information":[{"code":"96360","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":297.04,"maximum":606.72,"gross_charge":632,"discounted_cash":350.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":399.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":606.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":518.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":581.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":543.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":461.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":524.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":436.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":297.04,"methodology":"fee schedule"}]}]},{"description":"IV HYD EA ADD HR (91M+) ER","code_information":[{"code":"96361","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":212.43,"maximum":279.36,"gross_charge":291,"discounted_cash":161.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":279.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":267.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":250.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":241.53,"methodology":"fee schedule"}]}]},{"description":"IV HYD EA ADD HR (91M+) ER","code_information":[{"code":"96361","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":78.5,"maximum":279.36,"gross_charge":291,"discounted_cash":161.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":279.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":267.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":250.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":241.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":200.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":136.77,"methodology":"fee schedule"}]}]},{"description":"IV INF TX/DX 1ST 16-90M ER","code_information":[{"code":"96365","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":461.36,"maximum":606.72,"gross_charge":632,"discounted_cash":350.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":606.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":518.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":581.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":543.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":461.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":524.56,"methodology":"fee schedule"}]}]},{"description":"IV INF TX/DX 1ST 16-90M ER","code_information":[{"code":"96365","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":297.04,"maximum":606.72,"gross_charge":632,"discounted_cash":350.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":399.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":600.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":606.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":518.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":581.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":543.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":461.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":524.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":436.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":297.04,"methodology":"fee schedule"}]}]},{"description":"IV INF TX/DX EA ADD(91+) ER","code_information":[{"code":"96366","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":202.94,"maximum":266.88,"gross_charge":278,"discounted_cash":154.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":266.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":255.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":239.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":202.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":230.74,"methodology":"fee schedule"}]}]},{"description":"IV INF TX/DX EA ADD(91+) ER","code_information":[{"code":"96366","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":78.5,"maximum":266.88,"gross_charge":278,"discounted_cash":154.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":264.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":266.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":255.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":239.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":202.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":230.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":191.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":130.66,"methodology":"fee schedule"}]}]},{"description":"IV INF SEQ EA ADDL HR ER","code_information":[{"code":"96367","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":212.43,"maximum":279.36,"gross_charge":291,"discounted_cash":161.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":279.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":267.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":250.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":241.53,"methodology":"fee schedule"}]}]},{"description":"IV INF SEQ EA ADDL HR ER","code_information":[{"code":"96367","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":121.62,"maximum":279.36,"gross_charge":291,"discounted_cash":161.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":121.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":276.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":279.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":238.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":267.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":250.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":212.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":241.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":200.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":136.77,"methodology":"fee schedule"}]}]},{"description":"IV INF CONCURR PER DAY ER","code_information":[{"code":"96368","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":294.92,"maximum":387.84,"gross_charge":404,"discounted_cash":223.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":387.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":331.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":371.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":347.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":335.32,"methodology":"fee schedule"}]}]},{"description":"IV INF CONCURR PER DAY ER","code_information":[{"code":"96368","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":189.88,"maximum":387.84,"gross_charge":404,"discounted_cash":223.86,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":387.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":331.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":371.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":347.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":335.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":278.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":189.88,"methodology":"fee schedule"}]}]},{"description":"INJ SUBQ/IM ER","code_information":[{"code":"96372","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":75.92,"maximum":99.84,"gross_charge":104,"discounted_cash":57.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":99.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":95.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":89.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":86.32,"methodology":"fee schedule"}]}]},{"description":"INJ SUBQ/IM ER","code_information":[{"code":"96372","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":48.88,"maximum":104,"gross_charge":104,"discounted_cash":57.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":104,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":98.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":99.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":95.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":89.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":86.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":71.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":48.88,"methodology":"fee schedule"}]}]},{"description":"IV PUSH INITIAL/SINGLE ER","code_information":[{"code":"96374","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":189.8,"maximum":249.6,"gross_charge":260,"discounted_cash":144.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":223.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":215.8,"methodology":"fee schedule"}]}]},{"description":"IV PUSH INITIAL/SINGLE ER","code_information":[{"code":"96374","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":122.2,"maximum":260,"gross_charge":260,"discounted_cash":144.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":260,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":223.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":215.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":122.2,"methodology":"fee schedule"}]}]},{"description":"IV PUSH EA ADD DIFF RX ER","code_information":[{"code":"96375","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":189.8,"maximum":249.6,"gross_charge":260,"discounted_cash":144.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":223.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":215.8,"methodology":"fee schedule"}]}]},{"description":"IV PUSH EA ADD DIFF RX ER","code_information":[{"code":"96375","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":78.5,"maximum":249.6,"gross_charge":260,"discounted_cash":144.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":223.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":215.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":122.2,"methodology":"fee schedule"}]}]},{"description":"IV PUSH EA ADD SAME RX ER","code_information":[{"code":"96376","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":189.8,"maximum":249.6,"gross_charge":260,"discounted_cash":144.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":223.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":215.8,"methodology":"fee schedule"}]}]},{"description":"IV PUSH EA ADD SAME RX ER","code_information":[{"code":"96376","type":"CPT"},{"code":"450IJ","type":"RC"}],"standard_charges":[{"minimum":122.2,"maximum":249.6,"gross_charge":260,"discounted_cash":144.07,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":247,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":249.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":213.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":239.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":223.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":189.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":215.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":179.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":122.2,"methodology":"fee schedule"}]}]},{"description":"DEBR/REM DEV TISS <20 ER","code_information":[{"code":"97597","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":332.88,"maximum":437.76,"gross_charge":456,"discounted_cash":252.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":433.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":437.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":373.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":419.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":392.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":378.48,"methodology":"fee schedule"}]}]},{"description":"DEBR/REM DEV TISS <20 ER","code_information":[{"code":"97597","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":214.32,"maximum":437.76,"gross_charge":456,"discounted_cash":252.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":353.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":433.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":437.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":373.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":419.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":392.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":332.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":378.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":314.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":214.32,"methodology":"fee schedule"}]}]},{"description":"DRUG SCREEN COLLECTION FEE","code_information":[{"code":"99001","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":38.69,"maximum":50.88,"gross_charge":53,"discounted_cash":29.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.99,"methodology":"fee schedule"}]}]},{"description":"DRUG SCREEN COLLECTION FEE","code_information":[{"code":"99001","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.91,"maximum":50.88,"gross_charge":53,"discounted_cash":29.37,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24.91,"methodology":"fee schedule"}]}]},{"description":"THERAPUTIC PHLEBOTOMY","code_information":[{"code":"99195","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":595.68,"maximum":783.36,"gross_charge":816,"discounted_cash":452.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"}]}]},{"description":"THERAPUTIC PHLEBOTOMY","code_information":[{"code":"99195","type":"CPT"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":374.32,"maximum":783.36,"gross_charge":816,"discounted_cash":452.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":374.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":775.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":783.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":669.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":750.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":701.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":595.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":677.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":563.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":383.52,"methodology":"fee schedule"}]}]},{"description":"LEVEL 1 ER","code_information":[{"code":"99281","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":169.36,"maximum":222.72,"gross_charge":232,"discounted_cash":128.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":220.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":222.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":190.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":213.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":199.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":169.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":192.56,"methodology":"fee schedule"}]}]},{"description":"LEVEL 1 ER","code_information":[{"code":"99281","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":109.04,"maximum":222.72,"gross_charge":232,"discounted_cash":128.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":133.96,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":220.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":222.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":190.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":213.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":199.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":169.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":192.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":160.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":109.04,"methodology":"fee schedule"}]}]},{"description":"LEVEL 2 ER","code_information":[{"code":"99282","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":235.06,"maximum":309.12,"gross_charge":322,"discounted_cash":178.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":296.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":267.26,"methodology":"fee schedule"}]}]},{"description":"LEVEL 2 ER","code_information":[{"code":"99282","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":151.34,"maximum":309.12,"gross_charge":322,"discounted_cash":178.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":242.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":305.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":296.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":267.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":151.34,"methodology":"fee schedule"}]}]},{"description":"LEVEL 3 ER","code_information":[{"code":"99283","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":348.21,"maximum":457.92,"gross_charge":477,"discounted_cash":264.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":453.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":457.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":438.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":410.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":395.91,"methodology":"fee schedule"}]}]},{"description":"LEVEL 3 ER","code_information":[{"code":"99283","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":224.19,"maximum":457.92,"gross_charge":477,"discounted_cash":264.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":427.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":453.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":457.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":438.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":410.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":395.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":329.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":224.19,"methodology":"fee schedule"}]}]},{"description":"LEVEL 4 ER","code_information":[{"code":"99284","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":657.73,"maximum":864.96,"gross_charge":901,"discounted_cash":499.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":864.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":738.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":828.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":774.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":657.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":747.83,"methodology":"fee schedule"}]}]},{"description":"LEVEL 4 ER","code_information":[{"code":"99284","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":423.47,"maximum":864.96,"gross_charge":901,"discounted_cash":499.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":671.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":855.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":864.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":738.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":828.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":774.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":657.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":747.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":621.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":423.47,"methodology":"fee schedule"}]}]},{"description":"LEVEL 5 ER","code_information":[{"code":"99285","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":939.51,"maximum":1235.52,"gross_charge":1287,"discounted_cash":713.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1222.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1235.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1055.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1184.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":939.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1068.21,"methodology":"fee schedule"}]}]},{"description":"LEVEL 5 ER","code_information":[{"code":"99285","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":604.89,"maximum":1235.52,"gross_charge":1287,"discounted_cash":713.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":963.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1222.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1235.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1055.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1184.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1106.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":939.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1068.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":888.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":604.89,"methodology":"fee schedule"}]}]},{"description":"CRIT CARE 30-74 MIN ER","code_information":[{"code":"99291","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":1083.32,"maximum":1424.64,"gross_charge":1484,"discounted_cash":822.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1409.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1424.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1216.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1365.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1276.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1083.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1231.72,"methodology":"fee schedule"}]}]},{"description":"CRIT CARE 30-74 MIN ER","code_information":[{"code":"99291","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":697.48,"maximum":1484,"gross_charge":1484,"discounted_cash":822.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1484,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1409.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1424.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1216.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1365.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1276.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1083.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1231.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1023.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":697.48,"methodology":"fee schedule"}]}]},{"description":"CRITICAL CARE ADDL 30 MIN ER","code_information":[{"code":"99292","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":303.68,"maximum":399.36,"gross_charge":416,"discounted_cash":230.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":399.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":341.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":382.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":357.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":303.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":345.28,"methodology":"fee schedule"}]}]},{"description":"CRITICAL CARE ADDL 30 MIN ER","code_information":[{"code":"99292","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":195.52,"maximum":399.36,"gross_charge":416,"discounted_cash":230.51,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":395.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":399.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":341.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":382.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":357.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":303.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":345.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":287.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":195.52,"methodology":"fee schedule"}]}]},{"description":"KIT DRAW","code_information":[{"code":"9930000625","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":23.36,"maximum":30.72,"gross_charge":32,"discounted_cash":17.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.56,"methodology":"fee schedule"}]}]},{"description":"KIT DRAW","code_information":[{"code":"9930000625","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.04,"maximum":30.72,"gross_charge":32,"discounted_cash":17.74,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.04,"methodology":"fee schedule"}]}]},{"description":"DRUG SCREEN COLL ONLY SELF PAY","code_information":[{"code":"9930000645","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":34.31,"maximum":45.12,"gross_charge":47,"discounted_cash":26.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.01,"methodology":"fee schedule"}]}]},{"description":"DRUG SCREEN COLL ONLY SELF PAY","code_information":[{"code":"9930000645","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.09,"maximum":45.12,"gross_charge":47,"discounted_cash":26.05,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.09,"methodology":"fee schedule"}]}]},{"description":"LEGAL BLOOD DRAW SELF PAY","code_information":[{"code":"9930000670","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":24.82,"maximum":32.64,"gross_charge":34,"discounted_cash":18.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":32.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.22,"methodology":"fee schedule"}]}]},{"description":"LEGAL BLOOD DRAW SELF PAY","code_information":[{"code":"9930000670","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":15.98,"maximum":32.64,"gross_charge":34,"discounted_cash":18.84,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":32.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.98,"methodology":"fee schedule"}]}]},{"description":"RIVAROXABAN","code_information":[{"code":"9930026670","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":104.39,"maximum":137.28,"gross_charge":143,"discounted_cash":79.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":137.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":131.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":122.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":118.69,"methodology":"fee schedule"}]}]},{"description":"RIVAROXABAN","code_information":[{"code":"9930026670","type":"CDM"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":67.21,"maximum":137.28,"gross_charge":143,"discounted_cash":79.24,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":137.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":131.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":122.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":118.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":98.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":67.21,"methodology":"fee schedule"}]}]},{"description":"UNLISTED E/M SERVICE ER","code_information":[{"code":"99499","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":120.45,"maximum":158.4,"gross_charge":165,"discounted_cash":91.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"}]}]},{"description":"UNLISTED E/M SERVICE ER","code_information":[{"code":"99499","type":"CPT"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":77.55,"maximum":158.4,"gross_charge":165,"discounted_cash":91.43,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":156.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":158.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":151.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":141.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":136.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":113.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":77.55,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS LONG LEG ER","code_information":[{"code":"999994","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":53.29,"maximum":70.08,"gross_charge":73,"discounted_cash":40.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.59,"methodology":"fee schedule"}]}]},{"description":"ORTHOGLASS LONG LEG ER","code_information":[{"code":"999994","type":"CDM"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":34.31,"maximum":70.08,"gross_charge":73,"discounted_cash":40.45,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":67.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":34.31,"methodology":"fee schedule"}]}]},{"description":"SOL IRR LR 3000ML","code_information":[{"code":"A4216","type":"HCPCS"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":21.9,"maximum":28.8,"gross_charge":30,"discounted_cash":16.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.9,"methodology":"fee schedule"}]}]},{"description":"SOL IRR LR 3000ML","code_information":[{"code":"A4216","type":"HCPCS"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":14.1,"maximum":28.8,"gross_charge":30,"discounted_cash":16.63,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.1,"methodology":"fee schedule"}]}]},{"description":"SOL IRR NACL 0.9PCT 250ML BTL","code_information":[{"code":"A4216","type":"HCPCS"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":6.57,"maximum":8.64,"gross_charge":9,"discounted_cash":4.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.47,"methodology":"fee schedule"}]}]},{"description":"SOL IRR NACL 0.9PCT 250ML BTL","code_information":[{"code":"A4216","type":"HCPCS"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":4.23,"maximum":8.64,"gross_charge":9,"discounted_cash":4.99,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.23,"methodology":"fee schedule"}]}]},{"description":"SOL IRR SRBTL 3PCT 3000ML BGX1","code_information":[{"code":"A4216","type":"HCPCS"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":24.09,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"}]}]},{"description":"SOL IRR SRBTL 3PCT 3000ML BGX1","code_information":[{"code":"A4216","type":"HCPCS"},{"code":"0272","type":"RC"}],"standard_charges":[{"minimum":15.51,"maximum":31.68,"gross_charge":33,"discounted_cash":18.29,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.51,"methodology":"fee schedule"}]}]},{"description":"WAT INJECT STER 1000ML BAG","code_information":[{"code":"A4217","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":15.5636,"maximum":20.4672,"gross_charge":21.32,"discounted_cash":11.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.62,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.7,"methodology":"fee schedule"}]}]},{"description":"WAT INJECT STER 1000ML BAG","code_information":[{"code":"A4217","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":10.0204,"maximum":20.4672,"gross_charge":21.32,"discounted_cash":11.82,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.62,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.03,"methodology":"fee schedule"}]}]},{"description":"99M TC-CARDIO SESTAMIBI 40MCL","code_information":[{"code":"A9500","type":"HCPCS"},{"code":"0343","type":"RC"}],"standard_charges":[{"minimum":325.58,"maximum":428.16,"gross_charge":446,"discounted_cash":247.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":428.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":410.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":383.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":325.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":370.18,"methodology":"fee schedule"}]}]},{"description":"99M TC-CARDIO SESTAMIBI 40MCL","code_information":[{"code":"A9500","type":"HCPCS"},{"code":"0343","type":"RC"}],"standard_charges":[{"minimum":134.84,"maximum":428.16,"gross_charge":446,"discounted_cash":247.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":134.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":423.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":428.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":365.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":410.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":383.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":325.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":370.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":307.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":209.62,"methodology":"fee schedule"}]}]},{"description":"TC-99M MEDRONATE","code_information":[{"code":"A9503","type":"HCPCS"},{"code":"0343","type":"RC"}],"standard_charges":[{"minimum":99.28,"maximum":130.56,"gross_charge":136,"discounted_cash":75.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":130.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":125.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.88,"methodology":"fee schedule"}]}]},{"description":"TC-99M MEDRONATE","code_information":[{"code":"A9503","type":"HCPCS"},{"code":"0343","type":"RC"}],"standard_charges":[{"minimum":13.65,"maximum":130.56,"gross_charge":136,"discounted_cash":75.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":129.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":130.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":125.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":63.92,"methodology":"fee schedule"}]}]},{"description":"TC-99M MEBROFENIN","code_information":[{"code":"A9537","type":"HCPCS"},{"code":"0343","type":"RC"}],"standard_charges":[{"minimum":178.12,"maximum":234.24,"gross_charge":244,"discounted_cash":135.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":231.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":234.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":224.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":209.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":202.52,"methodology":"fee schedule"}]}]},{"description":"TC-99M MEBROFENIN","code_information":[{"code":"A9537","type":"HCPCS"},{"code":"0343","type":"RC"}],"standard_charges":[{"minimum":59.33,"maximum":234.24,"gross_charge":244,"discounted_cash":135.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":59.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":231.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":234.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":224.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":209.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":202.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":168.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.68,"methodology":"fee schedule"}]}]},{"description":"TC-99 DTPA","code_information":[{"code":"A9539","type":"HCPCS"},{"code":"0343","type":"RC"}],"standard_charges":[{"minimum":54.02,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"}]}]},{"description":"TC-99 DTPA","code_information":[{"code":"A9539","type":"HCPCS"},{"code":"0343","type":"RC"}],"standard_charges":[{"minimum":34.78,"maximum":71.04,"gross_charge":74,"discounted_cash":41.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":48.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":70.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":71.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":68.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":61.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":51.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":34.78,"methodology":"fee schedule"}]}]},{"description":"TC-99 MAA","code_information":[{"code":"A9540","type":"HCPCS"},{"code":"0343","type":"RC"}],"standard_charges":[{"minimum":35.04,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"}]}]},{"description":"TC-99 MAA","code_information":[{"code":"A9540","type":"HCPCS"},{"code":"0343","type":"RC"}],"standard_charges":[{"minimum":22.56,"maximum":46.08,"gross_charge":48,"discounted_cash":26.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.56,"methodology":"fee schedule"}]}]},{"description":"GADOBENATE 529MG/ML 10ML VL","code_information":[{"code":"A9577","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":148.5988,"maximum":195.4176,"gross_charge":203.56,"discounted_cash":112.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":168.96,"methodology":"fee schedule"}]}]},{"description":"GADOBENATE 529MG/ML 10ML VL","code_information":[{"code":"A9577","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.49,"maximum":195.4176,"gross_charge":203.56,"discounted_cash":112.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":193.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":195.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":187.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":175.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":168.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":95.68,"methodology":"fee schedule"}]}]},{"description":"GADOBENATE 529MG/ML 15ML VL","code_information":[{"code":"A9577","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":113.077,"maximum":148.704,"gross_charge":154.9,"discounted_cash":85.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":147.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":148.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":142.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":133.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":128.57,"methodology":"fee schedule"}]}]},{"description":"GADOBENATE 529MG/ML 15ML VL","code_information":[{"code":"A9577","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.49,"maximum":148.704,"gross_charge":154.9,"discounted_cash":85.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":147.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":148.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":142.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":133.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":128.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":72.81,"methodology":"fee schedule"}]}]},{"description":"GADOBENATE 529MG/ML 20ML VL","code_information":[{"code":"A9577","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":268.5597,"maximum":353.1744,"gross_charge":367.89,"discounted_cash":203.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":349.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":353.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":301.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":338.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":316.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":305.35,"methodology":"fee schedule"}]}]},{"description":"GADOBENATE 529MG/ML 20ML VL","code_information":[{"code":"A9577","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.49,"maximum":353.1744,"gross_charge":367.89,"discounted_cash":203.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":349.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":353.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":301.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":338.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":316.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":268.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":305.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":253.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":172.91,"methodology":"fee schedule"}]}]},{"description":"GADOBENATE 529MG/ML 5ML VL","code_information":[{"code":"A9577","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":86.578,"maximum":113.856,"gross_charge":118.6,"discounted_cash":65.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":112.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":113.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":109.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":102,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":98.44,"methodology":"fee schedule"}]}]},{"description":"GADOBENATE 529MG/ML 5ML VL","code_information":[{"code":"A9577","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.49,"maximum":113.856,"gross_charge":118.6,"discounted_cash":65.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":112.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":113.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":109.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":102,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":98.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":55.75,"methodology":"fee schedule"}]}]},{"description":"GADOPENTETATE 46.9%MG/ML 15ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":321.93,"maximum":423.36,"gross_charge":441,"discounted_cash":244.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":423.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":405.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":379.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":366.03,"methodology":"fee schedule"}]}]},{"description":"GADOPENTETATE 46.9%MG/ML 15ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.13,"maximum":423.36,"gross_charge":441,"discounted_cash":244.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":418.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":423.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":405.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":379.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":321.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":366.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":304.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":207.27,"methodology":"fee schedule"}]}]},{"description":"GADOPENTETATE 46.9%MG/ML 20ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":262.8,"maximum":345.6,"gross_charge":360,"discounted_cash":199.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":295.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":331.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":262.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":298.8,"methodology":"fee schedule"}]}]},{"description":"GADOPENTETATE 46.9%MG/ML 20ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":424.13,"maximum":557.76,"gross_charge":581,"discounted_cash":321.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":557.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":476.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":534.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":499.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":424.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":482.23,"methodology":"fee schedule"}]}]},{"description":"GADOPENTETATE 46.9%MG/ML 20ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.13,"maximum":345.6,"gross_charge":360,"discounted_cash":199.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":342,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":345.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":295.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":331.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":309.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":262.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":298.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":248.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":169.2,"methodology":"fee schedule"}]}]},{"description":"GADOPENTETATE 46.9%MG/ML 20ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.13,"maximum":557.76,"gross_charge":581,"discounted_cash":321.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":551.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":557.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":476.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":534.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":499.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":424.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":482.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":400.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":273.07,"methodology":"fee schedule"}]}]},{"description":"GADOPENTETATE 46.9%MG/ML 5ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":118.041,"maximum":155.232,"gross_charge":161.7,"discounted_cash":89.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":153.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":155.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":148.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":134.22,"methodology":"fee schedule"}]}]},{"description":"GADOPENTETATE 46.9%MG/ML 5ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.13,"maximum":155.232,"gross_charge":161.7,"discounted_cash":89.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":153.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":155.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":148.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":134.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"}]}]},{"description":"GADOTERIDOL 279.3MG/ML 10ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":219.73,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"}]}]},{"description":"GADOTERIDOL 279.3MG/ML 10ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.13,"maximum":288.96,"gross_charge":301,"discounted_cash":166.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141.47,"methodology":"fee schedule"}]}]},{"description":"GADOTERIDOL 279.3MG/ML 15ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":113.077,"maximum":148.704,"gross_charge":154.9,"discounted_cash":85.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":147.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":148.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":142.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":133.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":128.57,"methodology":"fee schedule"}]}]},{"description":"GADOTERIDOL 279.3MG/ML 15ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":201.48,"maximum":264.96,"gross_charge":276,"discounted_cash":152.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":237.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":229.08,"methodology":"fee schedule"}]}]},{"description":"GADOTERIDOL 279.3MG/ML 15ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.13,"maximum":148.704,"gross_charge":154.9,"discounted_cash":85.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":147.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":148.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":142.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":133.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":128.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":72.81,"methodology":"fee schedule"}]}]},{"description":"GADOTERIDOL 279.3MG/ML 15ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.13,"maximum":264.96,"gross_charge":276,"discounted_cash":152.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":262.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":226.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":237.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":229.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":190.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":129.72,"methodology":"fee schedule"}]}]},{"description":"GADOTERIDOL 279.3MG/ML 20ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":131.2102,"maximum":172.5504,"gross_charge":179.74,"discounted_cash":99.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":170.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.37,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.19,"methodology":"fee schedule"}]}]},{"description":"GADOTERIDOL 279.3MG/ML 20ML","code_information":[{"code":"A9579","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.13,"maximum":172.5504,"gross_charge":179.74,"discounted_cash":99.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":170.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.37,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":84.48,"methodology":"fee schedule"}]}]},{"description":"GADOBUTROL 604.72/ML 10ML","code_information":[{"code":"A9585","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":60.59,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"}]}]},{"description":"GADOBUTROL 604.72/ML 10ML","code_information":[{"code":"A9585","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.45,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":39.01,"methodology":"fee schedule"}]}]},{"description":"ADPTR Y PERC ENDSCP TB 19/20FR","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":17.52,"maximum":23.04,"gross_charge":24,"discounted_cash":13.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.92,"methodology":"fee schedule"}]}]},{"description":"ADPTR Y PERC ENDSCP TB 19/20FR","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":11.28,"maximum":23.04,"gross_charge":24,"discounted_cash":13.3,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.28,"methodology":"fee schedule"}]}]},{"description":"ANCHOR SYNFIX PEEK LR 30MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":13578,"maximum":17856,"gross_charge":18600,"discounted_cash":10306.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17670,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17856,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15252,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17112,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15996,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13578,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15438,"methodology":"fee schedule"}]}]},{"description":"ANCHOR SYNFIX PEEK LR 30MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":8742,"maximum":17856,"gross_charge":18600,"discounted_cash":10306.26,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17670,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17856,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15252,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17112,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15996,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13578,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15438,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12834,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8742,"methodology":"fee schedule"}]}]},{"description":"CAP LCK PANGEA TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":250.39,"maximum":329.28,"gross_charge":343,"discounted_cash":190.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":329.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":315.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":294.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":284.69,"methodology":"fee schedule"}]}]},{"description":"CAP LCK PANGEA TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":161.21,"maximum":329.28,"gross_charge":343,"discounted_cash":190.06,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":325.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":329.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":315.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":294.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":284.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":236.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":161.21,"methodology":"fee schedule"}]}]},{"description":"CONN TRN LP 6.0ROD 24MM TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1884.13,"maximum":2477.76,"gross_charge":2581,"discounted_cash":1430.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2477.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2116.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2374.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1884.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2142.23,"methodology":"fee schedule"}]}]},{"description":"CONN TRN LP 6.0ROD 24MM TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1213.07,"maximum":2477.76,"gross_charge":2581,"discounted_cash":1430.14,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2451.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2477.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2116.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2374.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2219.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1884.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2142.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1780.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1213.07,"methodology":"fee schedule"}]}]},{"description":"CONN TRN LP 6.0ROD 25.5+ TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1941.07,"maximum":2552.64,"gross_charge":2659,"discounted_cash":1473.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2526.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2552.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2180.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2446.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2286.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1941.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2206.97,"methodology":"fee schedule"}]}]},{"description":"CONN TRN LP 6.0ROD 25.5+ TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1249.73,"maximum":2552.64,"gross_charge":2659,"discounted_cash":1473.36,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2526.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2552.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2180.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2446.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2286.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1941.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2206.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1834.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1249.73,"methodology":"fee schedule"}]}]},{"description":"CONN TRN LP 6.0ROD 31.5+ TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2097.29,"maximum":2758.08,"gross_charge":2873,"discounted_cash":1591.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2729.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2758.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2355.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2643.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2470.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2097.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2384.59,"methodology":"fee schedule"}]}]},{"description":"CONN TRN LP 6.0ROD 31.5+ TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1350.31,"maximum":2758.08,"gross_charge":2873,"discounted_cash":1591.93,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2729.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2758.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2355.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2643.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2470.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2097.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2384.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1982.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1350.31,"methodology":"fee schedule"}]}]},{"description":"CONN TRNS 3.5MM ROD NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1092.08,"maximum":1436.16,"gross_charge":1496,"discounted_cash":828.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1421.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1436.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1226.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1376.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1286.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1092.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1241.68,"methodology":"fee schedule"}]}]},{"description":"CONN TRNS 3.5MM ROD NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":703.12,"maximum":1436.16,"gross_charge":1496,"discounted_cash":828.94,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1421.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1436.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1226.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1376.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1286.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1092.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1241.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1032.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":703.12,"methodology":"fee schedule"}]}]},{"description":"CONN TRNS ROD 3.5/5X300MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1389.19,"maximum":1826.88,"gross_charge":1903,"discounted_cash":1054.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1807.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1826.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1560.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1750.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1389.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1579.49,"methodology":"fee schedule"}]}]},{"description":"CONN TRNS ROD 3.5/5X300MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":894.41,"maximum":1826.88,"gross_charge":1903,"discounted_cash":1054.46,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1807.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1826.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1560.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1750.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1636.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1389.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1579.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1313.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":894.41,"methodology":"fee schedule"}]}]},{"description":"CONN TRNS ROD 3.5/5X500MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1764.41,"maximum":2320.32,"gross_charge":2417,"discounted_cash":1339.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2296.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2320.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1981.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2223.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2078.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1764.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2006.11,"methodology":"fee schedule"}]}]},{"description":"CONN TRNS ROD 3.5/5X500MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1135.99,"maximum":2320.32,"gross_charge":2417,"discounted_cash":1339.26,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2296.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2320.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1981.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2223.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2078.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1764.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2006.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1667.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1135.99,"methodology":"fee schedule"}]}]},{"description":"CONN TRNS ROD 3.5/6X300MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1521.32,"maximum":2000.64,"gross_charge":2084,"discounted_cash":1154.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1979.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2000.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1708.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1917.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1792.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1521.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1729.72,"methodology":"fee schedule"}]}]},{"description":"CONN TRNS ROD 3.5/6X300MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":979.48,"maximum":2000.64,"gross_charge":2084,"discounted_cash":1154.75,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1979.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2000.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1708.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1917.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1792.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1521.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1729.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1437.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":979.48,"methodology":"fee schedule"}]}]},{"description":"DISC PRODISC-C MED 5MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":10298.11,"maximum":13542.72,"gross_charge":14107,"discounted_cash":7816.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13401.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13542.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11567.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12978.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12132.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10298.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11708.81,"methodology":"fee schedule"}]}]},{"description":"DISC PRODISC-C MED 5MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":6630.29,"maximum":13542.72,"gross_charge":14107,"discounted_cash":7816.69,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13401.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13542.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11567.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12978.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12132.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10298.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11708.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9733.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6630.29,"methodology":"fee schedule"}]}]},{"description":"INLAY ENDOPROSTH POLY LG 10MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2042.54,"maximum":2686.08,"gross_charge":2798,"discounted_cash":1550.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2658.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2686.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2294.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2574.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2406.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2042.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2322.34,"methodology":"fee schedule"}]}]},{"description":"INLAY ENDOPROSTH POLY LG 10MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1315.06,"maximum":2686.08,"gross_charge":2798,"discounted_cash":1550.38,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2658.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2686.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2294.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2574.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2406.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2042.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2322.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1930.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1315.06,"methodology":"fee schedule"}]}]},{"description":"PLT CERV LCK SM L1 26/18 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2117,"maximum":2784,"gross_charge":2900,"discounted_cash":1606.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2755,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2784,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2378,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2668,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2494,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2117,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2407,"methodology":"fee schedule"}]}]},{"description":"PLT CERV LCK SM L1 26/18 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1363,"maximum":2784,"gross_charge":2900,"discounted_cash":1606.89,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2755,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2784,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2378,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2668,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2494,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2117,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2407,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2001,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1363,"methodology":"fee schedule"}]}]},{"description":"ROD HARD 3.5/6X120/170 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":437.27,"maximum":575.04,"gross_charge":599,"discounted_cash":331.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":569.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":575.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":491.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":551.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":515.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":497.17,"methodology":"fee schedule"}]}]},{"description":"ROD HARD 3.5/6X120/170 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":281.53,"maximum":575.04,"gross_charge":599,"discounted_cash":331.91,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":569.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":575.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":491.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":551.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":515.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":497.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":413.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":281.53,"methodology":"fee schedule"}]}]},{"description":"ROD HARD EXT-FX 6.0X100 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":361.35,"maximum":475.2,"gross_charge":495,"discounted_cash":274.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":470.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":475.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":455.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":425.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":410.85,"methodology":"fee schedule"}]}]},{"description":"ROD HARD EXT-FX 6.0X100 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":232.65,"maximum":475.2,"gross_charge":495,"discounted_cash":274.28,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":470.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":475.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":455.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":425.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":361.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":410.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":341.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":232.65,"methodology":"fee schedule"}]}]},{"description":"ROD HARD EXT-FX 6.0X75 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":372.3,"maximum":489.6,"gross_charge":510,"discounted_cash":282.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":484.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":489.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":469.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":438.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":423.3,"methodology":"fee schedule"}]}]},{"description":"ROD HARD EXT-FX 6.0X75 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":239.7,"maximum":489.6,"gross_charge":510,"discounted_cash":282.6,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":484.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":489.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":418.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":469.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":438.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":372.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":423.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":351.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":239.7,"methodology":"fee schedule"}]}]},{"description":"ROD HEX-END 6.0X500 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":722.7,"maximum":950.4,"gross_charge":990,"discounted_cash":548.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":940.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":950.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":811.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":910.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":851.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":821.7,"methodology":"fee schedule"}]}]},{"description":"ROD HEX-END 6.0X500 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":465.3,"maximum":950.4,"gross_charge":990,"discounted_cash":548.56,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":940.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":950.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":811.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":910.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":851.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":722.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":821.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":683.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":465.3,"methodology":"fee schedule"}]}]},{"description":"ROD SPINE 4.5X50MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":350.4,"maximum":460.8,"gross_charge":480,"discounted_cash":265.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":456,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":460.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":441.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":398.4,"methodology":"fee schedule"}]}]},{"description":"ROD SPINE 4.5X50MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":225.6,"maximum":460.8,"gross_charge":480,"discounted_cash":265.97,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":456,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":460.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":393.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":441.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":412.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":398.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":331.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":225.6,"methodology":"fee schedule"}]}]},{"description":"ROD SPNE CERVFX 3.5X240 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":399.31,"maximum":525.12,"gross_charge":547,"discounted_cash":303.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":525.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":448.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":503.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":470.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":454.01,"methodology":"fee schedule"}]}]},{"description":"ROD SPNE CERVFX 3.5X240 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":257.09,"maximum":525.12,"gross_charge":547,"discounted_cash":303.1,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":519.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":525.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":448.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":503.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":470.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":399.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":454.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":377.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":257.09,"methodology":"fee schedule"}]}]},{"description":"ROD SPNE SFT VAS 6.0X100 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":340.18,"maximum":447.36,"gross_charge":466,"discounted_cash":258.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":447.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":382.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":428.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":400.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":386.78,"methodology":"fee schedule"}]}]},{"description":"ROD SPNE SFT VAS 6.0X100 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":219.02,"maximum":447.36,"gross_charge":466,"discounted_cash":258.22,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":442.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":447.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":382.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":428.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":400.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":386.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":321.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":219.02,"methodology":"fee schedule"}]}]},{"description":"SCR BONE 2.3X14MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":240.17,"maximum":315.84,"gross_charge":329,"discounted_cash":182.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":312.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":315.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":302.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":282.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":240.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":273.07,"methodology":"fee schedule"}]}]},{"description":"SCR BONE 2.3X14MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":154.63,"maximum":315.84,"gross_charge":329,"discounted_cash":182.3,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":312.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":315.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":269.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":302.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":282.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":240.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":273.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":227.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":154.63,"methodology":"fee schedule"}]}]},{"description":"SCR BONE 5.5MMX25MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":349.67,"maximum":459.84,"gross_charge":479,"discounted_cash":265.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":459.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":392.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":440.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":349.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":397.57,"methodology":"fee schedule"}]}]},{"description":"SCR BONE 5.5MMX25MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":225.13,"maximum":459.84,"gross_charge":479,"discounted_cash":265.42,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":455.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":459.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":392.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":440.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":411.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":349.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":397.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":330.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":225.13,"methodology":"fee schedule"}]}]},{"description":"SCR BUTTRESS 5.5X30MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":419.75,"maximum":552,"gross_charge":575,"discounted_cash":318.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":546.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":552,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":471.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":529,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":494.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":419.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":477.25,"methodology":"fee schedule"}]}]},{"description":"SCR BUTTRESS 5.5X30MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":270.25,"maximum":552,"gross_charge":575,"discounted_cash":318.61,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":546.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":552,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":471.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":529,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":494.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":419.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":477.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":396.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":270.25,"methodology":"fee schedule"}]}]},{"description":"SCR CANC 3.5MMX14MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1798.72,"maximum":2365.44,"gross_charge":2464,"discounted_cash":1365.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2340.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2365.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2020.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2266.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2119.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1798.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2045.12,"methodology":"fee schedule"}]}]},{"description":"SCR CANC 3.5MMX14MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1158.08,"maximum":2365.44,"gross_charge":2464,"discounted_cash":1365.31,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2340.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2365.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2020.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2266.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2119.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1798.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2045.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1700.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1158.08,"methodology":"fee schedule"}]}]},{"description":"SCR CANC 4.0X10MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":88.33,"maximum":116.16,"gross_charge":121,"discounted_cash":67.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.43,"methodology":"fee schedule"}]}]},{"description":"SCR CANC 4.0X10MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":56.87,"maximum":116.16,"gross_charge":121,"discounted_cash":67.05,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":116.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":56.87,"methodology":"fee schedule"}]}]},{"description":"SCR CANC LCK ANTGRA 6.0X24 TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":699.34,"maximum":919.68,"gross_charge":958,"discounted_cash":530.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":910.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":919.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":785.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":881.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":823.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":699.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":795.14,"methodology":"fee schedule"}]}]},{"description":"SCR CANC LCK ANTGRA 6.0X24 TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":450.26,"maximum":919.68,"gross_charge":958,"discounted_cash":530.83,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":910.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":919.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":785.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":881.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":823.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":699.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":795.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":661.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":450.26,"methodology":"fee schedule"}]}]},{"description":"SCR CANC LCK THOR 5.5X26 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":710.29,"maximum":934.08,"gross_charge":973,"discounted_cash":539.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":934.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":797.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":895.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":836.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":710.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":807.59,"methodology":"fee schedule"}]}]},{"description":"SCR CANC LCK THOR 5.5X26 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":457.31,"maximum":934.08,"gross_charge":973,"discounted_cash":539.14,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":924.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":934.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":797.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":895.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":836.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":710.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":807.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":671.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":457.31,"methodology":"fee schedule"}]}]},{"description":"SCR CANC LCK THOR 5.5X30 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":648.97,"maximum":853.44,"gross_charge":889,"discounted_cash":492.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":844.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":853.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":728.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":817.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":764.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":648.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":737.87,"methodology":"fee schedule"}]}]},{"description":"SCR CANC LCK THOR 5.5X30 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":417.83,"maximum":853.44,"gross_charge":889,"discounted_cash":492.6,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":844.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":853.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":728.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":817.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":764.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":648.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":737.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":613.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":417.83,"methodology":"fee schedule"}]}]},{"description":"SCR CANC LCK THOR 5.5X42 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":668.68,"maximum":879.36,"gross_charge":916,"discounted_cash":507.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":870.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":879.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":751.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":842.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":787.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":668.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":760.28,"methodology":"fee schedule"}]}]},{"description":"SCR CANC LCK THOR 5.5X42 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":430.52,"maximum":879.36,"gross_charge":916,"discounted_cash":507.56,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":870.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":879.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":751.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":842.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":787.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":668.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":760.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":632.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":430.52,"methodology":"fee schedule"}]}]},{"description":"SCR CANC MATRIX POLY 6X40MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2158.61,"maximum":2838.72,"gross_charge":2957,"discounted_cash":1638.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2809.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2424.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2720.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2543.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2158.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2454.31,"methodology":"fee schedule"}]}]},{"description":"SCR CANC MATRIX POLY 6X40MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1389.79,"maximum":2838.72,"gross_charge":2957,"discounted_cash":1638.48,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2809.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2424.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2720.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2543.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2158.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2454.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2040.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1389.79,"methodology":"fee schedule"}]}]},{"description":"SCR CANC PA SYNAP 3.5X16 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1746.16,"maximum":2296.32,"gross_charge":2392,"discounted_cash":1325.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2272.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2296.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1961.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2200.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2057.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1746.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1985.36,"methodology":"fee schedule"}]}]},{"description":"SCR CANC PA SYNAP 3.5X16 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1124.24,"maximum":2296.32,"gross_charge":2392,"discounted_cash":1325.41,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2272.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2296.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1961.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2200.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2057.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1746.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1985.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1650.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1124.24,"methodology":"fee schedule"}]}]},{"description":"SCR CANC SD EXPHD 4.0X14 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":220.46,"maximum":289.92,"gross_charge":302,"discounted_cash":167.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":289.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":277.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":259.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":220.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":250.66,"methodology":"fee schedule"}]}]},{"description":"SCR CANC SD EXPHD 4.0X14 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":141.94,"maximum":289.92,"gross_charge":302,"discounted_cash":167.34,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":286.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":289.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":247.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":277.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":259.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":220.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":250.66,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":208.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141.94,"methodology":"fee schedule"}]}]},{"description":"SCR CANN 2.0MMX12MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":421.94,"maximum":554.88,"gross_charge":578,"discounted_cash":320.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":549.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":554.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":473.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":531.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":497.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":421.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":479.74,"methodology":"fee schedule"}]}]},{"description":"SCR CANN 2.0MMX12MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":271.66,"maximum":554.88,"gross_charge":578,"discounted_cash":320.27,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":549.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":554.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":473.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":531.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":497.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":421.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":479.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":398.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":271.66,"methodology":"fee schedule"}]}]},{"description":"SCR CANN 3.0MMX16MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":566.48,"maximum":744.96,"gross_charge":776,"discounted_cash":429.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":737.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":744.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":636.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":713.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":667.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":566.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":644.08,"methodology":"fee schedule"}]}]},{"description":"SCR CANN 3.0MMX16MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":364.72,"maximum":744.96,"gross_charge":776,"discounted_cash":429.99,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":737.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":744.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":636.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":713.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":667.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":566.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":644.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":535.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":364.72,"methodology":"fee schedule"}]}]},{"description":"SCR CANN 3.0MMX34MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":549.69,"maximum":722.88,"gross_charge":753,"discounted_cash":417.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":715.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":722.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":617.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":692.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":647.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":549.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":624.99,"methodology":"fee schedule"}]}]},{"description":"SCR CANN 3.0MMX34MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":353.91,"maximum":722.88,"gross_charge":753,"discounted_cash":417.24,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":715.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":722.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":617.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":692.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":647.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":549.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":624.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":519.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":353.91,"methodology":"fee schedule"}]}]},{"description":"SCR CANN PREASSEMBLED 6.2X45","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1855.66,"maximum":2440.32,"gross_charge":2542,"discounted_cash":1408.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2414.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2440.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2084.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2338.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2186.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1855.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2109.86,"methodology":"fee schedule"}]}]},{"description":"SCR CANN PREASSEMBLED 6.2X45","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1194.74,"maximum":2440.32,"gross_charge":2542,"discounted_cash":1408.53,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2414.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2440.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2084.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2338.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2186.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1855.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2109.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1753.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1194.74,"methodology":"fee schedule"}]}]},{"description":"SCR CERV LCK ST 3X16 TI PUR NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":300.03,"maximum":394.56,"gross_charge":411,"discounted_cash":227.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":394.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":378.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":353.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":341.13,"methodology":"fee schedule"}]}]},{"description":"SCR CERV LCK ST 3X16 TI PUR NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":193.17,"maximum":394.56,"gross_charge":411,"discounted_cash":227.74,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":390.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":394.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":378.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":353.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":300.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":341.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":283.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":193.17,"methodology":"fee schedule"}]}]},{"description":"SCR CERV SR ST VA 4.0X20 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":227.76,"maximum":299.52,"gross_charge":312,"discounted_cash":172.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":299.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":287.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":268.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":258.96,"methodology":"fee schedule"}]}]},{"description":"SCR CERV SR ST VA 4.0X20 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":146.64,"maximum":299.52,"gross_charge":312,"discounted_cash":172.88,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":296.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":299.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":255.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":287.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":268.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":227.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":258.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":215.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":146.64,"methodology":"fee schedule"}]}]},{"description":"SCR CORT SELF-TAP 3.5X12MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":91.98,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"}]}]},{"description":"SCR CORT SELF-TAP 3.5X12MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":59.22,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":59.22,"methodology":"fee schedule"}]}]},{"description":"SCR CORT ST 3.5X38MM SS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":97.82,"maximum":128.64,"gross_charge":134,"discounted_cash":74.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":123.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":115.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":111.22,"methodology":"fee schedule"}]}]},{"description":"SCR CORT ST 3.5X38MM SS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":62.98,"maximum":128.64,"gross_charge":134,"discounted_cash":74.25,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":127.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":128.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":123.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":115.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":111.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":92.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":62.98,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX DCP ST 2.7X16 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":132.13,"maximum":173.76,"gross_charge":181,"discounted_cash":100.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":173.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":166.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":155.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":150.23,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX DCP ST 2.7X16 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":85.07,"maximum":173.76,"gross_charge":181,"discounted_cash":100.3,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":173.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":166.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":155.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":150.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":85.07,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX DCP ST 2.7X18 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":138.7,"maximum":182.4,"gross_charge":190,"discounted_cash":105.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":180.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":157.7,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX DCP ST 2.7X18 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":89.3,"maximum":182.4,"gross_charge":190,"discounted_cash":105.28,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":180.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":182.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":155.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":174.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":163.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":138.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":157.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX MI-FRG ST 2.0X10 TI N","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":140.89,"maximum":185.28,"gross_charge":193,"discounted_cash":106.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":185.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":177.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":160.19,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX MI-FRG ST 2.0X10 TI N","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":90.71,"maximum":185.28,"gross_charge":193,"discounted_cash":106.95,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":185.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":177.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":160.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":90.71,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX SD AFS STAR 2.0X8 TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":144.54,"maximum":190.08,"gross_charge":198,"discounted_cash":109.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":190.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":182.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":170.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":144.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":164.34,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX SD AFS STAR 2.0X8 TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":93.06,"maximum":190.08,"gross_charge":198,"discounted_cash":109.72,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":188.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":190.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":162.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":182.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":170.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":144.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":164.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":136.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":93.06,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX SD EXPHD 4.0X16 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":242.36,"maximum":318.72,"gross_charge":332,"discounted_cash":183.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":315.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":318.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":305.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":285.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":242.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":275.56,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX SD EXPHD 4.0X16 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":156.04,"maximum":318.72,"gross_charge":332,"discounted_cash":183.97,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":315.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":318.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":272.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":305.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":285.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":242.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":275.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":229.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":156.04,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX ST AFS 2.0X4 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":132.86,"maximum":174.72,"gross_charge":182,"discounted_cash":100.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":167.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.06,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX ST AFS 2.0X4 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":85.54,"maximum":174.72,"gross_charge":182,"discounted_cash":100.85,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":172.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":174.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":149.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":167.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":85.54,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX ST AFS 2.0X6 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":137.24,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX ST AFS 2.0X6 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":88.36,"maximum":180.48,"gross_charge":188,"discounted_cash":104.18,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":178.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":180.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":161.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":156.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":88.36,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX ST MI-FRG 1.5X16 TI N","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":135.78,"maximum":178.56,"gross_charge":186,"discounted_cash":103.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":178.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":171.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":154.38,"methodology":"fee schedule"}]}]},{"description":"SCR CRTX ST MI-FRG 1.5X16 TI N","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":87.42,"maximum":178.56,"gross_charge":186,"discounted_cash":103.07,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":176.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":178.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":152.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":171.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":159.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":154.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":128.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":87.42,"methodology":"fee schedule"}]}]},{"description":"SCR DEFORM 5.5X30MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2095.1,"maximum":2755.2,"gross_charge":2870,"discounted_cash":1590.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2726.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2755.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2353.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2640.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2468.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2095.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2382.1,"methodology":"fee schedule"}]}]},{"description":"SCR DEFORM 5.5X30MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1348.9,"maximum":2755.2,"gross_charge":2870,"discounted_cash":1590.27,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2726.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2755.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2353.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2640.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2468.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2095.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2382.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1980.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1348.9,"methodology":"fee schedule"}]}]},{"description":"SCR DUAL-OP USS 4.2X25 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1427.15,"maximum":1876.8,"gross_charge":1955,"discounted_cash":1083.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1857.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1876.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1603.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1798.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1681.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1427.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1622.65,"methodology":"fee schedule"}]}]},{"description":"SCR DUAL-OP USS 4.2X25 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":918.85,"maximum":1876.8,"gross_charge":1955,"discounted_cash":1083.27,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1857.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1876.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1603.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1798.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1681.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1427.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1622.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1348.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":918.85,"methodology":"fee schedule"}]}]},{"description":"SCR DUAL-OP USS 5.2X40 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1560.74,"maximum":2052.48,"gross_charge":2138,"discounted_cash":1184.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2031.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2052.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1753.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1966.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1838.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1560.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1774.54,"methodology":"fee schedule"}]}]},{"description":"SCR DUAL-OP USS 5.2X40 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1004.86,"maximum":2052.48,"gross_charge":2138,"discounted_cash":1184.67,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2031.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2052.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1753.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1966.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1838.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1560.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1774.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1475.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1004.86,"methodology":"fee schedule"}]}]},{"description":"SCR LCK AXON T-- OC-FUS TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":214.62,"maximum":282.24,"gross_charge":294,"discounted_cash":162.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":279.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":282.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":270.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":252.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.02,"methodology":"fee schedule"}]}]},{"description":"SCR LCK AXON T-- OC-FUS TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":138.18,"maximum":282.24,"gross_charge":294,"discounted_cash":162.91,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":279.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":282.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":270.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":252.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":202.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":138.18,"methodology":"fee schedule"}]}]},{"description":"SCR LCK LP SYNMSH 3.0MM TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":68.62,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"}]}]},{"description":"SCR LCK LP SYNMSH 3.0MM TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":44.18,"maximum":90.24,"gross_charge":94,"discounted_cash":52.09,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":80.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":44.18,"methodology":"fee schedule"}]}]},{"description":"SCR LCK SYNAP TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":228.49,"maximum":300.48,"gross_charge":313,"discounted_cash":173.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":300.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":256.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":287.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":269.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":259.79,"methodology":"fee schedule"}]}]},{"description":"SCR LCK SYNAP TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":147.11,"maximum":300.48,"gross_charge":313,"discounted_cash":173.44,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":297.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":300.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":256.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":287.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":269.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":228.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":259.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":215.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":147.11,"methodology":"fee schedule"}]}]},{"description":"SCR LCK SYNFX-LR 4.0X25 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":499.32,"maximum":656.64,"gross_charge":684,"discounted_cash":379.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":656.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":560.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":629.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":588.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":567.72,"methodology":"fee schedule"}]}]},{"description":"SCR LCK SYNFX-LR 4.0X25 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":321.48,"maximum":656.64,"gross_charge":684,"discounted_cash":379.01,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":649.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":656.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":560.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":629.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":588.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":567.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":471.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":321.48,"methodology":"fee schedule"}]}]},{"description":"SCR LCK SYNFX-LR 4.0X30 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":546.77,"maximum":719.04,"gross_charge":749,"discounted_cash":415.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":719.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":614.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":689.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":644.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":546.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":621.67,"methodology":"fee schedule"}]}]},{"description":"SCR LCK SYNFX-LR 4.0X30 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":352.03,"maximum":719.04,"gross_charge":749,"discounted_cash":415.03,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":711.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":719.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":614.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":689.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":644.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":546.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":621.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":516.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":352.03,"methodology":"fee schedule"}]}]},{"description":"SCR LOK CERV PLT USS 1.8 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":57.67,"maximum":75.84,"gross_charge":79,"discounted_cash":43.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.57,"methodology":"fee schedule"}]}]},{"description":"SCR LOK CERV PLT USS 1.8 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":37.13,"maximum":75.84,"gross_charge":79,"discounted_cash":43.78,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.13,"methodology":"fee schedule"}]}]},{"description":"SCR MATRIX POLY 6X40MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1541.76,"maximum":2027.52,"gross_charge":2112,"discounted_cash":1170.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2006.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2027.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1731.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1943.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1816.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1541.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1752.96,"methodology":"fee schedule"}]}]},{"description":"SCR MATRIX POLY 6X40MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":992.64,"maximum":2027.52,"gross_charge":2112,"discounted_cash":1170.26,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2006.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2027.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1731.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1943.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1816.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1541.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1752.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1457.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":992.64,"methodology":"fee schedule"}]}]},{"description":"SCR MATRIX POLY 6X45MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1496.5,"maximum":1968,"gross_charge":2050,"discounted_cash":1135.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1947.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1968,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1681,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1886,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1763,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1496.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1701.5,"methodology":"fee schedule"}]}]},{"description":"SCR MATRIX POLY 6X45MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":963.5,"maximum":1968,"gross_charge":2050,"discounted_cash":1135.91,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1947.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1968,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1681,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1886,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1763,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1496.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1701.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1414.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":963.5,"methodology":"fee schedule"}]}]},{"description":"SCR OCCIPITAL 4.5X6MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":360.62,"maximum":474.24,"gross_charge":494,"discounted_cash":273.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":474.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":454.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":424.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":360.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":410.02,"methodology":"fee schedule"}]}]},{"description":"SCR OCCIPITAL 4.5X6MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":232.18,"maximum":474.24,"gross_charge":494,"discounted_cash":273.73,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":469.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":474.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":405.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":454.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":424.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":360.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":410.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":340.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":232.18,"methodology":"fee schedule"}]}]},{"description":"SCR PED CLCK-X DC 6.2X35 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":943.89,"maximum":1241.28,"gross_charge":1293,"discounted_cash":716.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1228.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1241.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1060.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1189.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":943.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1073.19,"methodology":"fee schedule"}]}]},{"description":"SCR PED CLCK-X DC 6.2X35 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":607.71,"maximum":1241.28,"gross_charge":1293,"discounted_cash":716.46,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1228.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1241.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1060.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1189.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1111.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":943.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1073.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":892.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":607.71,"methodology":"fee schedule"}]}]},{"description":"SCR PED CLCK-X DC 7.0X35 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1032.22,"maximum":1357.44,"gross_charge":1414,"discounted_cash":783.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1343.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1357.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1159.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1300.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1032.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1173.62,"methodology":"fee schedule"}]}]},{"description":"SCR PED CLCK-X DC 7.0X35 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":664.58,"maximum":1357.44,"gross_charge":1414,"discounted_cash":783.5,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1343.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1357.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1159.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1300.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1032.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1173.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":975.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":664.58,"methodology":"fee schedule"}]}]},{"description":"SCR PED CLCK-X DC PA 6.2X45 TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1387,"maximum":1824,"gross_charge":1900,"discounted_cash":1052.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1805,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1824,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1558,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1748,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1577,"methodology":"fee schedule"}]}]},{"description":"SCR PED CLCK-X DC PA 6.2X45 TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":893,"maximum":1824,"gross_charge":1900,"discounted_cash":1052.79,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1805,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1824,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1558,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1748,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1634,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1387,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1577,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1311,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":893,"methodology":"fee schedule"}]}]},{"description":"SCR POLY 5.0MM MATRIX 40MM THR","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1636.66,"maximum":2152.32,"gross_charge":2242,"discounted_cash":1242.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2129.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2152.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1838.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2062.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1928.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1860.86,"methodology":"fee schedule"}]}]},{"description":"SCR POLY 5.0MM MATRIX 40MM THR","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1053.74,"maximum":2152.32,"gross_charge":2242,"discounted_cash":1242.3,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2129.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2152.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1838.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2062.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1928.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1860.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1546.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1053.74,"methodology":"fee schedule"}]}]},{"description":"SCR RETNR 3.5X16MM STL","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":888.41,"maximum":1168.32,"gross_charge":1217,"discounted_cash":674.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":997.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1119.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1046.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":888.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1010.11,"methodology":"fee schedule"}]}]},{"description":"SCR RETNR 3.5X16MM STL","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":571.99,"maximum":1168.32,"gross_charge":1217,"discounted_cash":674.34,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1156.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":997.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1119.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1046.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":888.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1010.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":839.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":571.99,"methodology":"fee schedule"}]}]},{"description":"SCR RETNR PRODISC-C 3.5X12 NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":444.57,"maximum":584.64,"gross_charge":609,"discounted_cash":337.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":578.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":584.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":560.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":523.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":444.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":505.47,"methodology":"fee schedule"}]}]},{"description":"SCR RETNR PRODISC-C 3.5X12 NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":286.23,"maximum":584.64,"gross_charge":609,"discounted_cash":337.45,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":578.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":584.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":499.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":560.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":523.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":444.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":505.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":420.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":286.23,"methodology":"fee schedule"}]}]},{"description":"SCR SCHNZ DC PT-35 6.2X180 TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":649.7,"maximum":854.4,"gross_charge":890,"discounted_cash":493.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":845.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":854.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":729.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":818.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":765.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":649.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":738.7,"methodology":"fee schedule"}]}]},{"description":"SCR SCHNZ DC PT-35 6.2X180 TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":418.3,"maximum":854.4,"gross_charge":890,"discounted_cash":493.15,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":845.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":854.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":729.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":818.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":765.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":649.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":738.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":614.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":418.3,"methodology":"fee schedule"}]}]},{"description":"SCR SCHNZ DT PT-35 7.0X185 TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":678.9,"maximum":892.8,"gross_charge":930,"discounted_cash":515.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":892.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":762.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":855.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":799.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":678.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":771.9,"methodology":"fee schedule"}]}]},{"description":"SCR SCHNZ DT PT-35 7.0X185 TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":437.1,"maximum":892.8,"gross_charge":930,"discounted_cash":515.32,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":883.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":892.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":762.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":855.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":799.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":678.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":771.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":641.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":437.1,"methodology":"fee schedule"}]}]},{"description":"SCR SCHNZ PT-35 6.0X145 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":378.14,"maximum":497.28,"gross_charge":518,"discounted_cash":287.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":497.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":424.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":476.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":445.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":429.94,"methodology":"fee schedule"}]}]},{"description":"SCR SCHNZ PT-35 6.0X145 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":243.46,"maximum":497.28,"gross_charge":518,"discounted_cash":287.03,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":492.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":497.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":424.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":476.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":445.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":429.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":357.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":243.46,"methodology":"fee schedule"}]}]},{"description":"SCR SOLID FRCTN HD 6.5X55MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1470.22,"maximum":1933.44,"gross_charge":2014,"discounted_cash":1115.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1933.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1651.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1852.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1732.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1470.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1671.62,"methodology":"fee schedule"}]}]},{"description":"SCR SOLID FRCTN HD 6.5X55MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":946.58,"maximum":1933.44,"gross_charge":2014,"discounted_cash":1115.96,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1933.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1651.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1852.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1732.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1470.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1671.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1389.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":946.58,"methodology":"fee schedule"}]}]},{"description":"SCR SPINE MATRIX 6.0MMX40MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":897.9,"maximum":1180.8,"gross_charge":1230,"discounted_cash":681.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1180.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1008.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1131.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1057.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":897.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1020.9,"methodology":"fee schedule"}]}]},{"description":"SCR SPINE MATRIX 6.0MMX40MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":578.1,"maximum":1180.8,"gross_charge":1230,"discounted_cash":681.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1180.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1008.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1131.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1057.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":897.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1020.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":848.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":578.1,"methodology":"fee schedule"}]}]},{"description":"SCR SPINE MATRIX 7.0MMX40MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":924.91,"maximum":1216.32,"gross_charge":1267,"discounted_cash":702.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1203.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1038.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1165.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1089.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":924.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1051.61,"methodology":"fee schedule"}]}]},{"description":"SCR SPINE MATRIX 7.0MMX40MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":595.49,"maximum":1216.32,"gross_charge":1267,"discounted_cash":702.05,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1203.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1216.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1038.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1165.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1089.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":924.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1051.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":874.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":595.49,"methodology":"fee schedule"}]}]},{"description":"SCR SPINE MTRX 8X45MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":982.58,"maximum":1292.16,"gross_charge":1346,"discounted_cash":745.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1278.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1292.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1103.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1238.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":982.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1117.18,"methodology":"fee schedule"}]}]},{"description":"SCR SPINE MTRX 8X45MM TI","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":632.62,"maximum":1292.16,"gross_charge":1346,"discounted_cash":745.82,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1278.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1292.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1103.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1238.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":982.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1117.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":928.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":632.62,"methodology":"fee schedule"}]}]},{"description":"SCR ST 16MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":309.52,"maximum":407.04,"gross_charge":424,"discounted_cash":234.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":407.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":347.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":390.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":364.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":309.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.92,"methodology":"fee schedule"}]}]},{"description":"SCR ST 16MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":199.28,"maximum":407.04,"gross_charge":424,"discounted_cash":234.94,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":402.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":407.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":347.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":390.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":364.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":309.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":351.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":292.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":199.28,"methodology":"fee schedule"}]}]},{"description":"SCR/POST FOR DISTRACTOR 16MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1640.31,"maximum":2157.12,"gross_charge":2247,"discounted_cash":1245.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2134.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2157.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1842.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2067.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1932.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1640.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1865.01,"methodology":"fee schedule"}]}]},{"description":"SCR/POST FOR DISTRACTOR 16MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1056.09,"maximum":2157.12,"gross_charge":2247,"discounted_cash":1245.07,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2134.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2157.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1842.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2067.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1932.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1640.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1865.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1550.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1056.09,"methodology":"fee schedule"}]}]},{"description":"SYNCAGE T-PLIF CRV 11MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":5776.49,"maximum":7596.48,"gross_charge":7913,"discounted_cash":4384.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7517.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7596.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6488.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7279.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6805.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5776.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6567.79,"methodology":"fee schedule"}]}]},{"description":"SYNCAGE T-PLIF CRV 11MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":3719.11,"maximum":7596.48,"gross_charge":7913,"discounted_cash":4384.6,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7517.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7596.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6488.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7279.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6805.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5776.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6567.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5459.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3719.11,"methodology":"fee schedule"}]}]},{"description":"SYNMESH 12MMX11MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2462.29,"maximum":3238.08,"gross_charge":3373,"discounted_cash":1868.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3204.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2765.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3103.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2900.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2462.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2799.59,"methodology":"fee schedule"}]}]},{"description":"SYNMESH 12MMX11MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1585.31,"maximum":3238.08,"gross_charge":3373,"discounted_cash":1868.98,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3204.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2765.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3103.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2900.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2462.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2799.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2327.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1585.31,"methodology":"fee schedule"}]}]},{"description":"SYNMESH CONT VERT BODY 22X28","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":11631.82,"maximum":15296.64,"gross_charge":15934,"discounted_cash":8829.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15137.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15296.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13065.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14659.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13703.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11631.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13225.22,"methodology":"fee schedule"}]}]},{"description":"SYNMESH CONT VERT BODY 22X28","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":7488.98,"maximum":15296.64,"gross_charge":15934,"discounted_cash":8829.03,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15137.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15296.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13065.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14659.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13703.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11631.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13225.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10994.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7488.98,"methodology":"fee schedule"}]}]},{"description":"SYNMESH VB ROUND 4MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2409.73,"maximum":3168.96,"gross_charge":3301,"discounted_cash":1829.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3135.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3168.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2706.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3036.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2409.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2739.83,"methodology":"fee schedule"}]}]},{"description":"SYNMESH VB ROUND 4MM","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1551.47,"maximum":3168.96,"gross_charge":3301,"discounted_cash":1829.09,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3135.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3168.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2706.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3036.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2409.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2739.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2277.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1551.47,"methodology":"fee schedule"}]}]},{"description":"WASHR TRNSCONN 18X6 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":70.08,"maximum":92.16,"gross_charge":96,"discounted_cash":53.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":79.68,"methodology":"fee schedule"}]}]},{"description":"WASHR TRNSCONN 18X6 TI NS","code_information":[{"code":"C1713","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":45.12,"maximum":92.16,"gross_charge":96,"discounted_cash":53.2,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":91.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":92.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":82.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":45.12,"methodology":"fee schedule"}]}]},{"description":"CATH BLLN DIL CRE 15-16.5-18","code_information":[{"code":"C1726","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":379.3664,"maximum":498.8928,"gross_charge":519.68,"discounted_cash":287.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":493.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":498.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":426.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":478.11,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":446.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":431.34,"methodology":"fee schedule"}]}]},{"description":"CATH BLLN DIL CRE 15-16.5-18","code_information":[{"code":"C1726","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":244.2496,"maximum":498.8928,"gross_charge":519.68,"discounted_cash":287.96,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":493.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":498.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":426.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":478.11,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":446.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":379.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":431.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":358.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":244.25,"methodology":"fee schedule"}]}]},{"description":"CATH ESOPH CRE 12-15MMX8CM 6FR","code_information":[{"code":"C1726","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":289.6932,"maximum":380.9664,"gross_charge":396.84,"discounted_cash":219.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":377,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":380.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":325.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":365.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":341.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":289.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":329.38,"methodology":"fee schedule"}]}]},{"description":"CATH ESOPH CRE 12-15MMX8CM 6FR","code_information":[{"code":"C1726","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":186.5148,"maximum":380.9664,"gross_charge":396.84,"discounted_cash":219.89,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":377,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":380.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":325.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":365.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":341.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":289.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":329.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":186.52,"methodology":"fee schedule"}]}]},{"description":"DIL BLLN ESPH QN-TTC 54FX18-8","code_information":[{"code":"C1726","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":211.7,"maximum":278.4,"gross_charge":290,"discounted_cash":160.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":266.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":249.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":240.7,"methodology":"fee schedule"}]}]},{"description":"DIL BLLN ESPH QN-TTC 54FX18-8","code_information":[{"code":"C1726","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":136.3,"maximum":278.4,"gross_charge":290,"discounted_cash":160.69,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":275.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":278.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":237.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":266.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":249.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":240.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":200.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":136.3,"methodology":"fee schedule"}]}]},{"description":"CATH THOR STR 4 EYE 20FRX22IN","code_information":[{"code":"C1729","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":15.33,"maximum":20.16,"gross_charge":21,"discounted_cash":11.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.43,"methodology":"fee schedule"}]}]},{"description":"CATH THOR STR 4 EYE 20FRX22IN","code_information":[{"code":"C1729","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":9.87,"maximum":20.16,"gross_charge":21,"discounted_cash":11.64,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.87,"methodology":"fee schedule"}]}]},{"description":"CATH TY PNEUMOTHOR PTFE STD","code_information":[{"code":"C1729","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":467.2,"maximum":614.4,"gross_charge":640,"discounted_cash":354.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":608,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":614.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":524.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":588.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":550.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":531.2,"methodology":"fee schedule"}]}]},{"description":"CATH TY PNEUMOTHOR PTFE STD","code_information":[{"code":"C1729","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":300.8,"maximum":614.4,"gross_charge":640,"discounted_cash":354.63,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":608,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":614.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":524.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":588.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":550.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":531.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":441.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":300.8,"methodology":"fee schedule"}]}]},{"description":"KT PNEUMOTHORAX 8FRX16CM","code_information":[{"code":"C1729","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":316.09,"maximum":415.68,"gross_charge":433,"discounted_cash":239.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"}]}]},{"description":"KT PNEUMOTHORAX 8FRX16CM","code_information":[{"code":"C1729","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":203.51,"maximum":415.68,"gross_charge":433,"discounted_cash":239.93,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":203.51,"methodology":"fee schedule"}]}]},{"description":"CATH 20G CLOSED SOFT TIP","code_information":[{"code":"C1751","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":18.5274,"maximum":24.3648,"gross_charge":25.38,"discounted_cash":14.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23.35,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.07,"methodology":"fee schedule"}]}]},{"description":"CATH 20G CLOSED SOFT TIP","code_information":[{"code":"C1751","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":11.9286,"maximum":24.3648,"gross_charge":25.38,"discounted_cash":14.07,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":24.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":23.35,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.93,"methodology":"fee schedule"}]}]},{"description":"CATH PICC TY 1LUM MAXBARR 4FR","code_information":[{"code":"C1751","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":389.82,"maximum":512.64,"gross_charge":534,"discounted_cash":295.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":512.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":491.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":459.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":389.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":443.22,"methodology":"fee schedule"}]}]},{"description":"CATH PICC TY 1LUM MAXBARR 4FR","code_information":[{"code":"C1751","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":250.98,"maximum":512.64,"gross_charge":534,"discounted_cash":295.89,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":507.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":512.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":437.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":491.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":459.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":389.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":443.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":368.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":250.98,"methodology":"fee schedule"}]}]},{"description":"CATH SET PICC DL GROSH 5FR INT","code_information":[{"code":"C1751","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":273.02,"maximum":359.04,"gross_charge":374,"discounted_cash":207.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":359.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":344.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":321.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":273.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":310.42,"methodology":"fee schedule"}]}]},{"description":"CATH SET PICC DL GROSH 5FR INT","code_information":[{"code":"C1751","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":175.78,"maximum":359.04,"gross_charge":374,"discounted_cash":207.24,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":355.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":359.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":306.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":344.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":321.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":273.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":310.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":258.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":175.78,"methodology":"fee schedule"}]}]},{"description":"TY FOLEY INSRT INTERM 14FR","code_information":[{"code":"C1758","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":5.7816,"maximum":7.6032,"gross_charge":7.92,"discounted_cash":4.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.58,"methodology":"fee schedule"}]}]},{"description":"TY FOLEY INSRT INTERM 14FR","code_information":[{"code":"C1758","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":3.7224,"maximum":7.6032,"gross_charge":7.92,"discounted_cash":4.39,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.73,"methodology":"fee schedule"}]}]},{"description":"TY URINARY CATH KT INTER 14FR","code_information":[{"code":"C1758","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":16.0892,"maximum":21.1584,"gross_charge":22.04,"discounted_cash":12.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.3,"methodology":"fee schedule"}]}]},{"description":"TY URINARY CATH KT INTER 14FR","code_information":[{"code":"C1758","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":10.3588,"maximum":21.1584,"gross_charge":22.04,"discounted_cash":12.22,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.36,"methodology":"fee schedule"}]}]},{"description":"GWIRE ANG GLDEWIRE 0.035IN 150","code_information":[{"code":"C1769","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":91.25,"maximum":120,"gross_charge":125,"discounted_cash":69.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":103.75,"methodology":"fee schedule"}]}]},{"description":"GWIRE ANG GLDEWIRE 0.035IN 150","code_information":[{"code":"C1769","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":58.75,"maximum":120,"gross_charge":125,"discounted_cash":69.27,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":103.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":58.75,"methodology":"fee schedule"}]}]},{"description":"GWIRE DBL END .025 260CM","code_information":[{"code":"C1769","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":57.67,"maximum":75.84,"gross_charge":79,"discounted_cash":43.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.57,"methodology":"fee schedule"}]}]},{"description":"GWIRE DBL END .025 260CM","code_information":[{"code":"C1769","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":37.13,"maximum":75.84,"gross_charge":79,"discounted_cash":43.78,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":75.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.13,"methodology":"fee schedule"}]}]},{"description":"GWIRE SGL END .018 45CM","code_information":[{"code":"C1769","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":43.8,"maximum":57.6,"gross_charge":60,"discounted_cash":33.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":51.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":49.8,"methodology":"fee schedule"}]}]},{"description":"GWIRE SGL END .018 45CM","code_information":[{"code":"C1769","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":28.2,"maximum":57.6,"gross_charge":60,"discounted_cash":33.25,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":51.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":49.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":28.2,"methodology":"fee schedule"}]}]},{"description":"CAGE MESH 52MM 17X22","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":8659.99,"maximum":11388.48,"gross_charge":11863,"discounted_cash":6573.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11269.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11388.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9727.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10913.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10202.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8659.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9846.29,"methodology":"fee schedule"}]}]},{"description":"CAGE MESH 52MM 17X22","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":5575.61,"maximum":11388.48,"gross_charge":11863,"discounted_cash":6573.29,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11269.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11388.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9727.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10913.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10202.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8659.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9846.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8185.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5575.61,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE OBLN 17X22X24 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":6375.09,"maximum":8383.68,"gross_charge":8733,"discounted_cash":4838.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8296.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8383.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7161.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8034.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7510.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6375.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7248.39,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE OBLN 17X22X24 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":4104.51,"maximum":8383.68,"gross_charge":8733,"discounted_cash":4838.96,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8296.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8383.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7161.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8034.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7510.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6375.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7248.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6025.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4104.51,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE OBLN 17X22X32 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":7329.93,"maximum":9639.36,"gross_charge":10041,"discounted_cash":5563.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9538.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9639.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8233.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9237.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8635.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7329.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8334.03,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE OBLN 17X22X32 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":4719.27,"maximum":9639.36,"gross_charge":10041,"discounted_cash":5563.72,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9538.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9639.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8233.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9237.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8635.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7329.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8334.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6928.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4719.27,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE RND SYNMSH 10X18 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2462.29,"maximum":3238.08,"gross_charge":3373,"discounted_cash":1868.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3204.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2765.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3103.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2900.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2462.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2799.59,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE RND SYNMSH 10X18 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1585.31,"maximum":3238.08,"gross_charge":3373,"discounted_cash":1868.98,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3204.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3238.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2765.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3103.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2900.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2462.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2799.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2327.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1585.31,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE RND SYNMSH 10X9 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2409.73,"maximum":3168.96,"gross_charge":3301,"discounted_cash":1829.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3135.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3168.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2706.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3036.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2409.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2739.83,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE RND SYNMSH 10X9 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1551.47,"maximum":3168.96,"gross_charge":3301,"discounted_cash":1829.09,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3135.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3168.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2706.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3036.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2838.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2409.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2739.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2277.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1551.47,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE RND SYNMSH 12X32 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":5007.07,"maximum":6584.64,"gross_charge":6859,"discounted_cash":3800.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6516.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6584.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5624.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6310.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5898.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5007.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5692.97,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE RND SYNMSH 12X32 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":3223.73,"maximum":6584.64,"gross_charge":6859,"discounted_cash":3800.58,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6516.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6584.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5624.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6310.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5898.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5007.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5692.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4732.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3223.73,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE RND SYNMSH 15X88 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":7277.37,"maximum":9570.24,"gross_charge":9969,"discounted_cash":5523.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9470.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9570.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8174.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9171.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8573.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7277.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8274.27,"methodology":"fee schedule"}]}]},{"description":"CAGE SPNE RND SYNMSH 15X88 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":4685.43,"maximum":9570.24,"gross_charge":9969,"discounted_cash":5523.83,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9470.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9570.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8174.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9171.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8573.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7277.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8274.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6878.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4685.43,"methodology":"fee schedule"}]}]},{"description":"CAGE SYNEX LG-ENDPLT 0D 31-46","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":11987.33,"maximum":15764.16,"gross_charge":16421,"discounted_cash":9098.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15599.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15764.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13465.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15107.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14122.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11987.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13629.43,"methodology":"fee schedule"}]}]},{"description":"CAGE SYNEX LG-ENDPLT 0D 31-46","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":7717.87,"maximum":15764.16,"gross_charge":16421,"discounted_cash":9098.88,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15599.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15764.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13465.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15107.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14122.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11987.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13629.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11330.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7717.87,"methodology":"fee schedule"}]}]},{"description":"CAGE SYNMESH 15MMX88MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":9922.16,"maximum":13048.32,"gross_charge":13592,"discounted_cash":7531.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12912.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13048.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11145.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12504.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11689.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9922.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11281.36,"methodology":"fee schedule"}]}]},{"description":"CAGE SYNMESH 15MMX88MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":6388.24,"maximum":13048.32,"gross_charge":13592,"discounted_cash":7531.33,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12912.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13048.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11145.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12504.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11689.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9922.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11281.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9378.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6388.24,"methodology":"fee schedule"}]}]},{"description":"CAGE SYNMSH 22X12MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":3209.08,"maximum":4220.16,"gross_charge":4396,"discounted_cash":2435.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4176.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4220.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3604.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4044.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3780.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3209.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3648.68,"methodology":"fee schedule"}]}]},{"description":"CAGE SYNMSH 22X12MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2066.12,"maximum":4220.16,"gross_charge":4396,"discounted_cash":2435.83,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4176.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4220.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3604.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4044.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3780.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3209.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3648.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3033.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2066.12,"methodology":"fee schedule"}]}]},{"description":"CONN ILIAC 12MM TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1853.47,"maximum":2437.44,"gross_charge":2539,"discounted_cash":1406.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2412.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2437.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2081.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2335.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2183.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1853.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2107.37,"methodology":"fee schedule"}]}]},{"description":"CONN ILIAC 12MM TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1193.33,"maximum":2437.44,"gross_charge":2539,"discounted_cash":1406.86,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2412.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2437.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2081.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2335.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2183.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1853.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2107.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1751.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1193.33,"methodology":"fee schedule"}]}]},{"description":"CONN PAPA OP ROD 3.5/5MM TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":855.56,"maximum":1125.12,"gross_charge":1172,"discounted_cash":649.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1125.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":961.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1078.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1007.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":855.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":972.76,"methodology":"fee schedule"}]}]},{"description":"CONN PAPA OP ROD 3.5/5MM TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":550.84,"maximum":1125.12,"gross_charge":1172,"discounted_cash":649.41,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1125.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":961.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1078.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1007.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":855.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":972.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":808.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":550.84,"methodology":"fee schedule"}]}]},{"description":"CONN PAPA OP ROD 3.5X6MM TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":897.9,"maximum":1180.8,"gross_charge":1230,"discounted_cash":681.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1180.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1008.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1131.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1057.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":897.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1020.9,"methodology":"fee schedule"}]}]},{"description":"CONN PAPA OP ROD 3.5X6MM TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":578.1,"maximum":1180.8,"gross_charge":1230,"discounted_cash":681.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1168.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1180.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1008.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1131.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1057.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":897.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1020.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":848.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":578.1,"methodology":"fee schedule"}]}]},{"description":"CONN PARA OP ROD 3.5/3.5MM TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":687.66,"maximum":904.32,"gross_charge":942,"discounted_cash":521.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":894.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":904.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":772.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":866.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":810.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":687.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":781.86,"methodology":"fee schedule"}]}]},{"description":"CONN PARA OP ROD 3.5/3.5MM TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":442.74,"maximum":904.32,"gross_charge":942,"discounted_cash":521.97,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":894.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":904.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":772.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":866.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":810.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":687.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":781.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":649.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":442.74,"methodology":"fee schedule"}]}]},{"description":"HEAD POLYAXIAL","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":982.58,"maximum":1292.16,"gross_charge":1346,"discounted_cash":745.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1278.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1292.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1103.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1238.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":982.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1117.18,"methodology":"fee schedule"}]}]},{"description":"HEAD POLYAXIAL","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":632.62,"maximum":1292.16,"gross_charge":1346,"discounted_cash":745.82,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1278.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1292.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1103.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1238.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1157.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":982.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1117.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":928.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":632.62,"methodology":"fee schedule"}]}]},{"description":"INSRT TIP 5MM XL DEEP STRL","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":337.26,"maximum":443.52,"gross_charge":462,"discounted_cash":256,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":443.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":425.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":397.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":383.46,"methodology":"fee schedule"}]}]},{"description":"INSRT TIP 5MM XL DEEP STRL","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":217.14,"maximum":443.52,"gross_charge":462,"discounted_cash":256,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":438.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":443.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":378.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":425.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":397.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":337.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":383.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":318.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":217.14,"methodology":"fee schedule"}]}]},{"description":"LINER ENDO RELOAD 2.0MM GRAY","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":245.28,"maximum":322.56,"gross_charge":336,"discounted_cash":186.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.88,"methodology":"fee schedule"}]}]},{"description":"LINER ENDO RELOAD 2.0MM GRAY","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":157.92,"maximum":322.56,"gross_charge":336,"discounted_cash":186.18,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":319.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":322.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":275.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":309.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":288.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":278.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":231.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":157.92,"methodology":"fee schedule"}]}]},{"description":"NAIL DST-FEM 10X220 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":39.42,"maximum":51.84,"gross_charge":54,"discounted_cash":29.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"}]}]},{"description":"NAIL DST-FEM 10X220 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":25.38,"maximum":51.84,"gross_charge":54,"discounted_cash":29.93,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.38,"methodology":"fee schedule"}]}]},{"description":"PLT 2.4MM 4HS / 31","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2028.67,"maximum":2667.84,"gross_charge":2779,"discounted_cash":1539.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2640.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2667.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2278.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2556.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2389.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2028.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2306.57,"methodology":"fee schedule"}]}]},{"description":"PLT 2.4MM 4HS / 31","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1306.13,"maximum":2667.84,"gross_charge":2779,"discounted_cash":1539.85,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2640.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2667.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2278.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2556.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2389.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2028.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2306.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1917.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1306.13,"methodology":"fee schedule"}]}]},{"description":"PLT ANT T-BND LUM L2 85 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":9808.28,"maximum":12898.56,"gross_charge":13436,"discounted_cash":7444.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12764.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12898.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11017.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12361.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11554.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9808.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11151.88,"methodology":"fee schedule"}]}]},{"description":"PLT ANT T-BND LUM L2 85 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":6314.92,"maximum":12898.56,"gross_charge":13436,"discounted_cash":7444.89,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12764.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12898.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11017.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12361.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11554.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9808.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11151.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9270.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6314.92,"methodology":"fee schedule"}]}]},{"description":"PLT BTTR LCK 2H 20MM TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1084.78,"maximum":1426.56,"gross_charge":1486,"discounted_cash":823.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1411.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1426.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1218.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1367.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1277.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1084.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1233.38,"methodology":"fee schedule"}]}]},{"description":"PLT BTTR LCK 2H 20MM TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":698.42,"maximum":1426.56,"gross_charge":1486,"discounted_cash":823.4,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1411.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1426.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1218.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1367.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1277.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1084.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1233.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1025.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":698.42,"methodology":"fee schedule"}]}]},{"description":"PLT BTTR LCK 2H 25MM TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1052.66,"maximum":1384.32,"gross_charge":1442,"discounted_cash":799.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1369.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1384.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1182.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1326.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1240.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1196.86,"methodology":"fee schedule"}]}]},{"description":"PLT BTTR LCK 2H 25MM TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":677.74,"maximum":1384.32,"gross_charge":1442,"discounted_cash":799.02,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1369.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1384.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1182.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1326.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1240.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1052.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1196.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":994.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":677.74,"methodology":"fee schedule"}]}]},{"description":"PLT CERV LCK L1 22/14 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2117,"maximum":2784,"gross_charge":2900,"discounted_cash":1606.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2755,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2784,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2378,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2668,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2494,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2117,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2407,"methodology":"fee schedule"}]}]},{"description":"PLT CERV LCK L1 22/14 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1363,"maximum":2784,"gross_charge":2900,"discounted_cash":1606.89,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2755,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2784,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2378,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2668,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2494,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2117,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2407,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2001,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1363,"methodology":"fee schedule"}]}]},{"description":"PLT CERV LCK L1 33/24 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2180.51,"maximum":2867.52,"gross_charge":2987,"discounted_cash":1655.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2837.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2867.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2449.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2748.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2568.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2180.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2479.21,"methodology":"fee schedule"}]}]},{"description":"PLT CERV LCK L1 33/24 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1403.89,"maximum":2867.52,"gross_charge":2987,"discounted_cash":1655.1,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2837.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2867.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2449.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2748.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2568.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2180.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2479.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2061.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1403.89,"methodology":"fee schedule"}]}]},{"description":"PLT LCK THOR 82MM TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":7629.23,"maximum":10032.96,"gross_charge":10451,"discounted_cash":5790.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9928.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10032.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8569.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9614.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8987.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7629.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8674.33,"methodology":"fee schedule"}]}]},{"description":"PLT LCK THOR 82MM TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":4911.97,"maximum":10032.96,"gross_charge":10451,"discounted_cash":5790.9,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9928.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10032.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8569.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9614.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8987.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7629.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8674.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7211.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4911.97,"methodology":"fee schedule"}]}]},{"description":"PLT MINI SGL-BND 8MM 31 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":872.35,"maximum":1147.2,"gross_charge":1195,"discounted_cash":662.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1135.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1147.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":979.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1099.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1027.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":872.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":991.85,"methodology":"fee schedule"}]}]},{"description":"PLT MINI SGL-BND 8MM 31 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":561.65,"maximum":1147.2,"gross_charge":1195,"discounted_cash":662.15,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1135.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1147.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":979.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1099.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1027.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":872.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":991.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":824.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":561.65,"methodology":"fee schedule"}]}]},{"description":"PLT OCCIPITAL MEDIAL 60MM W TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":5995.49,"maximum":7884.48,"gross_charge":8213,"discounted_cash":4550.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7802.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7884.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6734.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7555.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7063.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5995.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6816.79,"methodology":"fee schedule"}]}]},{"description":"PLT OCCIPITAL MEDIAL 60MM W TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":3860.11,"maximum":7884.48,"gross_charge":8213,"discounted_cash":4550.83,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7802.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7884.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6734.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7555.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7063.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5995.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6816.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5666.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3860.11,"methodology":"fee schedule"}]}]},{"description":"PLT SYNFX 12D 26X32X13.5 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":13578,"maximum":17856,"gross_charge":18600,"discounted_cash":10306.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17670,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17856,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15252,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17112,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15996,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13578,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15438,"methodology":"fee schedule"}]}]},{"description":"PLT SYNFX 12D 26X32X13.5 TI","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":8742,"maximum":17856,"gross_charge":18600,"discounted_cash":10306.26,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17670,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17856,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15252,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17112,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15996,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13578,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15438,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12834,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8742,"methodology":"fee schedule"}]}]},{"description":"PLT-ROD OCC CERV 3.5 4H TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":4359.56,"maximum":5733.12,"gross_charge":5972,"discounted_cash":3309.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5673.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5733.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4897.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5494.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5135.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4359.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4956.76,"methodology":"fee schedule"}]}]},{"description":"PLT-ROD OCC CERV 3.5 4H TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2806.84,"maximum":5733.12,"gross_charge":5972,"discounted_cash":3309.09,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5673.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5733.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4897.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5494.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5135.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4359.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4956.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4120.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2806.84,"methodology":"fee schedule"}]}]},{"description":"PLT-T VECTRA L2 34 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2617.05,"maximum":3441.6,"gross_charge":3585,"discounted_cash":1986.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3405.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3441.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2939.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3298.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3083.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2617.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2975.55,"methodology":"fee schedule"}]}]},{"description":"PLT-T VECTRA L2 34 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1684.95,"maximum":3441.6,"gross_charge":3585,"discounted_cash":1986.45,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3405.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3441.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2939.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3298.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3083.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2617.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2975.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2473.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1684.95,"methodology":"fee schedule"}]}]},{"description":"PLT-T VECTRA L3 54 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2835.32,"maximum":3728.64,"gross_charge":3884,"discounted_cash":2152.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3728.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3184.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3573.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3340.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2835.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3223.72,"methodology":"fee schedule"}]}]},{"description":"PLT-T VECTRA L3 54 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1825.48,"maximum":3728.64,"gross_charge":3884,"discounted_cash":2152.13,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3689.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3728.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3184.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3573.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3340.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2835.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3223.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2679.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1825.48,"methodology":"fee schedule"}]}]},{"description":"PLT-T VECTRA L4 60 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":3052.86,"maximum":4014.72,"gross_charge":4182,"discounted_cash":2317.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3972.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4014.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3429.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3847.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3596.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3052.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3471.06,"methodology":"fee schedule"}]}]},{"description":"PLT-T VECTRA L4 60 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1965.54,"maximum":4014.72,"gross_charge":4182,"discounted_cash":2317.25,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3972.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4014.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3429.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3847.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3596.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3052.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3471.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2885.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1965.54,"methodology":"fee schedule"}]}]},{"description":"RING END CRVD 22.0X28.0MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1126.39,"maximum":1481.28,"gross_charge":1543,"discounted_cash":854.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1465.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1481.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1265.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1419.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1326.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1126.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1280.69,"methodology":"fee schedule"}]}]},{"description":"RING END CRVD 22.0X28.0MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":725.21,"maximum":1481.28,"gross_charge":1543,"discounted_cash":854.98,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1465.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1481.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1265.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1419.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1326.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1126.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1280.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1064.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":725.21,"methodology":"fee schedule"}]}]},{"description":"RING END OBLN 0D 17X22MM TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":869.43,"maximum":1143.36,"gross_charge":1191,"discounted_cash":659.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1131.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1143.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":976.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1095.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1024.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":869.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":988.53,"methodology":"fee schedule"}]}]},{"description":"RING END OBLN 0D 17X22MM TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":559.77,"maximum":1143.36,"gross_charge":1191,"discounted_cash":659.94,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1131.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1143.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":976.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1095.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1024.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":869.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":988.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":821.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":559.77,"methodology":"fee schedule"}]}]},{"description":"RING END RND 2.5D 12MM TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":289.08,"maximum":380.16,"gross_charge":396,"discounted_cash":219.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":380.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":324.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":364.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":340.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":289.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":328.68,"methodology":"fee schedule"}]}]},{"description":"RING END RND 2.5D 12MM TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":186.12,"maximum":380.16,"gross_charge":396,"discounted_cash":219.43,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":376.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":380.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":324.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":364.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":340.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":289.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":328.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":273.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":186.12,"methodology":"fee schedule"}]}]},{"description":"RING END RND CNVX 0D 12 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":414.64,"maximum":545.28,"gross_charge":568,"discounted_cash":314.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":539.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":545.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":465.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":522.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":488.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":414.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":471.44,"methodology":"fee schedule"}]}]},{"description":"RING END RND CNVX 0D 12 TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":266.96,"maximum":545.28,"gross_charge":568,"discounted_cash":314.73,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":539.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":545.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":465.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":522.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":488.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":414.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":471.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":391.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":266.96,"methodology":"fee schedule"}]}]},{"description":"RING HALF TRNSCONN 6 ROD TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":334.34,"maximum":439.68,"gross_charge":458,"discounted_cash":253.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":439.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":375.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":421.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":393.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":334.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":380.14,"methodology":"fee schedule"}]}]},{"description":"RING HALF TRNSCONN 6 ROD TI NS","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":215.26,"maximum":439.68,"gross_charge":458,"discounted_cash":253.78,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":435.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":439.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":375.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":421.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":393.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":334.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":380.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":316.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":215.26,"methodology":"fee schedule"}]}]},{"description":"SPACER TPAL INTERBODY 11MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":6757.61,"maximum":8886.72,"gross_charge":9257,"discounted_cash":5129.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8794.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8886.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7590.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8516.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7961.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6757.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7683.31,"methodology":"fee schedule"}]}]},{"description":"SPACER TPAL INTERBODY 11MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":4350.79,"maximum":8886.72,"gross_charge":9257,"discounted_cash":5129.31,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8794.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8886.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7590.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8516.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7961.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6757.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7683.31,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6387.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4350.79,"methodology":"fee schedule"}]}]},{"description":"SPACER VERT PARALLEL 8MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1963.7,"maximum":2582.4,"gross_charge":2690,"discounted_cash":1490.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2555.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2582.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2205.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2474.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2313.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1963.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2232.7,"methodology":"fee schedule"}]}]},{"description":"SPACER VERT PARALLEL 8MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1264.3,"maximum":2582.4,"gross_charge":2690,"discounted_cash":1490.53,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2555.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2582.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2205.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2474.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2313.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1963.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2232.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1856.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1264.3,"methodology":"fee schedule"}]}]},{"description":"SPACER VERT RADLUC PR 11MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2889.34,"maximum":3799.68,"gross_charge":3958,"discounted_cash":2193.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3760.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3799.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3245.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3641.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3403.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2889.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3285.14,"methodology":"fee schedule"}]}]},{"description":"SPACER VERT RADLUC PR 11MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1860.26,"maximum":3799.68,"gross_charge":3958,"discounted_cash":2193.13,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3760.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3799.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3245.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3641.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3403.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2889.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3285.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2731.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1860.26,"methodology":"fee schedule"}]}]},{"description":"SPACER VERT RADLUC TR 11MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":5776.49,"maximum":7596.48,"gross_charge":7913,"discounted_cash":4384.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7517.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7596.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6488.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7279.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6805.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5776.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6567.79,"methodology":"fee schedule"}]}]},{"description":"SPACER VERT RADLUC TR 11MM","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":3719.11,"maximum":7596.48,"gross_charge":7913,"discounted_cash":4384.6,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7517.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7596.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6488.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7279.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6805.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5776.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6567.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5459.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3719.11,"methodology":"fee schedule"}]}]},{"description":"SPACR ORACLE 8DEG 50X22X11","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":8174.54,"maximum":10750.08,"gross_charge":11198,"discounted_cash":6204.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10638.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10750.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9182.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10302.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9630.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8174.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9294.34,"methodology":"fee schedule"}]}]},{"description":"SPACR ORACLE 8DEG 50X22X11","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":5263.06,"maximum":10750.08,"gross_charge":11198,"discounted_cash":6204.82,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10638.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10750.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9182.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10302.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9630.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8174.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9294.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7726.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5263.06,"methodology":"fee schedule"}]}]},{"description":"SPCR SPIN ZP LORD 13.5X6","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":6321.8,"maximum":8313.6,"gross_charge":8660,"discounted_cash":4798.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8227,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8313.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7101.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7967.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7447.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6321.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7187.8,"methodology":"fee schedule"}]}]},{"description":"SPCR SPIN ZP LORD 13.5X6","code_information":[{"code":"C1776","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":4070.2,"maximum":8313.6,"gross_charge":8660,"discounted_cash":4798.51,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8227,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8313.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7101.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7967.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7447.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6321.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7187.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5975.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4070.2,"methodology":"fee schedule"}]}]},{"description":"MESH 22X28X6 HEIGHT","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":4579.29,"maximum":6022.08,"gross_charge":6273,"discounted_cash":3475.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5959.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6022.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5143.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5771.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5394.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4579.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5206.59,"methodology":"fee schedule"}]}]},{"description":"MESH 22X28X6 HEIGHT","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2948.31,"maximum":6022.08,"gross_charge":6273,"discounted_cash":3475.87,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5959.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6022.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5143.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5771.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5394.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4579.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5206.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4328.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2948.31,"methodology":"fee schedule"}]}]},{"description":"MESH DULEX HERN 7.5CMX10CMX1MM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":435.81,"maximum":573.12,"gross_charge":597,"discounted_cash":330.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":567.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":573.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":489.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":549.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":513.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":435.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":495.51,"methodology":"fee schedule"}]}]},{"description":"MESH DULEX HERN 7.5CMX10CMX1MM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":280.59,"maximum":573.12,"gross_charge":597,"discounted_cash":330.8,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":567.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":573.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":489.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":549.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":513.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":435.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":495.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":411.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":280.59,"methodology":"fee schedule"}]}]},{"description":"MESH HERN 3D MAX LG 4X6IN L","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":323.39,"maximum":425.28,"gross_charge":443,"discounted_cash":245.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":420.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":425.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":363.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":407.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":380.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":367.69,"methodology":"fee schedule"}]}]},{"description":"MESH HERN 3D MAX LG 4X6IN L","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":208.21,"maximum":425.28,"gross_charge":443,"discounted_cash":245.47,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":420.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":425.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":363.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":407.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":380.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":367.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":305.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":208.21,"methodology":"fee schedule"}]}]},{"description":"MESH HERN 3D MAX LG 4X6IN R","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":294.92,"maximum":387.84,"gross_charge":404,"discounted_cash":223.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":387.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":331.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":371.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":347.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":335.32,"methodology":"fee schedule"}]}]},{"description":"MESH HERN 3D MAX LG 4X6IN R","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":189.88,"maximum":387.84,"gross_charge":404,"discounted_cash":223.86,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":383.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":387.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":331.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":371.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":347.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":294.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":335.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":278.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":189.88,"methodology":"fee schedule"}]}]},{"description":"MESH HERN 3D MAX XL 5X7IN L","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":446.76,"maximum":587.52,"gross_charge":612,"discounted_cash":339.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":587.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":501.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":563.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":526.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":446.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":507.96,"methodology":"fee schedule"}]}]},{"description":"MESH HERN 3D MAX XL 5X7IN L","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":287.64,"maximum":587.52,"gross_charge":612,"discounted_cash":339.11,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":581.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":587.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":501.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":563.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":526.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":446.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":507.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":422.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":287.64,"methodology":"fee schedule"}]}]},{"description":"MESH HERN FLAT SHT 10X14IN","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":252.58,"maximum":332.16,"gross_charge":346,"discounted_cash":191.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":328.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":332.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":318.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":297.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":252.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":287.18,"methodology":"fee schedule"}]}]},{"description":"MESH HERN FLAT SHT 10X14IN","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":162.62,"maximum":332.16,"gross_charge":346,"discounted_cash":191.72,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":328.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":332.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":283.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":318.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":297.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":252.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":287.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":238.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":162.62,"methodology":"fee schedule"}]}]},{"description":"MESH HERN FLAT SHT 15X15CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":148.19,"maximum":194.88,"gross_charge":203,"discounted_cash":112.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":194.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":186.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":174.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":168.49,"methodology":"fee schedule"}]}]},{"description":"MESH HERN FLAT SHT 15X15CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":95.41,"maximum":194.88,"gross_charge":203,"discounted_cash":112.49,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":192.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":194.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":166.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":186.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":174.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":168.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":140.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":95.41,"methodology":"fee schedule"}]}]},{"description":"MESH HERN PLUG PERFIX MED X1","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":316.09,"maximum":415.68,"gross_charge":433,"discounted_cash":239.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"}]}]},{"description":"MESH HERN PLUG PERFIX MED X1","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":203.51,"maximum":415.68,"gross_charge":433,"discounted_cash":239.93,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":203.51,"methodology":"fee schedule"}]}]},{"description":"MESH HERN PLUG PERFIX XL X1","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":400.77,"maximum":527.04,"gross_charge":549,"discounted_cash":304.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":527.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":450.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":505.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":472.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":400.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":455.67,"methodology":"fee schedule"}]}]},{"description":"MESH HERN PLUG PERFIX XL X1","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":258.03,"maximum":527.04,"gross_charge":549,"discounted_cash":304.21,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":521.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":527.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":450.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":505.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":472.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":400.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":455.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":378.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":258.03,"methodology":"fee schedule"}]}]},{"description":"MESH HERN PRE-SHP 4.5X10CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":241.63,"maximum":317.76,"gross_charge":331,"discounted_cash":183.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":314.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":317.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":304.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":284.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":274.73,"methodology":"fee schedule"}]}]},{"description":"MESH HERN PRE-SHP 4.5X10CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":155.57,"maximum":317.76,"gross_charge":331,"discounted_cash":183.41,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":314.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":317.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":304.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":284.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":274.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":228.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":155.57,"methodology":"fee schedule"}]}]},{"description":"MESH HERN PRE-SHP LG 6X13.7CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":143.81,"maximum":189.12,"gross_charge":197,"discounted_cash":109.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":189.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":181.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":169.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":163.51,"methodology":"fee schedule"}]}]},{"description":"MESH HERN PRE-SHP LG 6X13.7CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":92.59,"maximum":189.12,"gross_charge":197,"discounted_cash":109.16,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":187.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":189.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":161.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":181.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":169.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":163.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":135.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":92.59,"methodology":"fee schedule"}]}]},{"description":"MESH HERN REPAIR 15X10CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":94.024,"maximum":123.648,"gross_charge":128.8,"discounted_cash":71.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":122.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":123.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":118.5,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.91,"methodology":"fee schedule"}]}]},{"description":"MESH HERN REPAIR 15X10CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":60.536,"maximum":123.648,"gross_charge":128.8,"discounted_cash":71.37,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":122.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":123.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":105.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":118.5,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":60.54,"methodology":"fee schedule"}]}]},{"description":"MESH HERN VENTRALEX LG 8CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1341.01,"maximum":1763.52,"gross_charge":1837,"discounted_cash":1017.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1763.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1506.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1690.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1579.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1341.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1524.71,"methodology":"fee schedule"}]}]},{"description":"MESH HERN VENTRALEX LG 8CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":863.39,"maximum":1763.52,"gross_charge":1837,"discounted_cash":1017.89,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1745.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1763.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1506.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1690.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1579.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1341.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1524.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1267.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":863.39,"methodology":"fee schedule"}]}]},{"description":"MESH HERN VENTRALEX MED 6.4CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1016.16,"maximum":1336.32,"gross_charge":1392,"discounted_cash":771.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1322.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1336.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1141.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1280.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1197.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1016.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1155.36,"methodology":"fee schedule"}]}]},{"description":"MESH HERN VENTRALEX MED 6.4CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":654.24,"maximum":1336.32,"gross_charge":1392,"discounted_cash":771.31,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1322.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1336.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1141.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1280.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1197.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1016.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1155.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":960.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":654.24,"methodology":"fee schedule"}]}]},{"description":"MESH HERN VENTRALEX SM 4.3CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":873.08,"maximum":1148.16,"gross_charge":1196,"discounted_cash":662.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1136.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1148.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":980.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1100.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1028.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":873.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":992.68,"methodology":"fee schedule"}]}]},{"description":"MESH HERN VENTRALEX SM 4.3CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":562.12,"maximum":1148.16,"gross_charge":1196,"discounted_cash":662.71,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1136.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1148.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":980.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1100.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1028.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":873.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":992.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":825.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":562.12,"methodology":"fee schedule"}]}]},{"description":"MESH HERNIA 3X6IN","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":118.26,"maximum":155.52,"gross_charge":162,"discounted_cash":89.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":153.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":155.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":134.46,"methodology":"fee schedule"}]}]},{"description":"MESH HERNIA 3X6IN","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":76.14,"maximum":155.52,"gross_charge":162,"discounted_cash":89.77,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":153.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":155.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":139.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":118.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":134.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":76.14,"methodology":"fee schedule"}]}]},{"description":"MESH KEYHOLE 15X7.5CMX3","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":157.0449,"maximum":206.5248,"gross_charge":215.13,"discounted_cash":119.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":204.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":206.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":197.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":178.56,"methodology":"fee schedule"}]}]},{"description":"MESH KEYHOLE 15X7.5CMX3","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":101.1111,"maximum":206.5248,"gross_charge":215.13,"discounted_cash":119.21,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":204.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":206.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":197.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":178.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":148.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":101.12,"methodology":"fee schedule"}]}]},{"description":"MESH KUGEL COMPOSIX OVL MED","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1624.25,"maximum":2136,"gross_charge":2225,"discounted_cash":1232.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2136,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1824.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2047,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1624.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1846.75,"methodology":"fee schedule"}]}]},{"description":"MESH KUGEL COMPOSIX OVL MED","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1045.75,"maximum":2136,"gross_charge":2225,"discounted_cash":1232.88,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2136,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1824.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2047,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1913.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1624.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1846.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1535.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1045.75,"methodology":"fee schedule"}]}]},{"description":"MESH KUGEL COMPOSIX OVL XL X1","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":4511.4,"maximum":5932.8,"gross_charge":6180,"discounted_cash":3424.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5871,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5932.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5067.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5685.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5314.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4511.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5129.4,"methodology":"fee schedule"}]}]},{"description":"MESH KUGEL COMPOSIX OVL XL X1","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":2904.6,"maximum":5932.8,"gross_charge":6180,"discounted_cash":3424.34,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5871,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5932.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5067.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5685.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5314.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4511.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5129.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4264.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2904.6,"methodology":"fee schedule"}]}]},{"description":"TISSUE REINF FLAT SHT 9X15CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":1457.08,"maximum":1916.16,"gross_charge":1996,"discounted_cash":1105.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1896.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1916.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1836.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1716.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1457.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1656.68,"methodology":"fee schedule"}]}]},{"description":"TISSUE REINF FLAT SHT 9X15CM","code_information":[{"code":"C1781","type":"HCPCS"},{"code":"0278","type":"RC"}],"standard_charges":[{"minimum":938.12,"maximum":1916.16,"gross_charge":1996,"discounted_cash":1105.99,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1896.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1916.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1836.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1716.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1457.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1656.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1377.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":938.12,"methodology":"fee schedule"}]}]},{"description":"COCAINE 4 ML BOTTLE","code_information":[{"code":"C9046","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":570.0716,"maximum":749.6832,"gross_charge":780.92,"discounted_cash":432.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":741.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":749.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":640.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":718.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":671.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":570.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":648.17,"methodology":"fee schedule"}]}]},{"description":"COCAINE 4 ML BOTTLE","code_information":[{"code":"C9046","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.61,"maximum":749.6832,"gross_charge":780.92,"discounted_cash":432.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.61,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":741.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":749.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":640.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":718.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":671.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":570.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":648.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":538.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":367.04,"methodology":"fee schedule"}]}]},{"description":"PANTOPRAZOLE 40 MG VIAL","code_information":[{"code":"C9113","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.5993,"maximum":9.9936,"gross_charge":10.41,"discounted_cash":5.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.58,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.65,"methodology":"fee schedule"}]}]},{"description":"PANTOPRAZOLE 40 MG VIAL","code_information":[{"code":"C9113","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.73,"maximum":9.9936,"gross_charge":10.41,"discounted_cash":5.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.58,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.9,"methodology":"fee schedule"}]}]},{"description":"HOPD COVID-19 SPEC COLLECT ER","code_information":[{"code":"C9803","type":"HCPCS"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":22.63,"maximum":29.76,"gross_charge":31,"discounted_cash":17.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.73,"methodology":"fee schedule"}]}]},{"description":"HOPD COVID-19 SPEC COLLECT ER","code_information":[{"code":"C9803","type":"HCPCS"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":14.57,"maximum":31,"gross_charge":31,"discounted_cash":17.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.57,"methodology":"fee schedule"}]}]},{"description":"HOPD COVID-19 SPEC COLLECT LAB","code_information":[{"code":"C9803","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":22.63,"maximum":29.76,"gross_charge":31,"discounted_cash":17.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.73,"methodology":"fee schedule"}]}]},{"description":"HOPD COVID-19 SPEC COLLECT LAB","code_information":[{"code":"C9803","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":14.57,"maximum":31,"gross_charge":31,"discounted_cash":17.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.57,"methodology":"fee schedule"}]}]},{"description":"PROSTATE SPECIFIC ANTIGEN SCRE","code_information":[{"code":"G0103","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":167.17,"maximum":219.84,"gross_charge":229,"discounted_cash":126.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":219.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":210.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.07,"methodology":"fee schedule"}]}]},{"description":"PROSTATE SPECIFIC ANTIGEN SCRE","code_information":[{"code":"G0103","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.31,"maximum":219.84,"gross_charge":229,"discounted_cash":126.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":102.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":217.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":219.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":187.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":210.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":196.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":167.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":190.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":158.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.31,"methodology":"fee schedule"}]}]},{"description":"PSA SCREEN","code_information":[{"code":"G0103","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":163.52,"maximum":215.04,"gross_charge":224,"discounted_cash":124.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":215.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":206.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":192.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":163.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":185.92,"methodology":"fee schedule"}]}]},{"description":"PSA SCREEN","code_information":[{"code":"G0103","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":19.31,"maximum":215.04,"gross_charge":224,"discounted_cash":124.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":102.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":212.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":215.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":183.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":206.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":192.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":163.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":185.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":154.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.31,"methodology":"fee schedule"}]}]},{"description":"CYTOPATH CER/VAG IN OR B","code_information":[{"code":"G0123","type":"HCPCS"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":112.42,"maximum":147.84,"gross_charge":154,"discounted_cash":85.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":147.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":141.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":127.82,"methodology":"fee schedule"}]}]},{"description":"CYTOPATH CER/VAG IN OR B","code_information":[{"code":"G0123","type":"HCPCS"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":20.26,"maximum":147.84,"gross_charge":154,"discounted_cash":85.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":107.63,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":146.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":147.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":126.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":141.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":132.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":127.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":106.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.26,"methodology":"fee schedule"}]}]},{"description":"THIN PREP PAP SMEAR","code_information":[{"code":"G0145","type":"HCPCS"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":154.03,"maximum":202.56,"gross_charge":211,"discounted_cash":116.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":200.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":202.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":194.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":181.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":175.13,"methodology":"fee schedule"}]}]},{"description":"THIN PREP PAP SMEAR","code_information":[{"code":"G0145","type":"HCPCS"},{"code":"0310","type":"RC"}],"standard_charges":[{"minimum":26.49,"maximum":202.56,"gross_charge":211,"discounted_cash":116.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":140.71,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":200.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":202.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":173.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":194.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":181.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":154.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":175.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":145.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":26.49,"methodology":"fee schedule"}]}]},{"description":"WOUND ADHESIVE ER","code_information":[{"code":"G0168","type":"HCPCS"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":98.55,"maximum":129.6,"gross_charge":135,"discounted_cash":74.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.05,"methodology":"fee schedule"}]}]},{"description":"WOUND ADHESIVE ER","code_information":[{"code":"G0168","type":"HCPCS"},{"code":"0450","type":"RC"}],"standard_charges":[{"minimum":63.45,"maximum":129.6,"gross_charge":135,"discounted_cash":74.81,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":63.45,"methodology":"fee schedule"}]}]},{"description":"DIAGNOSTIC TOMO BI","code_information":[{"code":"G0279","type":"HCPCS"},{"code":"0401","type":"RC"}],"standard_charges":[{"minimum":109.5,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"}]}]},{"description":"DIAGNOSTIC TOMO BI","code_information":[{"code":"G0279","type":"HCPCS"},{"code":"0401","type":"RC"}],"standard_charges":[{"minimum":70.5,"maximum":144,"gross_charge":150,"discounted_cash":83.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":108.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":70.5,"methodology":"fee schedule"}]}]},{"description":"OBSERVATION 1ST HOUR M/S","code_information":[{"code":"G0378","type":"HCPCS"},{"code":"0762","type":"RC"}],"standard_charges":[{"minimum":340.91,"maximum":448.32,"gross_charge":467,"discounted_cash":258.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":448.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":382.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":429.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":401.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":387.61,"methodology":"fee schedule"}]}]},{"description":"OBSERVATION 1ST HOUR M/S","code_information":[{"code":"G0378","type":"HCPCS"},{"code":"0762","type":"RC"}],"standard_charges":[{"minimum":219.49,"maximum":797,"gross_charge":467,"discounted_cash":258.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":797,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":443.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":448.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":382.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":429.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":401.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":340.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":387.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":322.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":219.49,"methodology":"fee schedule"}]}]},{"description":"OBSERVATION 1ST HOUR TELE M/S","code_information":[{"code":"G0378","type":"HCPCS"},{"code":"0762","type":"RC"}],"standard_charges":[{"minimum":548.23,"maximum":720.96,"gross_charge":751,"discounted_cash":416.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":713.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":720.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":615.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":690.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":645.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":548.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":623.33,"methodology":"fee schedule"}]}]},{"description":"OBSERVATION 1ST HOUR TELE M/S","code_information":[{"code":"G0378","type":"HCPCS"},{"code":"0762","type":"RC"}],"standard_charges":[{"minimum":352.97,"maximum":797,"gross_charge":751,"discounted_cash":416.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":797,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":713.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":720.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":615.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":690.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":645.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":548.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":623.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":518.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":352.97,"methodology":"fee schedule"}]}]},{"description":"OBSERVATION EA ADD HR M/S","code_information":[{"code":"G0378","type":"HCPCS"},{"code":"0762","type":"RC"}],"standard_charges":[{"minimum":30.66,"maximum":40.32,"gross_charge":42,"discounted_cash":23.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"}]}]},{"description":"OBSERVATION EA ADD HR M/S","code_information":[{"code":"G0378","type":"HCPCS"},{"code":"0762","type":"RC"}],"standard_charges":[{"minimum":19.74,"maximum":797,"gross_charge":42,"discounted_cash":23.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":797,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.74,"methodology":"fee schedule"}]}]},{"description":"OBSERVATION EA ADD HR TELE M/S","code_information":[{"code":"G0378","type":"HCPCS"},{"code":"0762","type":"RC"}],"standard_charges":[{"minimum":45.99,"maximum":60.48,"gross_charge":63,"discounted_cash":34.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.29,"methodology":"fee schedule"}]}]},{"description":"OBSERVATION EA ADD HR TELE M/S","code_information":[{"code":"G0378","type":"HCPCS"},{"code":"0762","type":"RC"}],"standard_charges":[{"minimum":29.61,"maximum":797,"gross_charge":63,"discounted_cash":34.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":797,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.61,"methodology":"fee schedule"}]}]},{"description":"OBSERVATION DIRECT REFERAL M/S","code_information":[{"code":"G0379","type":"HCPCS"},{"code":"0762","type":"RC"}],"standard_charges":[{"minimum":93.44,"maximum":122.88,"gross_charge":128,"discounted_cash":70.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":122.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.24,"methodology":"fee schedule"}]}]},{"description":"OBSERVATION DIRECT REFERAL M/S","code_information":[{"code":"G0379","type":"HCPCS"},{"code":"0762","type":"RC"}],"standard_charges":[{"minimum":60.16,"maximum":797,"gross_charge":128,"discounted_cash":70.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":797,"methodology":"case rate"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":121.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":122.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":117.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":110.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":106.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":88.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":60.16,"methodology":"fee schedule"}]}]},{"description":"CANNABINOIDS (THC) CONFIRM","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":131.4,"maximum":172.8,"gross_charge":180,"discounted_cash":99.74,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.4,"methodology":"fee schedule"}]}]},{"description":"CANNABINOIDS (THC) CONFIRM","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":114.43,"maximum":180,"gross_charge":180,"discounted_cash":99.74,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":180,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":147.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":165.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":154.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.43,"methodology":"fee schedule"}]}]},{"description":"CARBIDOPA/LEVODOPA (SINEMET)","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":316.09,"maximum":415.68,"gross_charge":433,"discounted_cash":239.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"}]}]},{"description":"CARBIDOPA/LEVODOPA (SINEMET)","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":114.43,"maximum":433,"gross_charge":433,"discounted_cash":239.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":433,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":411.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":415.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":355.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":398.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":372.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":359.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.43,"methodology":"fee schedule"}]}]},{"description":"CLONAZEPAM. URINE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":63.51,"maximum":83.52,"gross_charge":87,"discounted_cash":48.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"}]}]},{"description":"CLONAZEPAM. URINE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":60.03,"maximum":87,"gross_charge":87,"discounted_cash":48.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":74.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":87,"methodology":"fee schedule"}]}]},{"description":"DPM341C - ALCOHOL BIOMARKER","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":43.8,"maximum":57.6,"gross_charge":60,"discounted_cash":33.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":51.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":49.8,"methodology":"fee schedule"}]}]},{"description":"DPM341C - ALCOHOL BIOMARKER","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":41.4,"maximum":60,"gross_charge":60,"discounted_cash":33.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":57.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":51.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":49.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"}]}]},{"description":"DPM341C - BARBITURATES","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":46.72,"maximum":61.44,"gross_charge":64,"discounted_cash":35.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"}]}]},{"description":"DPM341C - BARBITURATES","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":44.16,"maximum":64,"gross_charge":64,"discounted_cash":35.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":64,"methodology":"fee schedule"}]}]},{"description":"DPM341C - BENZODIAZEPINES 1-12","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":81.03,"maximum":106.56,"gross_charge":111,"discounted_cash":61.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"}]}]},{"description":"DPM341C - BENZODIAZEPINES 1-12","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":76.59,"maximum":111,"gross_charge":111,"discounted_cash":61.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":111,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":106.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":111,"methodology":"fee schedule"}]}]},{"description":"DPM341C - COCAINE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.05,"maximum":81.6,"gross_charge":85,"discounted_cash":47.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":70.55,"methodology":"fee schedule"}]}]},{"description":"DPM341C - COCAINE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":58.65,"maximum":85,"gross_charge":85,"discounted_cash":47.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":80.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":81.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":78.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":73.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":70.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":58.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":85,"methodology":"fee schedule"}]}]},{"description":"DPM341C - METHADONE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":66.43,"maximum":87.36,"gross_charge":91,"discounted_cash":50.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":87.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":83.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":78.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":75.53,"methodology":"fee schedule"}]}]},{"description":"DPM341C - METHADONE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":62.79,"maximum":91,"gross_charge":91,"discounted_cash":50.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":86.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":87.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":83.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":78.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":75.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":91,"methodology":"fee schedule"}]}]},{"description":"DPM341C - PHENCYCLIDINE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":79.57,"maximum":104.64,"gross_charge":109,"discounted_cash":60.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"}]}]},{"description":"DPM341C - PHENCYCLIDINE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":75.21,"maximum":109,"gross_charge":109,"discounted_cash":60.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":109,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":109,"methodology":"fee schedule"}]}]},{"description":"DPM341C - SKEL MUSC RELAX 1-2","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":71.54,"maximum":94.08,"gross_charge":98,"discounted_cash":54.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.34,"methodology":"fee schedule"}]}]},{"description":"DPM341C - SKEL MUSC RELAX 1-2","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":67.62,"maximum":98,"gross_charge":98,"discounted_cash":54.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":98,"methodology":"fee schedule"}]}]},{"description":"METHAMPHATAMINE CONFIRMATION","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":90.52,"maximum":119.04,"gross_charge":124,"discounted_cash":68.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":119.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":114.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":106.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":102.92,"methodology":"fee schedule"}]}]},{"description":"METHAMPHATAMINE CONFIRMATION","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":85.56,"maximum":124,"gross_charge":124,"discounted_cash":68.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":124,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":117.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":119.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":114.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":106.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":102.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":85.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.43,"methodology":"fee schedule"}]}]},{"description":"METHANOL, WHOLE BLOOD","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":61.32,"maximum":80.64,"gross_charge":84,"discounted_cash":46.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":69.72,"methodology":"fee schedule"}]}]},{"description":"METHANOL, WHOLE BLOOD","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":57.96,"maximum":84,"gross_charge":84,"discounted_cash":46.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":79.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":80.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":77.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":72.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":69.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":84,"methodology":"fee schedule"}]}]},{"description":"NICOTINE AND METABOLITE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":91.98,"maximum":120.96,"gross_charge":126,"discounted_cash":69.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"}]}]},{"description":"NICOTINE AND METABOLITE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":86.94,"maximum":126,"gross_charge":126,"discounted_cash":69.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":126,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":119.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":108.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":104.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.43,"methodology":"fee schedule"}]}]},{"description":"NORTRIPTYLINE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":172.28,"maximum":226.56,"gross_charge":236,"discounted_cash":130.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":226.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":193.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":217.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":202.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":195.88,"methodology":"fee schedule"}]}]},{"description":"NORTRIPTYLINE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":114.43,"maximum":236,"gross_charge":236,"discounted_cash":130.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":236,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":224.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":226.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":193.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":217.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":202.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":172.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":195.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":162.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.43,"methodology":"fee schedule"}]}]},{"description":"OLANZAPINE, SERUM","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":91.25,"maximum":120,"gross_charge":125,"discounted_cash":69.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":103.75,"methodology":"fee schedule"}]}]},{"description":"OLANZAPINE, SERUM","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":86.25,"maximum":125,"gross_charge":125,"discounted_cash":69.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":125,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":118.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":120,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":115,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":107.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":103.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":86.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.43,"methodology":"fee schedule"}]}]},{"description":"OPIATE URINE CONFIRMATION","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":108.04,"maximum":142.08,"gross_charge":148,"discounted_cash":82.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":142.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":136.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":127.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.84,"methodology":"fee schedule"}]}]},{"description":"OPIATE URINE CONFIRMATION","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":102.12,"maximum":148,"gross_charge":148,"discounted_cash":82.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":148,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":140.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":142.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":121.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":136.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":127.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":108.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":102.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.43,"methodology":"fee schedule"}]}]},{"description":"SULFONYLUREA ANALYSIS","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":89.06,"maximum":117.12,"gross_charge":122,"discounted_cash":67.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":117.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":112.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":101.26,"methodology":"fee schedule"}]}]},{"description":"SULFONYLUREA ANALYSIS","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":84.18,"maximum":122,"gross_charge":122,"discounted_cash":67.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":122,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":115.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":117.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":112.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":101.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":84.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.43,"methodology":"fee schedule"}]}]},{"description":"TRAZODONE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":92.71,"maximum":121.92,"gross_charge":127,"discounted_cash":70.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":120.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":121.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":116.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":109.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":105.41,"methodology":"fee schedule"}]}]},{"description":"TRAZODONE","code_information":[{"code":"G0480","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":87.63,"maximum":127,"gross_charge":127,"discounted_cash":70.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":127,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":120.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":121.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":104.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":116.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":109.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":105.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":87.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.43,"methodology":"fee schedule"}]}]},{"description":"ACET 20% 200MG/ML 30 SDV","code_information":[{"code":"J0132","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":151.1027,"maximum":198.7104,"gross_charge":206.99,"discounted_cash":114.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":169.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":190.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":178.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":171.81,"methodology":"fee schedule"}]}]},{"description":"ACET 20% 200MG/ML 30 SDV","code_information":[{"code":"J0132","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.34,"maximum":198.7104,"gross_charge":206.99,"discounted_cash":114.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.34,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":196.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":169.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":190.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":178.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":151.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":171.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":142.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":97.29,"methodology":"fee schedule"}]}]},{"description":"ACYCLOVIR 1000MG/20ML","code_information":[{"code":"J0133","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":102.2,"maximum":134.4,"gross_charge":140,"discounted_cash":77.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":116.2,"methodology":"fee schedule"}]}]},{"description":"ACYCLOVIR 1000MG/20ML","code_information":[{"code":"J0133","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.07,"maximum":134.4,"gross_charge":140,"discounted_cash":77.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.07,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":116.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":65.8,"methodology":"fee schedule"}]}]},{"description":"ACYCLOVIR 500 MG/10 ML SDV","code_information":[{"code":"J0133","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":28.1342,"maximum":36.9984,"gross_charge":38.54,"discounted_cash":21.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":35.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":33.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.99,"methodology":"fee schedule"}]}]},{"description":"ACYCLOVIR 500 MG/10 ML SDV","code_information":[{"code":"J0133","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.07,"maximum":36.9984,"gross_charge":38.54,"discounted_cash":21.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.07,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":35.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":33.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.12,"methodology":"fee schedule"}]}]},{"description":"ADENOSINE 12 MG/4 ML SDV","code_information":[{"code":"J0153","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":55.9545,"maximum":73.584,"gross_charge":76.65,"discounted_cash":42.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":73.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.62,"methodology":"fee schedule"}]}]},{"description":"ADENOSINE 12 MG/4 ML SDV","code_information":[{"code":"J0153","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.7,"maximum":73.584,"gross_charge":76.65,"discounted_cash":42.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":72.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":73.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":62.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":65.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":55.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":63.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":52.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":36.03,"methodology":"fee schedule"}]}]},{"description":"ADENOSINE 6 MG/2 ML SDV","code_information":[{"code":"J0153","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":40.6245,"maximum":53.424,"gross_charge":55.65,"discounted_cash":30.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.19,"methodology":"fee schedule"}]}]},{"description":"ADENOSINE 6 MG/2 ML SDV","code_information":[{"code":"J0153","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.7,"maximum":53.424,"gross_charge":55.65,"discounted_cash":30.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":52.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":47.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":26.16,"methodology":"fee schedule"}]}]},{"description":"ADENOSINE 60 MG/20 ML SDV","code_information":[{"code":"J0153","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":101.0539,"maximum":132.8928,"gross_charge":138.43,"discounted_cash":76.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":131.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":132.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":114.9,"methodology":"fee schedule"}]}]},{"description":"ADENOSINE 60 MG/20 ML SDV","code_information":[{"code":"J0153","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.7,"maximum":132.8928,"gross_charge":138.43,"discounted_cash":76.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":131.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":132.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":127.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":119.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":101.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":114.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":65.07,"methodology":"fee schedule"}]}]},{"description":"ADENOSINE 90 MG/30 ML SDV","code_information":[{"code":"J0153","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":407.6977,"maximum":536.1504,"gross_charge":558.49,"discounted_cash":309.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":530.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":536.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":457.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":513.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":480.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":463.55,"methodology":"fee schedule"}]}]},{"description":"ADENOSINE 90 MG/30 ML SDV","code_information":[{"code":"J0153","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.7,"maximum":536.1504,"gross_charge":558.49,"discounted_cash":309.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":530.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":536.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":457.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":513.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":480.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":407.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":463.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":385.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":262.5,"methodology":"fee schedule"}]}]},{"description":"EPINE 1:1000 1MG/ML 30ML MDV","code_information":[{"code":"J0171","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":78.3874,"maximum":103.0848,"gross_charge":107.38,"discounted_cash":59.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":102.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":103.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":98.79,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":89.13,"methodology":"fee schedule"}]}]},{"description":"EPINE 1:1000 1MG/ML 30ML MDV","code_information":[{"code":"J0171","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.98,"maximum":103.0848,"gross_charge":107.38,"discounted_cash":59.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":102.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":103.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":98.79,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":92.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":78.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":89.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":74.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":50.47,"methodology":"fee schedule"}]}]},{"description":"EPINEPHRINE 1 MG/ML SDV","code_information":[{"code":"J0171","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":22.3891,"maximum":29.4432,"gross_charge":30.67,"discounted_cash":17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.46,"methodology":"fee schedule"}]}]},{"description":"EPINEPHRINE 1 MG/ML SDV","code_information":[{"code":"J0171","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.98,"maximum":29.4432,"gross_charge":30.67,"discounted_cash":17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.42,"methodology":"fee schedule"}]}]},{"description":"EPINEPHRINE 1MG/10ML SY","code_information":[{"code":"J0171","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.8402,"maximum":10.3104,"gross_charge":10.74,"discounted_cash":5.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.92,"methodology":"fee schedule"}]}]},{"description":"EPINEPHRINE 1MG/10ML SY","code_information":[{"code":"J0171","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.98,"maximum":10.3104,"gross_charge":10.74,"discounted_cash":5.96,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.05,"methodology":"fee schedule"}]}]},{"description":"EPINEPHRINE 1MG/1ML AMPULE","code_information":[{"code":"J0171","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"EPINEPHRINE 1MG/1ML AMPULE","code_information":[{"code":"J0171","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.98,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"REMDESIVIR POWDER 100 MG VIAL","code_information":[{"code":"J0248","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1201.4851,"maximum":1580.0352,"gross_charge":1645.87,"discounted_cash":911.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1563.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1580.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1349.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1514.21,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1415.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1201.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1366.08,"methodology":"fee schedule"}]}]},{"description":"REMDESIVIR POWDER 100 MG VIAL","code_information":[{"code":"J0248","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":773.5589,"maximum":1580.0352,"gross_charge":1645.87,"discounted_cash":911.98,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1563.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1580.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1349.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1514.21,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1415.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1201.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1366.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1135.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":773.56,"methodology":"fee schedule"}]}]},{"description":"ALPHA1 PROTEINASE 1000MG/20ML","code_information":[{"code":"J0256","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1033.68,"maximum":1359.36,"gross_charge":1416,"discounted_cash":784.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1345.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1359.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1161.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1302.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1217.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1033.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1175.28,"methodology":"fee schedule"}]}]},{"description":"ALPHA1 PROTEINASE 1000MG/20ML","code_information":[{"code":"J0256","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":6.2,"maximum":1359.36,"gross_charge":1416,"discounted_cash":784.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6.2,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1345.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1359.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1161.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1302.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1217.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1033.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1175.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":977.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":665.52,"methodology":"fee schedule"}]}]},{"description":"AMINO 250 MG/10 ML SDV","code_information":[{"code":"J0280","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":52.2315,"maximum":68.688,"gross_charge":71.55,"discounted_cash":39.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":59.39,"methodology":"fee schedule"}]}]},{"description":"AMINO 250 MG/10 ML SDV","code_information":[{"code":"J0280","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":17.68,"maximum":68.688,"gross_charge":71.55,"discounted_cash":39.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":67.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":68.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":65.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":59.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":33.63,"methodology":"fee schedule"}]}]},{"description":"AMINO 500 MG/20 ML SDV","code_information":[{"code":"J0280","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":46.0995,"maximum":60.624,"gross_charge":63.15,"discounted_cash":35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.42,"methodology":"fee schedule"}]}]},{"description":"AMINO 500 MG/20 ML SDV","code_information":[{"code":"J0280","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":17.68,"maximum":60.624,"gross_charge":63.15,"discounted_cash":35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17.68,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.69,"methodology":"fee schedule"}]}]},{"description":"AMIODARONE 150 MG/3 ML SDV","code_information":[{"code":"J0282","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"AMIODARONE 150 MG/3 ML SDV","code_information":[{"code":"J0282","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.45,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"AMIODARONE D5 150MG 100ML","code_information":[{"code":"J0282","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"AMIODARONE D5 150MG 100ML","code_information":[{"code":"J0282","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"NEXTERONE IN DEXT 360 MG/200ML","code_information":[{"code":"J0282","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":98.55,"maximum":129.6,"gross_charge":135,"discounted_cash":74.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.05,"methodology":"fee schedule"}]}]},{"description":"NEXTERONE IN DEXT 360 MG/200ML","code_information":[{"code":"J0282","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.45,"maximum":129.6,"gross_charge":135,"discounted_cash":74.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.7,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":63.45,"methodology":"fee schedule"}]}]},{"description":"AMPHOTERICIN B LIP 50 MG VIAL","code_information":[{"code":"J0289","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":219.0292,"maximum":288.0384,"gross_charge":300.04,"discounted_cash":166.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.04,"methodology":"fee schedule"}]}]},{"description":"AMPHOTERICIN B LIP 50 MG VIAL","code_information":[{"code":"J0289","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":33.1,"maximum":288.0384,"gross_charge":300.04,"discounted_cash":166.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141.02,"methodology":"fee schedule"}]}]},{"description":"AMPICILLIN 1 GM VIAL","code_information":[{"code":"J0290","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.833,"maximum":11.616,"gross_charge":12.1,"discounted_cash":6.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.14,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.05,"methodology":"fee schedule"}]}]},{"description":"AMPICILLIN 1 GM VIAL","code_information":[{"code":"J0290","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.98,"maximum":11.616,"gross_charge":12.1,"discounted_cash":6.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.14,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.69,"methodology":"fee schedule"}]}]},{"description":"AMPICILLIN 2 GM VIAL","code_information":[{"code":"J0290","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":25.0682,"maximum":32.9664,"gross_charge":34.34,"discounted_cash":19.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":32.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.51,"methodology":"fee schedule"}]}]},{"description":"AMPICILLIN 2 GM VIAL","code_information":[{"code":"J0290","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.98,"maximum":32.9664,"gross_charge":34.34,"discounted_cash":19.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":32.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.14,"methodology":"fee schedule"}]}]},{"description":"AMPICILLIN 500 MG VIAL","code_information":[{"code":"J0290","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"AMPICILLIN 500 MG VIAL","code_information":[{"code":"J0290","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.98,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"AMP/SULB NA 1.5 GM VIAL","code_information":[{"code":"J0295","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"AMP/SULB NA 1.5 GM VIAL","code_information":[{"code":"J0295","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.08,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"AMP/SULB NA 3 GM VIAL","code_information":[{"code":"J0295","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":21.8489,"maximum":28.7328,"gross_charge":29.93,"discounted_cash":16.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.85,"methodology":"fee schedule"}]}]},{"description":"AMP/SULB NA 3 GM VIAL","code_information":[{"code":"J0295","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.08,"maximum":28.7328,"gross_charge":29.93,"discounted_cash":16.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.07,"methodology":"fee schedule"}]}]},{"description":"SUCC 200MG/10ML MDV","code_information":[{"code":"J0330","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":28.9883,"maximum":38.1216,"gross_charge":39.71,"discounted_cash":22.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":37.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":32.96,"methodology":"fee schedule"}]}]},{"description":"SUCC 200MG/10ML MDV","code_information":[{"code":"J0330","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.85,"maximum":38.1216,"gross_charge":39.71,"discounted_cash":22.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.85,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":37.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":32.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.67,"methodology":"fee schedule"}]}]},{"description":"HYDRALAZINE 20 MG/ML SDV","code_information":[{"code":"J0360","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":21.5496,"maximum":28.3392,"gross_charge":29.52,"discounted_cash":16.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.51,"methodology":"fee schedule"}]}]},{"description":"HYDRALAZINE 20 MG/ML SDV","code_information":[{"code":"J0360","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.12,"maximum":28.3392,"gross_charge":29.52,"discounted_cash":16.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.88,"methodology":"fee schedule"}]}]},{"description":"ABILIFY MAINTENA 400MG SYR","code_information":[{"code":"J0401","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4764.71,"maximum":6265.92,"gross_charge":6527,"discounted_cash":3616.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6200.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6265.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5352.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6004.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5613.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4764.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5417.41,"methodology":"fee schedule"}]}]},{"description":"ABILIFY MAINTENA 400MG SYR","code_information":[{"code":"J0401","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.67,"maximum":6265.92,"gross_charge":6527,"discounted_cash":3616.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6200.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6265.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5352.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6004.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5613.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4764.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5417.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4503.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3067.69,"methodology":"fee schedule"}]}]},{"description":"AZITHROMYCIN 500 MG ADV","code_information":[{"code":"J0456","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":46.0995,"maximum":60.624,"gross_charge":63.15,"discounted_cash":35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.42,"methodology":"fee schedule"}]}]},{"description":"AZITHROMYCIN 500 MG ADV","code_information":[{"code":"J0456","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.46,"maximum":60.624,"gross_charge":63.15,"discounted_cash":35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.46,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":60.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.69,"methodology":"fee schedule"}]}]},{"description":"AZITHROMYCIN 500 MG VIAL","code_information":[{"code":"J0456","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11.1179,"maximum":14.6208,"gross_charge":15.23,"discounted_cash":8.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.65,"methodology":"fee schedule"}]}]},{"description":"AZITHROMYCIN 500 MG VIAL","code_information":[{"code":"J0456","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.46,"maximum":14.6208,"gross_charge":15.23,"discounted_cash":8.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.46,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.16,"methodology":"fee schedule"}]}]},{"description":"ATROPINE 0.1 MG/ML 10 ML SYR","code_information":[{"code":"J0461","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":22.8344,"maximum":30.0288,"gross_charge":31.28,"discounted_cash":17.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.97,"methodology":"fee schedule"}]}]},{"description":"ATROPINE 0.1 MG/ML 10 ML SYR","code_information":[{"code":"J0461","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.09,"maximum":30.0288,"gross_charge":31.28,"discounted_cash":17.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.09,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.71,"methodology":"fee schedule"}]}]},{"description":"ATROPINE 0.4 MG/ML SDV","code_information":[{"code":"J0461","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":16.1622,"maximum":21.2544,"gross_charge":22.14,"discounted_cash":12.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.37,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.38,"methodology":"fee schedule"}]}]},{"description":"ATROPINE 0.4 MG/ML SDV","code_information":[{"code":"J0461","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.09,"maximum":21.2544,"gross_charge":22.14,"discounted_cash":12.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.09,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.37,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.41,"methodology":"fee schedule"}]}]},{"description":"BELATACEPT 250MG VIAL","code_information":[{"code":"J0485","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1416.0248,"maximum":1862.1696,"gross_charge":1939.76,"discounted_cash":1074.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1842.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1862.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1590.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1784.58,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1668.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1416.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1610.01,"methodology":"fee schedule"}]}]},{"description":"BELATACEPT 250MG VIAL","code_information":[{"code":"J0485","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.11,"maximum":1862.1696,"gross_charge":1939.76,"discounted_cash":1074.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1842.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1862.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1590.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1784.58,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1668.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1416.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1610.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1338.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":911.69,"methodology":"fee schedule"}]}]},{"description":"DICYCLOMINE 20 MG/2 ML AMP","code_information":[{"code":"J0500","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":111.6827,"maximum":146.8704,"gross_charge":152.99,"discounted_cash":84.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":145.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":146.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":140.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":131.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":126.99,"methodology":"fee schedule"}]}]},{"description":"DICYCLOMINE 20 MG/2 ML AMP","code_information":[{"code":"J0500","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":32.65,"maximum":146.8704,"gross_charge":152.99,"discounted_cash":84.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":145.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":146.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":125.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":140.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":131.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":126.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":105.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":71.91,"methodology":"fee schedule"}]}]},{"description":"BENZTROPINE 2 MG/2 ML AMP","code_information":[{"code":"J0515","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":79.716,"maximum":104.832,"gross_charge":109.2,"discounted_cash":60.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.47,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.64,"methodology":"fee schedule"}]}]},{"description":"BENZTROPINE 2 MG/2 ML AMP","code_information":[{"code":"J0515","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":23.58,"maximum":104.832,"gross_charge":109.2,"discounted_cash":60.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":23.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":103.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":104.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":89.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":100.47,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":93.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":79.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":90.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":75.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":51.33,"methodology":"fee schedule"}]}]},{"description":"PEN G BENZ/PRO 600-600 1.2MIL","code_information":[{"code":"J0558","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":250.8061,"maximum":329.8272,"gross_charge":343.57,"discounted_cash":190.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":326.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":329.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":295.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":285.17,"methodology":"fee schedule"}]}]},{"description":"PEN G BENZ/PRO 600-600 1.2MIL","code_information":[{"code":"J0558","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18.74,"maximum":329.8272,"gross_charge":343.57,"discounted_cash":190.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18.74,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":326.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":329.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":281.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":316.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":295.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":250.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":285.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":237.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":161.48,"methodology":"fee schedule"}]}]},{"description":"PEN G BENZ 1200000U/2ML","code_information":[{"code":"J0561","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":377.5706,"maximum":496.5312,"gross_charge":517.22,"discounted_cash":286.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":491.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":496.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":424.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":475.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":444.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":377.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":429.3,"methodology":"fee schedule"}]}]},{"description":"PEN G BENZ 1200000U/2ML","code_information":[{"code":"J0561","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":24.45,"maximum":496.5312,"gross_charge":517.22,"discounted_cash":286.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":491.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":496.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":424.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":475.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":444.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":377.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":429.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":356.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":243.1,"methodology":"fee schedule"}]}]},{"description":"PENIC G BENZ 600000U/1 ML","code_information":[{"code":"J0561","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":181.6678,"maximum":238.9056,"gross_charge":248.86,"discounted_cash":137.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":236.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":238.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":228.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":214.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":206.56,"methodology":"fee schedule"}]}]},{"description":"PENIC G BENZ 600000U/1 ML","code_information":[{"code":"J0561","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":24.45,"maximum":238.9056,"gross_charge":248.86,"discounted_cash":137.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":236.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":238.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":204.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":228.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":214.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":181.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":206.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":171.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":116.97,"methodology":"fee schedule"}]}]},{"description":"BOTOX 100 UNIT","code_information":[{"code":"J0585","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":877.5038,"maximum":1153.9776,"gross_charge":1202.06,"discounted_cash":666.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1141.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1153.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":985.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1105.9,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1033.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":877.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":997.71,"methodology":"fee schedule"}]}]},{"description":"BOTOX 100 UNIT","code_information":[{"code":"J0585","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.53,"maximum":1153.9776,"gross_charge":1202.06,"discounted_cash":666.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8.53,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1141.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1153.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":985.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1105.9,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1033.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":877.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":997.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":829.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":564.97,"methodology":"fee schedule"}]}]},{"description":"ONABOTULINUMTOXINA 200 UNIT VL","code_information":[{"code":"J0585","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2221.536,"maximum":2921.472,"gross_charge":3043.2,"discounted_cash":1686.24,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2891.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2921.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2495.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2799.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2617.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2221.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2525.86,"methodology":"fee schedule"}]}]},{"description":"ONABOTULINUMTOXINA 200 UNIT VL","code_information":[{"code":"J0585","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.53,"maximum":2921.472,"gross_charge":3043.2,"discounted_cash":1686.24,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8.53,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2891.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2921.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2495.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2799.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2617.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2221.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2525.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2099.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1430.31,"methodology":"fee schedule"}]}]},{"description":"BUTORPHANOL 2 MG/ML SDV","code_information":[{"code":"J0595","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"BUTORPHANOL 2 MG/ML SDV","code_information":[{"code":"J0595","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"CAL GLUC 1GM/10ML SDV","code_information":[{"code":"J0612","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.0811,"maximum":10.6272,"gross_charge":11.07,"discounted_cash":6.14,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.19,"methodology":"fee schedule"}]}]},{"description":"CAL GLUC 1GM/10ML SDV","code_information":[{"code":"J0612","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.2029,"maximum":10.6272,"gross_charge":11.07,"discounted_cash":6.14,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.21,"methodology":"fee schedule"}]}]},{"description":"CALCIUM GLUC IN NACL PREMIX","code_information":[{"code":"J0612","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":86.505,"maximum":113.76,"gross_charge":118.5,"discounted_cash":65.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":112.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":113.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":109.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":101.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":98.36,"methodology":"fee schedule"}]}]},{"description":"CALCIUM GLUC IN NACL PREMIX","code_information":[{"code":"J0612","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":55.695,"maximum":113.76,"gross_charge":118.5,"discounted_cash":65.67,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":112.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":113.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":109.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":101.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":98.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":55.7,"methodology":"fee schedule"}]}]},{"description":"BUPIVACAINE 0.5% 30 ML SDV","code_information":[{"code":"J0665","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"BUPIVACAINE 0.5% 30 ML SDV","code_information":[{"code":"J0665","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"CEF/DEX ISO-OS 2GM/50ML DUP B","code_information":[{"code":"J0690","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"CEF/DEX ISO-OS 2GM/50ML DUP B","code_information":[{"code":"J0690","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.99,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"CEFAZOLIN 1 GM VIAL","code_information":[{"code":"J0690","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"CEFAZOLIN 1 GM VIAL","code_information":[{"code":"J0690","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.99,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"CEFEPIME 1 GM VIAL","code_information":[{"code":"J0692","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.979,"maximum":11.808,"gross_charge":12.3,"discounted_cash":6.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.21,"methodology":"fee schedule"}]}]},{"description":"CEFEPIME 1 GM VIAL","code_information":[{"code":"J0692","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.74,"maximum":11.808,"gross_charge":12.3,"discounted_cash":6.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.74,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.79,"methodology":"fee schedule"}]}]},{"description":"CEFEPIME 2 GM VIAL PER 500MG","code_information":[{"code":"J0692","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":16.2206,"maximum":21.3312,"gross_charge":22.22,"discounted_cash":12.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.45,"methodology":"fee schedule"}]}]},{"description":"CEFEPIME 2 GM VIAL PER 500MG","code_information":[{"code":"J0692","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.74,"maximum":21.3312,"gross_charge":22.22,"discounted_cash":12.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.74,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.45,"methodology":"fee schedule"}]}]},{"description":"CEFOXITIN 1GM VIAL","code_information":[{"code":"J0694","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":10.4609,"maximum":13.7568,"gross_charge":14.33,"discounted_cash":7.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.9,"methodology":"fee schedule"}]}]},{"description":"CEFOXITIN 1GM VIAL","code_information":[{"code":"J0694","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":6.58,"maximum":13.7568,"gross_charge":14.33,"discounted_cash":7.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6.58,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.74,"methodology":"fee schedule"}]}]},{"description":"CEFTRIAXONE 1 GM VIAL","code_information":[{"code":"J0696","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"CEFTRIAXONE 1 GM VIAL","code_information":[{"code":"J0696","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.71,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.71,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"CEFUROXIME 1.5 GM VIAL","code_information":[{"code":"J0697","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.7527,"maximum":11.5104,"gross_charge":11.99,"discounted_cash":6.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.96,"methodology":"fee schedule"}]}]},{"description":"CEFUROXIME 1.5 GM VIAL","code_information":[{"code":"J0697","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.82,"maximum":11.5104,"gross_charge":11.99,"discounted_cash":6.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.64,"methodology":"fee schedule"}]}]},{"description":"BETA ACET/BETA NA PHOS S","code_information":[{"code":"J0702","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":16.4761,"maximum":21.6672,"gross_charge":22.57,"discounted_cash":12.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.74,"methodology":"fee schedule"}]}]},{"description":"BETA ACET/BETA NA PHOS S","code_information":[{"code":"J0702","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.37,"maximum":21.6672,"gross_charge":22.57,"discounted_cash":12.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.61,"methodology":"fee schedule"}]}]},{"description":"CAFFEINE CITRATED 60MG/3ML","code_information":[{"code":"J0706","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":99.0099,"maximum":130.2048,"gross_charge":135.63,"discounted_cash":75.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":130.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.58,"methodology":"fee schedule"}]}]},{"description":"CAFFEINE CITRATED 60MG/3ML","code_information":[{"code":"J0706","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.87,"maximum":130.2048,"gross_charge":135.63,"discounted_cash":75.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":130.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":111.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":116.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":112.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":63.75,"methodology":"fee schedule"}]}]},{"description":"CEFTAROLINE FOSAMIL 400MG VIAL","code_information":[{"code":"J0712","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":291.5036,"maximum":383.3472,"gross_charge":399.32,"discounted_cash":221.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":379.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":383.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":327.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":367.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":343.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":331.44,"methodology":"fee schedule"}]}]},{"description":"CEFTAROLINE FOSAMIL 400MG VIAL","code_information":[{"code":"J0712","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.1,"maximum":383.3472,"gross_charge":399.32,"discounted_cash":221.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":379.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":383.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":327.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":367.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":343.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":331.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":275.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":187.69,"methodology":"fee schedule"}]}]},{"description":"CEFTAROLINE FOSAMIL 600MG VIAL","code_information":[{"code":"J0712","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":170.4696,"maximum":224.1792,"gross_charge":233.52,"discounted_cash":129.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":221.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":224.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":214.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":200.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":193.83,"methodology":"fee schedule"}]}]},{"description":"CEFTAROLINE FOSAMIL 600MG VIAL","code_information":[{"code":"J0712","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.1,"maximum":224.1792,"gross_charge":233.52,"discounted_cash":129.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":221.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":224.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":214.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":200.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":170.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":193.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":161.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":109.76,"methodology":"fee schedule"}]}]},{"description":"CEFTAZIDIME 1 GM VIAL","code_information":[{"code":"J0713","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.1098,"maximum":4.0896,"gross_charge":4.26,"discounted_cash":2.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.54,"methodology":"fee schedule"}]}]},{"description":"CEFTAZIDIME 1 GM VIAL","code_information":[{"code":"J0713","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.0022,"maximum":4.0896,"gross_charge":4.26,"discounted_cash":2.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.01,"methodology":"fee schedule"}]}]},{"description":"CERTOLIZUMAB PEGOL 400 MG KIT","code_information":[{"code":"J0717","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7001.7147,"maximum":9207.7344,"gross_charge":9591.39,"discounted_cash":5314.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9111.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9207.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7864.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8824.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8248.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7001.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7960.86,"methodology":"fee schedule"}]}]},{"description":"CERTOLIZUMAB PEGOL 400 MG KIT","code_information":[{"code":"J0717","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":6.83,"maximum":9207.7344,"gross_charge":9591.39,"discounted_cash":5314.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6.83,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9111.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9207.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7864.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8824.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8248.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7001.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7960.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6618.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4507.96,"methodology":"fee schedule"}]}]},{"description":"IMIPENEM/CILA 500MG VIAL","code_information":[{"code":"J0743","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":23.8345,"maximum":31.344,"gross_charge":32.65,"discounted_cash":18.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.1,"methodology":"fee schedule"}]}]},{"description":"IMIPENEM/CILA 500MG VIAL","code_information":[{"code":"J0743","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11.11,"maximum":31.344,"gross_charge":32.65,"discounted_cash":18.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.35,"methodology":"fee schedule"}]}]},{"description":"CIPROFL D5W 200MG/100ML","code_information":[{"code":"J0744","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"CIPROFL D5W 200MG/100ML","code_information":[{"code":"J0744","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.47,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.47,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"COLISTIMETHATE 150 MG VIAL","code_information":[{"code":"J0770","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":39.4492,"maximum":51.8784,"gross_charge":54.04,"discounted_cash":29.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.86,"methodology":"fee schedule"}]}]},{"description":"COLISTIMETHATE 150 MG VIAL","code_information":[{"code":"J0770","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":21.31,"maximum":51.8784,"gross_charge":54.04,"discounted_cash":29.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21.31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.4,"methodology":"fee schedule"}]}]},{"description":"PROCHLORPERAZINE 10 MG/2 ML","code_information":[{"code":"J0780","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":16.1622,"maximum":21.2544,"gross_charge":22.14,"discounted_cash":12.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.37,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.38,"methodology":"fee schedule"}]}]},{"description":"PROCHLORPERAZINE 10 MG/2 ML","code_information":[{"code":"J0780","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.98,"maximum":21.2544,"gross_charge":22.14,"discounted_cash":12.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.37,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.41,"methodology":"fee schedule"}]}]},{"description":"COSYNTROPIN 0.25 MG VIAL","code_information":[{"code":"J0834","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":132.0862,"maximum":173.7024,"gross_charge":180.94,"discounted_cash":100.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":173.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":166.47,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":155.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":150.19,"methodology":"fee schedule"}]}]},{"description":"COSYNTROPIN 0.25 MG VIAL","code_information":[{"code":"J0834","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":32.97,"maximum":173.7024,"gross_charge":180.94,"discounted_cash":100.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32.97,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":173.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":166.47,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":155.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":150.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":85.05,"methodology":"fee schedule"}]}]},{"description":"DAPTOMYCIN 350MG VIAL","code_information":[{"code":"J0878","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":127.75,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"}]}]},{"description":"DAPTOMYCIN 350MG VIAL","code_information":[{"code":"J0878","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.06,"maximum":168,"gross_charge":175,"discounted_cash":96.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":166.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":168,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":143.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":161,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":150.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":145.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":120.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":82.25,"methodology":"fee schedule"}]}]},{"description":"DAPTOMYCIN 500 MG VIAL","code_information":[{"code":"J0878","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":109.573,"maximum":144.096,"gross_charge":150.1,"discounted_cash":83.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.59,"methodology":"fee schedule"}]}]},{"description":"DAPTOMYCIN 500 MG VIAL","code_information":[{"code":"J0878","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.06,"maximum":144.096,"gross_charge":150.1,"discounted_cash":83.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":142.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":144.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":124.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":103.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":70.55,"methodology":"fee schedule"}]}]},{"description":"DARBE ALFA 100 MCG/0.5 ML SYR","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":892.7316,"maximum":1174.0032,"gross_charge":1222.92,"discounted_cash":677.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1174.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1002.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1125.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1051.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":892.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1015.03,"methodology":"fee schedule"}]}]},{"description":"DARBE ALFA 100 MCG/0.5 ML SYR","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.22,"maximum":1174.0032,"gross_charge":1222.92,"discounted_cash":677.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1161.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1174.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1002.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1125.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1051.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":892.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1015.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":843.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":574.78,"methodology":"fee schedule"}]}]},{"description":"DARBE ALFA 200MCG/0.4 ML SYR","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1672.4592,"maximum":2199.3984,"gross_charge":2291.04,"discounted_cash":1269.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2176.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2199.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1878.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2107.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1970.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1672.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1901.57,"methodology":"fee schedule"}]}]},{"description":"DARBE ALFA 200MCG/0.4 ML SYR","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.22,"maximum":2199.3984,"gross_charge":2291.04,"discounted_cash":1269.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2176.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2199.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1878.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2107.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1970.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1672.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1901.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1580.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1076.79,"methodology":"fee schedule"}]}]},{"description":"DARBE ALFA 300MCG/0.6ML SYR","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2508.6888,"maximum":3299.0976,"gross_charge":3436.56,"discounted_cash":1904.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3264.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3299.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2817.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3161.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2955.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2508.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2852.35,"methodology":"fee schedule"}]}]},{"description":"DARBE ALFA 300MCG/0.6ML SYR","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.22,"maximum":3299.0976,"gross_charge":3436.56,"discounted_cash":1904.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3264.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3299.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2817.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3161.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2955.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2508.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2852.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2371.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1615.19,"methodology":"fee schedule"}]}]},{"description":"DARBE ALFA 40MCG/0.4ML SYR","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":386.4766,"maximum":508.2432,"gross_charge":529.42,"discounted_cash":293.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":502.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":434.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":487.07,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":455.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":386.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":439.42,"methodology":"fee schedule"}]}]},{"description":"DARBE ALFA 40MCG/0.4ML SYR","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.22,"maximum":508.2432,"gross_charge":529.42,"discounted_cash":293.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":502.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":508.25,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":434.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":487.07,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":455.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":386.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":439.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":365.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":248.83,"methodology":"fee schedule"}]}]},{"description":"DARBE ALFA 60MCG/0.3ML SYR","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":579.7076,"maximum":762.3552,"gross_charge":794.12,"discounted_cash":440.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":754.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":762.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":651.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":730.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":682.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":579.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":659.12,"methodology":"fee schedule"}]}]},{"description":"DARBE ALFA 60MCG/0.3ML SYR","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.22,"maximum":762.3552,"gross_charge":794.12,"discounted_cash":440.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":754.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":762.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":651.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":730.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":682.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":579.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":659.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":547.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":373.24,"methodology":"fee schedule"}]}]},{"description":"DARBEPOETIN ALFA 150MCG/0.3ML","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1254.3444,"maximum":1649.5488,"gross_charge":1718.28,"discounted_cash":952.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1632.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1649.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1408.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1580.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1477.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1254.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1426.18,"methodology":"fee schedule"}]}]},{"description":"DARBEPOETIN ALFA 150MCG/0.3ML","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.22,"maximum":1649.5488,"gross_charge":1718.28,"discounted_cash":952.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1632.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1649.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1408.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1580.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1477.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1254.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1426.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1185.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":807.6,"methodology":"fee schedule"}]}]},{"description":"DARBEPOETIN ALFA 25MCG/0.42 ML","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":241.5497,"maximum":317.6544,"gross_charge":330.89,"discounted_cash":183.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":314.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":317.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":304.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":284.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":274.64,"methodology":"fee schedule"}]}]},{"description":"DARBEPOETIN ALFA 25MCG/0.42 ML","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.22,"maximum":317.6544,"gross_charge":330.89,"discounted_cash":183.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":314.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":317.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":304.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":284.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":274.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":228.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":155.52,"methodology":"fee schedule"}]}]},{"description":"DARBEPOETIN ALFA 500MCG/ML","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5017.3776,"maximum":6598.1952,"gross_charge":6873.12,"discounted_cash":3808.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6529.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6598.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5635.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6323.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5910.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5017.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5704.69,"methodology":"fee schedule"}]}]},{"description":"DARBEPOETIN ALFA 500MCG/ML","code_information":[{"code":"J0881","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.22,"maximum":6598.1952,"gross_charge":6873.12,"discounted_cash":3808.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6529.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6598.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5635.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6323.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5910.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5017.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5704.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4742.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3230.37,"methodology":"fee schedule"}]}]},{"description":"EPO ALFA 4000U/1ML NON-ESRD","code_information":[{"code":"J0885","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":88.111,"maximum":115.872,"gross_charge":120.7,"discounted_cash":66.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":115.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.05,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":103.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.19,"methodology":"fee schedule"}]}]},{"description":"EPO ALFA 4000U/1ML NON-ESRD","code_information":[{"code":"J0885","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11.13,"maximum":115.872,"gross_charge":120.7,"discounted_cash":66.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":115.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.05,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":103.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":56.73,"methodology":"fee schedule"}]}]},{"description":"EPOETIN ALFA 40000 U/1 ML SDV","code_information":[{"code":"J0885","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1154.9476,"maximum":1518.8352,"gross_charge":1582.12,"discounted_cash":876.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1503.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1518.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1297.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1455.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1360.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1154.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1313.16,"methodology":"fee schedule"}]}]},{"description":"EPOETIN ALFA 40000 U/1 ML SDV","code_information":[{"code":"J0885","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11.13,"maximum":1518.8352,"gross_charge":1582.12,"discounted_cash":876.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1503.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1518.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1297.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1455.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1360.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1154.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1313.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1091.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":743.6,"methodology":"fee schedule"}]}]},{"description":"DECITABINE 50MG VIAL","code_information":[{"code":"J0894","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":273.75,"maximum":360,"gross_charge":375,"discounted_cash":207.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":356.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":360,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":345,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":322.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":273.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":311.25,"methodology":"fee schedule"}]}]},{"description":"DECITABINE 50MG VIAL","code_information":[{"code":"J0894","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.72,"maximum":360,"gross_charge":375,"discounted_cash":207.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.72,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":356.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":360,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":307.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":345,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":322.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":273.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":311.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":258.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":176.25,"methodology":"fee schedule"}]}]},{"description":"DENOSU 60 MG/1 ML SYR","code_information":[{"code":"J0897","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2028.0933,"maximum":2667.0816,"gross_charge":2778.21,"discounted_cash":1539.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2639.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2667.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2278.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2555.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2389.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2028.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2305.92,"methodology":"fee schedule"}]}]},{"description":"DENOSU 60 MG/1 ML SYR","code_information":[{"code":"J0897","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":31.14,"maximum":2667.0816,"gross_charge":2778.21,"discounted_cash":1539.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2639.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2667.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2278.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2555.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2389.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2028.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2305.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1916.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1305.76,"methodology":"fee schedule"}]}]},{"description":"DENOSUMAB 120 MG/1.7 ML SDV","code_information":[{"code":"J0897","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3730.5701,"maximum":4905.9552,"gross_charge":5110.37,"discounted_cash":2831.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4854.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4905.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4190.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4701.55,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4394.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3730.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4241.61,"methodology":"fee schedule"}]}]},{"description":"DENOSUMAB 120 MG/1.7 ML SDV","code_information":[{"code":"J0897","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":31.14,"maximum":4905.9552,"gross_charge":5110.37,"discounted_cash":2831.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4854.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4905.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4190.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4701.55,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4394.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3730.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4241.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3526.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2401.88,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE ACET 40MG/ML","code_information":[{"code":"J1030","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":17.3156,"maximum":22.7712,"gross_charge":23.72,"discounted_cash":13.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":22.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.69,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE ACET 40MG/ML","code_information":[{"code":"J1030","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":10.87,"maximum":22.7712,"gross_charge":23.72,"discounted_cash":13.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":22.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.15,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE ACET 80MG/ML","code_information":[{"code":"J1040","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":29.3022,"maximum":38.5344,"gross_charge":40.14,"discounted_cash":22.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.93,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.32,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE ACET 80MG/ML","code_information":[{"code":"J1040","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":16.49,"maximum":38.5344,"gross_charge":40.14,"discounted_cash":22.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.93,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.87,"methodology":"fee schedule"}]}]},{"description":"MEDROXYPROGESTERO 150MG/ML SDV","code_information":[{"code":"J1050","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":71.7444,"maximum":94.3488,"gross_charge":98.28,"discounted_cash":54.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.58,"methodology":"fee schedule"}]}]},{"description":"MEDROXYPROGESTERO 150MG/ML SDV","code_information":[{"code":"J1050","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.38,"maximum":94.3488,"gross_charge":98.28,"discounted_cash":54.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":93.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":94.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":90.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":84.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":81.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":67.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":46.2,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONE CY 200MG/ML","code_information":[{"code":"J1071","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":31.4265,"maximum":41.328,"gross_charge":43.05,"discounted_cash":23.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.61,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.74,"methodology":"fee schedule"}]}]},{"description":"TESTOSTERONE CY 200MG/ML","code_information":[{"code":"J1071","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.04,"maximum":41.328,"gross_charge":43.05,"discounted_cash":23.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":40.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":41.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":39.61,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":35.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":29.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.24,"methodology":"fee schedule"}]}]},{"description":"PHENYLEPR/KETOROL 4 ML VIAL","code_information":[{"code":"J1097","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":830.74,"maximum":1092.48,"gross_charge":1138,"discounted_cash":630.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1081.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":933.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1046.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":978.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":830.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":944.54,"methodology":"fee schedule"}]}]},{"description":"PHENYLEPR/KETOROL 4 ML VIAL","code_information":[{"code":"J1097","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":122.06,"maximum":1092.48,"gross_charge":1138,"discounted_cash":630.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":122.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1081.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1092.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":933.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1046.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":978.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":830.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":944.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":785.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":534.86,"methodology":"fee schedule"}]}]},{"description":"DEXA 4 MG/ML 30 ML MDV","code_information":[{"code":"J1100","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":57.3561,"maximum":75.4272,"gross_charge":78.57,"discounted_cash":43.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":74.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.22,"methodology":"fee schedule"}]}]},{"description":"DEXA 4 MG/ML 30 ML MDV","code_information":[{"code":"J1100","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.17,"maximum":75.4272,"gross_charge":78.57,"discounted_cash":43.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":74.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":36.93,"methodology":"fee schedule"}]}]},{"description":"DEXA 4 MG/ML 5 ML MDV","code_information":[{"code":"J1100","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":10.3441,"maximum":13.6032,"gross_charge":14.17,"discounted_cash":7.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.77,"methodology":"fee schedule"}]}]},{"description":"DEXA 4 MG/ML 5 ML MDV","code_information":[{"code":"J1100","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.17,"maximum":13.6032,"gross_charge":14.17,"discounted_cash":7.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.66,"methodology":"fee schedule"}]}]},{"description":"DEXAMETH 10 MG/ML SDV","code_information":[{"code":"J1100","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"DEXAMETH 10 MG/ML SDV","code_information":[{"code":"J1100","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.17,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"DIHYDROERGOTAMINE 1MG/1ML AMP","code_information":[{"code":"J1110","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":248.8205,"maximum":327.216,"gross_charge":340.85,"discounted_cash":188.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":323.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":327.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":279.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":313.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":293.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":248.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":282.91,"methodology":"fee schedule"}]}]},{"description":"DIHYDROERGOTAMINE 1MG/1ML AMP","code_information":[{"code":"J1110","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":77.38,"maximum":327.216,"gross_charge":340.85,"discounted_cash":188.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":77.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":323.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":327.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":279.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":313.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":293.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":248.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":282.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":235.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":160.2,"methodology":"fee schedule"}]}]},{"description":"ACETAZOLAMIDE 500 MG VIAL","code_information":[{"code":"J1120","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":80.4825,"maximum":105.84,"gross_charge":110.25,"discounted_cash":61.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":104.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":105.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":101.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":94.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":91.51,"methodology":"fee schedule"}]}]},{"description":"ACETAZOLAMIDE 500 MG VIAL","code_information":[{"code":"J1120","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":32.31,"maximum":105.84,"gross_charge":110.25,"discounted_cash":61.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32.31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":104.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":105.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":90.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":101.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":94.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":80.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":91.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":51.82,"methodology":"fee schedule"}]}]},{"description":"DIGOXIN 500 MCG/2 ML AMP","code_information":[{"code":"J1160","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.2344,"maximum":10.8288,"gross_charge":11.28,"discounted_cash":6.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.25,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.37,"methodology":"fee schedule"}]}]},{"description":"DIGOXIN 500 MCG/2 ML AMP","code_information":[{"code":"J1160","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.3016,"maximum":10.97,"gross_charge":11.28,"discounted_cash":6.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10.97,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.25,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.31,"methodology":"fee schedule"}]}]},{"description":"DIGOXIN IMMUNE FAB 40 MG VIAL","code_information":[{"code":"J1162","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3357.27,"maximum":4415.04,"gross_charge":4599,"discounted_cash":2548.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4369.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4415.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3771.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4231.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3955.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3357.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3817.17,"methodology":"fee schedule"}]}]},{"description":"DIGOXIN IMMUNE FAB 40 MG VIAL","code_information":[{"code":"J1162","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2161.53,"maximum":4599,"gross_charge":4599,"discounted_cash":2548.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4599,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4369.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4415.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3771.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4231.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3955.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3357.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3817.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3173.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2161.53,"methodology":"fee schedule"}]}]},{"description":"PHENYTOIN 100 MG/2 ML SDV","code_information":[{"code":"J1165","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.0147,"maximum":1.3344,"gross_charge":1.39,"discounted_cash":0.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.16,"methodology":"fee schedule"}]}]},{"description":"PHENYTOIN 100 MG/2 ML SDV","code_information":[{"code":"J1165","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.6533,"maximum":1.3344,"gross_charge":1.39,"discounted_cash":0.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":0.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.66,"methodology":"fee schedule"}]}]},{"description":"PHENYTOIN 250 MG/5 ML SDV","code_information":[{"code":"J1165","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.4527,"maximum":1.9104,"gross_charge":1.99,"discounted_cash":1.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.66,"methodology":"fee schedule"}]}]},{"description":"PHENYTOIN 250 MG/5 ML SDV","code_information":[{"code":"J1165","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.76,"maximum":1.9104,"gross_charge":1.99,"discounted_cash":1.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.66,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.94,"methodology":"fee schedule"}]}]},{"description":"HYDROMORP 40MG/20ML MDV","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":15.6439,"maximum":20.5728,"gross_charge":21.43,"discounted_cash":11.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.79,"methodology":"fee schedule"}]}]},{"description":"HYDROMORP 40MG/20ML MDV","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.7,"maximum":20.5728,"gross_charge":21.43,"discounted_cash":11.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.08,"methodology":"fee schedule"}]}]},{"description":"HYDROMORPHONE 0.5 MG/0.5ML SYR","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"HYDROMORPHONE 0.5 MG/0.5ML SYR","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.7,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"HYDROMORPHONE 1 MG/ML SYR","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"HYDROMORPHONE 1 MG/ML SYR","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"HYDROMORPHONE 50 MG/5 ML SDV","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.9497,"maximum":10.4544,"gross_charge":10.89,"discounted_cash":6.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.04,"methodology":"fee schedule"}]}]},{"description":"HYDROMORPHONE 50 MG/5 ML SDV","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.1183,"maximum":10.4544,"gross_charge":10.89,"discounted_cash":6.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.12,"methodology":"fee schedule"}]}]},{"description":"HYDROMORPHONE 50MG/5ML AMP","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":17.6295,"maximum":23.184,"gross_charge":24.15,"discounted_cash":13.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.05,"methodology":"fee schedule"}]}]},{"description":"HYDROMORPHONE 50MG/5ML AMP","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.7,"maximum":23.184,"gross_charge":24.15,"discounted_cash":13.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.36,"methodology":"fee schedule"}]}]},{"description":"HYDROMORPHONE/NACL 15 MG/30ML","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":85.9575,"maximum":113.04,"gross_charge":117.75,"discounted_cash":65.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":111.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":113.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":108.33,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":101.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.74,"methodology":"fee schedule"}]}]},{"description":"HYDROMORPHONE/NACL 15 MG/30ML","code_information":[{"code":"J1170","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.7,"maximum":113.04,"gross_charge":117.75,"discounted_cash":65.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":111.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":113.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":96.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":108.33,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":101.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":85.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":97.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":81.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":55.35,"methodology":"fee schedule"}]}]},{"description":"DIPHENHYDR 50MG/ML SDV","code_information":[{"code":"J1200","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"DIPHENHYDR 50MG/ML SDV","code_information":[{"code":"J1200","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.57,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.57,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"CHLOROTHIAZIDE 500MG VIAL","code_information":[{"code":"J1205","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":217.321,"maximum":285.792,"gross_charge":297.7,"discounted_cash":164.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":282.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":285.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":273.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":256.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":247.1,"methodology":"fee schedule"}]}]},{"description":"CHLOROTHIAZIDE 500MG VIAL","code_information":[{"code":"J1205","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":54.69,"maximum":285.792,"gross_charge":297.7,"discounted_cash":164.96,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54.69,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":282.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":285.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":244.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":273.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":256.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":217.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":247.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":205.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":139.92,"methodology":"fee schedule"}]}]},{"description":"DOB/DEX 5%-WAT 250/250ML","code_information":[{"code":"J1250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"DOB/DEX 5%-WAT 250/250ML","code_information":[{"code":"J1250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.41,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9.41,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"DOBUT 250 MG/20 ML SDV","code_information":[{"code":"J1250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.3728,"maximum":7.0656,"gross_charge":7.36,"discounted_cash":4.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.11,"methodology":"fee schedule"}]}]},{"description":"DOBUT 250 MG/20 ML SDV","code_information":[{"code":"J1250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.4592,"maximum":7.36,"gross_charge":7.36,"discounted_cash":4.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.46,"methodology":"fee schedule"}]}]},{"description":"DOP/DEX 5%-WAT 400MG/250ML","code_information":[{"code":"J1265","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"DOP/DEX 5%-WAT 400MG/250ML","code_information":[{"code":"J1265","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.84,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"DOPAMINE 200 MG/5 ML SDV","code_information":[{"code":"J1265","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.6061,"maximum":3.4272,"gross_charge":3.57,"discounted_cash":1.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.97,"methodology":"fee schedule"}]}]},{"description":"DOPAMINE 200 MG/5 ML SDV","code_information":[{"code":"J1265","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.84,"maximum":3.4272,"gross_charge":3.57,"discounted_cash":1.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.68,"methodology":"fee schedule"}]}]},{"description":"DOPAMINE 400 MG/10 ML SDV","code_information":[{"code":"J1265","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.0951,"maximum":2.7552,"gross_charge":2.87,"discounted_cash":1.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.39,"methodology":"fee schedule"}]}]},{"description":"DOPAMINE 400 MG/10 ML SDV","code_information":[{"code":"J1265","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.84,"maximum":2.7552,"gross_charge":2.87,"discounted_cash":1.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.35,"methodology":"fee schedule"}]}]},{"description":"ECULIZUMAB 300 MG/30 ML SDV","code_information":[{"code":"J1300","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4761.79,"maximum":6262.08,"gross_charge":6523,"discounted_cash":3614.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6196.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6262.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5348.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6001.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5609.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4761.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5414.09,"methodology":"fee schedule"}]}]},{"description":"ECULIZUMAB 300 MG/30 ML SDV","code_information":[{"code":"J1300","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":306.5,"maximum":6262.08,"gross_charge":6523,"discounted_cash":3614.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":306.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6196.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6262.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5348.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6001.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5609.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4761.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5414.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4500.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3065.81,"methodology":"fee schedule"}]}]},{"description":"ERTAPENEM 1 GM VIAL","code_information":[{"code":"J1335","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":29.2,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"}]}]},{"description":"ERTAPENEM 1 GM VIAL","code_information":[{"code":"J1335","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18.8,"maximum":38.4,"gross_charge":40,"discounted_cash":22.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.8,"methodology":"fee schedule"}]}]},{"description":"ESTROGENS CONJ 25 MG VIAL","code_information":[{"code":"J1410","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":446.0519,"maximum":586.5888,"gross_charge":611.03,"discounted_cash":338.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":580.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":586.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":501.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":562.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":525.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":446.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":507.16,"methodology":"fee schedule"}]}]},{"description":"ESTROGENS CONJ 25 MG VIAL","code_information":[{"code":"J1410","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":287.1841,"maximum":586.5888,"gross_charge":611.03,"discounted_cash":338.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":479.96,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":580.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":586.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":501.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":562.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":525.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":446.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":507.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":421.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":287.19,"methodology":"fee schedule"}]}]},{"description":"FERRIC CARB 750MG/15ML SDV","code_information":[{"code":"J1439","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1819.9776,"maximum":2393.3952,"gross_charge":2493.12,"discounted_cash":1381.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2368.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2393.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2044.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2293.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2144.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1819.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2069.29,"methodology":"fee schedule"}]}]},{"description":"FERRIC CARB 750MG/15ML SDV","code_information":[{"code":"J1439","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.49,"maximum":2393.3952,"gross_charge":2493.12,"discounted_cash":1381.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2368.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2393.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2044.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2293.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2144.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1819.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2069.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1720.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1171.77,"methodology":"fee schedule"}]}]},{"description":"FILGRASTIM 300MCG/0.5 SYR","code_information":[{"code":"J1442","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":416.5672,"maximum":547.8144,"gross_charge":570.64,"discounted_cash":316.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":542.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":547.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":524.99,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":490.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":416.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":473.64,"methodology":"fee schedule"}]}]},{"description":"FILGRASTIM 300MCG/0.5 SYR","code_information":[{"code":"J1442","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.32,"maximum":547.8144,"gross_charge":570.64,"discounted_cash":316.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":542.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":547.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":524.99,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":490.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":416.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":473.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":393.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":268.21,"methodology":"fee schedule"}]}]},{"description":"TBO-FILGRASTIM 300MCG/0.5ML","code_information":[{"code":"J1447","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":525.6,"maximum":691.2,"gross_charge":720,"discounted_cash":398.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":691.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":590.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":662.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":619.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":525.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":597.6,"methodology":"fee schedule"}]}]},{"description":"TBO-FILGRASTIM 300MCG/0.5ML","code_information":[{"code":"J1447","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.55,"maximum":691.2,"gross_charge":720,"discounted_cash":398.96,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.55,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":684,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":691.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":590.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":662.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":619.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":525.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":597.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":496.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":338.4,"methodology":"fee schedule"}]}]},{"description":"TBO-FILGRASTIM 480MCG/0.8 ML","code_information":[{"code":"J1447","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":840.96,"maximum":1105.92,"gross_charge":1152,"discounted_cash":638.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1094.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1105.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":944.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1059.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":990.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":840.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":956.16,"methodology":"fee schedule"}]}]},{"description":"TBO-FILGRASTIM 480MCG/0.8 ML","code_information":[{"code":"J1447","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.55,"maximum":1105.92,"gross_charge":1152,"discounted_cash":638.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.55,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1094.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1105.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":944.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1059.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":990.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":840.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":956.16,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":794.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":541.44,"methodology":"fee schedule"}]}]},{"description":"FLUCO/SALINE 200 MG/100 ML BAG","code_information":[{"code":"J1450","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"FLUCO/SALINE 200 MG/100 ML BAG","code_information":[{"code":"J1450","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.14,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"FOSAPREPIT DIME 150MG VIAL","code_information":[{"code":"J1453","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":233.7606,"maximum":307.4112,"gross_charge":320.22,"discounted_cash":177.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":304.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":307.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":262.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":294.61,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":275.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":233.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":265.79,"methodology":"fee schedule"}]}]},{"description":"FOSAPREPIT DIME 150MG VIAL","code_information":[{"code":"J1453","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.24,"maximum":307.4112,"gross_charge":320.22,"discounted_cash":177.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":304.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":307.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":262.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":294.61,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":275.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":233.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":265.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":220.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":150.51,"methodology":"fee schedule"}]}]},{"description":"IMM GLOB G(IGG)/PRO/0-50 400ML","code_information":[{"code":"J1459","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":14083.5542,"maximum":18520.8384,"gross_charge":19292.54,"discounted_cash":10690,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18327.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18520.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15819.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17749.14,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16591.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14083.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16012.81,"methodology":"fee schedule"}]}]},{"description":"IMM GLOB G(IGG)/PRO/0-50 400ML","code_information":[{"code":"J1459","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":64.22,"maximum":18520.8384,"gross_charge":19292.54,"discounted_cash":10690,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18327.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18520.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15819.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17749.14,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16591.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14083.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16012.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13311.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9067.5,"methodology":"fee schedule"}]}]},{"description":"IMMUNE GLOB (IGG)10 GM/100 ML","code_information":[{"code":"J1459","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3521.52,"maximum":4631.04,"gross_charge":4824,"discounted_cash":2672.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4582.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4631.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3955.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4438.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4148.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3521.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4003.92,"methodology":"fee schedule"}]}]},{"description":"IMMUNE GLOB (IGG)10 GM/100 ML","code_information":[{"code":"J1459","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":64.22,"maximum":4631.04,"gross_charge":4824,"discounted_cash":2672.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4582.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4631.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3955.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4438.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4148.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3521.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4003.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3328.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2267.28,"methodology":"fee schedule"}]}]},{"description":"PRIVIGEN 10% 200 ML","code_information":[{"code":"J1459","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7042.31,"maximum":9261.12,"gross_charge":9647,"discounted_cash":5345.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9164.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9261.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7910.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8875.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8296.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7042.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8007.01,"methodology":"fee schedule"}]}]},{"description":"PRIVIGEN 10% 200 ML","code_information":[{"code":"J1459","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":64.22,"maximum":9261.12,"gross_charge":9647,"discounted_cash":5345.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9164.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9261.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7910.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8875.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8296.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7042.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8007.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6656.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4534.09,"methodology":"fee schedule"}]}]},{"description":"PRIVIGEN 10% 50 ML","code_information":[{"code":"J1459","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1467.0372,"maximum":1929.2544,"gross_charge":2009.64,"discounted_cash":1113.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1909.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1929.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1647.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1848.87,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1728.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1467.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1668.01,"methodology":"fee schedule"}]}]},{"description":"PRIVIGEN 10% 50 ML","code_information":[{"code":"J1459","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":64.22,"maximum":1929.2544,"gross_charge":2009.64,"discounted_cash":1113.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1909.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1929.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1647.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1848.87,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1728.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1467.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1668.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1386.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":944.54,"methodology":"fee schedule"}]}]},{"description":"IMM GLOB GAM (IGG) 2ML","code_information":[{"code":"J1460","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":122.0341,"maximum":160.4832,"gross_charge":167.17,"discounted_cash":92.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":158.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":160.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":153.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":143.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":138.76,"methodology":"fee schedule"}]}]},{"description":"IMM GLOB GAM (IGG) 2ML","code_information":[{"code":"J1460","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":64.62,"maximum":160.4832,"gross_charge":167.17,"discounted_cash":92.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":158.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":160.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":137.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":153.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":143.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":122.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":138.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":115.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":78.57,"methodology":"fee schedule"}]}]},{"description":"GAMUNEX-C 10% 1GM/10ML","code_information":[{"code":"J1561","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":349.8306,"maximum":460.0512,"gross_charge":479.22,"discounted_cash":265.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":455.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":460.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":392.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":440.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":412.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":349.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":397.76,"methodology":"fee schedule"}]}]},{"description":"GAMUNEX-C 10% 1GM/10ML","code_information":[{"code":"J1561","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":64.52,"maximum":460.0512,"gross_charge":479.22,"discounted_cash":265.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":455.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":460.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":392.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":440.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":412.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":349.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":397.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":330.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":225.24,"methodology":"fee schedule"}]}]},{"description":"GAMUNEX-C 10GM/100ML","code_information":[{"code":"J1561","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2548.7658,"maximum":3351.8016,"gross_charge":3491.46,"discounted_cash":1934.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3316.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3351.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2863,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3212.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3002.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2548.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2897.92,"methodology":"fee schedule"}]}]},{"description":"GAMUNEX-C 10GM/100ML","code_information":[{"code":"J1561","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":64.52,"maximum":3351.8016,"gross_charge":3491.46,"discounted_cash":1934.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3316.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3351.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2863,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3212.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3002.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2548.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2897.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2409.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1640.99,"methodology":"fee schedule"}]}]},{"description":"GAMUNEX-C 20GM/200ML","code_information":[{"code":"J1561","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4817.6642,"maximum":6335.5584,"gross_charge":6599.54,"discounted_cash":3656.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6269.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6335.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5411.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6071.58,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5675.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4817.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5477.62,"methodology":"fee schedule"}]}]},{"description":"GAMUNEX-C 20GM/200ML","code_information":[{"code":"J1561","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":64.52,"maximum":6335.5584,"gross_charge":6599.54,"discounted_cash":3656.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":64.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6269.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6335.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5411.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6071.58,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5675.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4817.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5477.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4553.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3101.79,"methodology":"fee schedule"}]}]},{"description":"IMM GLO (IGG) MAL 20GM/200ML","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5324.255,"maximum":7001.76,"gross_charge":7293.5,"discounted_cash":4041.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6928.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7001.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5980.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6710.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6272.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5324.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6053.61,"methodology":"fee schedule"}]}]},{"description":"IMM GLO (IGG) MAL 20GM/200ML","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":55.44,"maximum":7001.76,"gross_charge":7293.5,"discounted_cash":4041.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55.44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6928.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7001.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5980.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6710.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6272.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5324.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6053.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5032.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3427.95,"methodology":"fee schedule"}]}]},{"description":"IMM GLO (IGG)/5GM/100ML","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":681.747,"maximum":896.544,"gross_charge":933.9,"discounted_cash":517.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":887.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":896.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":765.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":859.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":803.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":681.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":775.14,"methodology":"fee schedule"}]}]},{"description":"IMM GLO (IGG)/5GM/100ML","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":55.44,"maximum":896.544,"gross_charge":933.9,"discounted_cash":517.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55.44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":887.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":896.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":765.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":859.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":803.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":681.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":775.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":644.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":438.94,"methodology":"fee schedule"}]}]},{"description":"IMM GLO (IGG)/MALT 10GM/200ML","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1363.494,"maximum":1793.088,"gross_charge":1867.8,"discounted_cash":1034.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1774.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1793.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1531.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1718.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1606.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1363.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1550.28,"methodology":"fee schedule"}]}]},{"description":"IMM GLO (IGG)/MALT 10GM/200ML","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":55.44,"maximum":1793.088,"gross_charge":1867.8,"discounted_cash":1034.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55.44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1774.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1793.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1531.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1718.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1606.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1363.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1550.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1288.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":877.87,"methodology":"fee schedule"}]}]},{"description":"IMM GLOB,GAM(IGG)/MAL 2GM/20ML","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":532.535,"maximum":700.32,"gross_charge":729.5,"discounted_cash":404.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":693.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":700.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":598.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":671.14,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":627.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":532.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":605.49,"methodology":"fee schedule"}]}]},{"description":"IMM GLOB,GAM(IGG)/MAL 2GM/20ML","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":55.44,"maximum":700.32,"gross_charge":729.5,"discounted_cash":404.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55.44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":693.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":700.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":598.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":671.14,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":627.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":532.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":605.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":503.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":342.87,"methodology":"fee schedule"}]}]},{"description":"OCTAGAM 10% SOLUTION 5GM","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1636.66,"maximum":2152.32,"gross_charge":2242,"discounted_cash":1242.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2129.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2152.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1838.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2062.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1928.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1860.86,"methodology":"fee schedule"}]}]},{"description":"OCTAGAM 10% SOLUTION 5GM","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":55.44,"maximum":2152.32,"gross_charge":2242,"discounted_cash":1242.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55.44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2129.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2152.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1838.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2062.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1928.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1636.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1860.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1546.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1053.74,"methodology":"fee schedule"}]}]},{"description":"OCTAGAM IGG 30GM/300ML","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4090.482,"maximum":5379.264,"gross_charge":5603.4,"discounted_cash":3104.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5323.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5379.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4594.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5155.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4818.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4090.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4650.83,"methodology":"fee schedule"}]}]},{"description":"OCTAGAM IGG 30GM/300ML","code_information":[{"code":"J1568","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":55.44,"maximum":5379.264,"gross_charge":5603.4,"discounted_cash":3104.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":55.44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5323.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5379.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4594.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5155.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4818.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4090.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4650.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3866.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2633.6,"methodology":"fee schedule"}]}]},{"description":"GENTAMICIN 40MG/2ML MDV","code_information":[{"code":"J1580","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.9711,"maximum":3.9072,"gross_charge":4.07,"discounted_cash":2.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.38,"methodology":"fee schedule"}]}]},{"description":"GENTAMICIN 40MG/2ML MDV","code_information":[{"code":"J1580","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.9129,"maximum":3.9072,"gross_charge":4.07,"discounted_cash":2.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.92,"methodology":"fee schedule"}]}]},{"description":"GENTAMICIN PED 10MG/ 2ML SDV","code_information":[{"code":"J1580","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.0957,"maximum":10.6464,"gross_charge":11.09,"discounted_cash":6.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.21,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.21,"methodology":"fee schedule"}]}]},{"description":"GENTAMICIN PED 10MG/ 2ML SDV","code_information":[{"code":"J1580","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.77,"maximum":10.6464,"gross_charge":11.09,"discounted_cash":6.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.21,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.22,"methodology":"fee schedule"}]}]},{"description":"GOLIMUMAB 50MG/4ML SDV","code_information":[{"code":"J1602","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4203.0991,"maximum":5527.3632,"gross_charge":5757.67,"discounted_cash":3190.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5469.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5527.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4721.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5297.06,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4951.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4203.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4778.87,"methodology":"fee schedule"}]}]},{"description":"GOLIMUMAB 50MG/4ML SDV","code_information":[{"code":"J1602","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18.69,"maximum":5527.3632,"gross_charge":5757.67,"discounted_cash":3190.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18.69,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5469.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5527.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4721.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5297.06,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4951.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4203.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4778.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3972.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2706.11,"methodology":"fee schedule"}]}]},{"description":"GLUCA HUM RECOMB 1MG VIAL","code_information":[{"code":"J1610","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":257.0476,"maximum":338.0352,"gross_charge":352.12,"discounted_cash":195.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":334.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":338.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":288.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":323.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":302.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":257.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":292.26,"methodology":"fee schedule"}]}]},{"description":"GLUCA HUM RECOMB 1MG VIAL","code_information":[{"code":"J1610","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":165.4964,"maximum":338.0352,"gross_charge":352.12,"discounted_cash":195.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":234.6,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":334.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":338.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":288.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":323.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":302.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":257.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":292.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":242.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":165.5,"methodology":"fee schedule"}]}]},{"description":"GRANISETRON 1 MG/ML SDV","code_information":[{"code":"J1626","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":35.2882,"maximum":46.4064,"gross_charge":48.34,"discounted_cash":26.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.13,"methodology":"fee schedule"}]}]},{"description":"GRANISETRON 1 MG/ML SDV","code_information":[{"code":"J1626","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.49,"maximum":46.4064,"gross_charge":48.34,"discounted_cash":26.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.72,"methodology":"fee schedule"}]}]},{"description":"HALOPERIDOL LACTATE 5MG/ML SDV","code_information":[{"code":"J1630","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"HALOPERIDOL LACTATE 5MG/ML SDV","code_information":[{"code":"J1630","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.16,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"HEPARIN 300 UNIT/3 ML SYRINGE","code_information":[{"code":"J1642","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":50.735,"maximum":66.72,"gross_charge":69.5,"discounted_cash":38.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.69,"methodology":"fee schedule"}]}]},{"description":"HEPARIN 300 UNIT/3 ML SYRINGE","code_information":[{"code":"J1642","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.02,"maximum":66.72,"gross_charge":69.5,"discounted_cash":38.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.67,"methodology":"fee schedule"}]}]},{"description":"HEPARIN LOCK FLUSH 10 UNITS/ML","code_information":[{"code":"J1642","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"HEPARIN LOCK FLUSH 10 UNITS/ML","code_information":[{"code":"J1642","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.02,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"HEPARIN SOD 100 U/ML 5ML SYR","code_information":[{"code":"J1642","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"HEPARIN SOD 100 U/ML 5ML SYR","code_information":[{"code":"J1642","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.02,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"HEP SOD 5000U/1ML MDV","code_information":[{"code":"J1644","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"HEP SOD 5000U/1ML MDV","code_information":[{"code":"J1644","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.17,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"HEP SOD/0.45% 25000U/500ML","code_information":[{"code":"J1644","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"HEP SOD/0.45% 25000U/500ML","code_information":[{"code":"J1644","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.17,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 100 MG/1 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":31.9813,"maximum":42.0576,"gross_charge":43.81,"discounted_cash":24.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.31,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.37,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 100 MG/1 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.1,"maximum":42.0576,"gross_charge":43.81,"discounted_cash":24.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.31,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.37,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.6,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 120 MG/.8 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":36.1277,"maximum":47.5104,"gross_charge":49.49,"discounted_cash":27.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.08,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 120 MG/.8 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.1,"maximum":47.5104,"gross_charge":49.49,"discounted_cash":27.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.27,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 150 MG/1 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":45.1578,"maximum":59.3856,"gross_charge":61.86,"discounted_cash":34.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":56.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.35,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 150 MG/1 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.1,"maximum":59.3856,"gross_charge":61.86,"discounted_cash":34.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":58.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":56.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":42.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.08,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 30 MG/0.3 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.5922,"maximum":12.6144,"gross_charge":13.14,"discounted_cash":7.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.91,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 30 MG/0.3 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.1,"maximum":12.6144,"gross_charge":13.14,"discounted_cash":7.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.18,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 40 MG/0.4 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":12.7823,"maximum":16.8096,"gross_charge":17.51,"discounted_cash":9.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.11,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.54,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 40 MG/0.4 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.1,"maximum":16.8096,"gross_charge":17.51,"discounted_cash":9.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.11,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.23,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 60 MG/0.6 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":19.1844,"maximum":25.2288,"gross_charge":26.28,"discounted_cash":14.57,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.82,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 60 MG/0.6 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.1,"maximum":25.2288,"gross_charge":26.28,"discounted_cash":14.57,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.36,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 80 MG/0.8 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":25.5719,"maximum":33.6288,"gross_charge":35.03,"discounted_cash":19.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":33.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":33.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":32.23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.08,"methodology":"fee schedule"}]}]},{"description":"ENOXAPARIN 80 MG/0.8 ML SYR","code_information":[{"code":"J1650","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.1,"maximum":33.6288,"gross_charge":35.03,"discounted_cash":19.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":33.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":33.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":32.23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.47,"methodology":"fee schedule"}]}]},{"description":"TETANUS IMMUNE GLOB 250 SYR","code_information":[{"code":"J1670","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":846.9168,"maximum":1113.7536,"gross_charge":1160.16,"discounted_cash":642.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1102.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":951.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1067.35,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":997.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":846.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":962.94,"methodology":"fee schedule"}]}]},{"description":"TETANUS IMMUNE GLOB 250 SYR","code_information":[{"code":"J1670","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":545.2752,"maximum":1113.7536,"gross_charge":1160.16,"discounted_cash":642.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":707.96,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1102.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1113.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":951.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1067.35,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":997.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":846.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":962.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":800.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":545.28,"methodology":"fee schedule"}]}]},{"description":"HYDRO SOD SUC 100 MG/2 ML SDV","code_information":[{"code":"J1720","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":29.0905,"maximum":38.256,"gross_charge":39.85,"discounted_cash":22.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":37.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.67,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.08,"methodology":"fee schedule"}]}]},{"description":"HYDRO SOD SUC 100 MG/2 ML SDV","code_information":[{"code":"J1720","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18.7295,"maximum":38.256,"gross_charge":39.85,"discounted_cash":22.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":37.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.67,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.73,"methodology":"fee schedule"}]}]},{"description":"HYDRO SOD SUC 250MG/2 ML","code_information":[{"code":"J1720","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":50.6474,"maximum":66.6048,"gross_charge":69.38,"discounted_cash":38.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":65.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.59,"methodology":"fee schedule"}]}]},{"description":"HYDRO SOD SUC 250MG/2 ML","code_information":[{"code":"J1720","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":24.14,"maximum":66.6048,"gross_charge":69.38,"discounted_cash":38.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":65.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.61,"methodology":"fee schedule"}]}]},{"description":"HYDROXYPROGESTER VL 250MG/ML","code_information":[{"code":"J1729","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1794.34,"maximum":2359.68,"gross_charge":2458,"discounted_cash":1361.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2335.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2359.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2015.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2261.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1794.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2040.14,"methodology":"fee schedule"}]}]},{"description":"HYDROXYPROGESTER VL 250MG/ML","code_information":[{"code":"J1729","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":14.32,"maximum":2359.68,"gross_charge":2458,"discounted_cash":1361.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2335.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2359.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2015.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2261.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1794.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2040.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1696.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1155.26,"methodology":"fee schedule"}]}]},{"description":"INFLIXIMAB 100 MG VIAL","code_information":[{"code":"J1745","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":416.1,"maximum":547.2,"gross_charge":570,"discounted_cash":315.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":416.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":473.1,"methodology":"fee schedule"}]}]},{"description":"INFLIXIMAB 100 MG VIAL","code_information":[{"code":"J1745","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.06,"maximum":547.2,"gross_charge":570,"discounted_cash":315.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":47.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":541.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":547.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":467.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":524.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":490.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":416.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":473.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":393.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":267.9,"methodology":"fee schedule"}]}]},{"description":"IRON DEX COMP 100 MG/2ML SDV","code_information":[{"code":"J1750","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":43.2087,"maximum":56.8224,"gross_charge":59.19,"discounted_cash":32.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":56.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":56.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":54.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":50.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":49.13,"methodology":"fee schedule"}]}]},{"description":"IRON DEX COMP 100 MG/2ML SDV","code_information":[{"code":"J1750","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":22.38,"maximum":56.8224,"gross_charge":59.19,"discounted_cash":32.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":56.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":56.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":54.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":50.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":49.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":40.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.82,"methodology":"fee schedule"}]}]},{"description":"IRON SUCROSE COMP 100MG/5ML","code_information":[{"code":"J1756","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":97.601,"maximum":128.352,"gross_charge":133.7,"discounted_cash":74.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":128.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":123.01,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":114.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":110.98,"methodology":"fee schedule"}]}]},{"description":"IRON SUCROSE COMP 100MG/5ML","code_information":[{"code":"J1756","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.3,"maximum":128.352,"gross_charge":133.7,"discounted_cash":74.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.3,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":127.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":128.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":109.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":123.01,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":114.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":97.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":110.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":92.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":62.84,"methodology":"fee schedule"}]}]},{"description":"DROPERIDOL 5 MG/2 ML SDV","code_information":[{"code":"J1790","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":13.3955,"maximum":17.616,"gross_charge":18.35,"discounted_cash":10.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.24,"methodology":"fee schedule"}]}]},{"description":"DROPERIDOL 5 MG/2 ML SDV","code_information":[{"code":"J1790","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.6245,"maximum":17.616,"gross_charge":18.35,"discounted_cash":10.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.63,"methodology":"fee schedule"}]}]},{"description":"INSULIN NPH HUMAN 100U/ML 3ML","code_information":[{"code":"J1815","type":"HCPCS"},{"code":"0637","type":"RC"}],"standard_charges":[{"minimum":113.9822,"maximum":149.8944,"gross_charge":156.14,"discounted_cash":86.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.6,"methodology":"fee schedule"}]}]},{"description":"INSULIN NPH HUMAN 100U/ML 3ML","code_information":[{"code":"J1815","type":"HCPCS"},{"code":"0637","type":"RC"}],"standard_charges":[{"minimum":0.51,"maximum":149.8944,"gross_charge":156.14,"discounted_cash":86.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.51,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":128.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":73.39,"methodology":"fee schedule"}]}]},{"description":"METRONID/NOR SAL 500MG/100ML","code_information":[{"code":"J1836","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"METRONID/NOR SAL 500MG/100ML","code_information":[{"code":"J1836","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":30.55,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"KETOROLAC 15 MG/ML SDV","code_information":[{"code":"J1885","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"KETOROLAC 15 MG/ML SDV","code_information":[{"code":"J1885","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.8,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.8,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"FUROSEMIDE 100MG/10ML SDV","code_information":[{"code":"J1940","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.7381,"maximum":11.4912,"gross_charge":11.97,"discounted_cash":6.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.94,"methodology":"fee schedule"}]}]},{"description":"FUROSEMIDE 100MG/10ML SDV","code_information":[{"code":"J1940","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.89,"maximum":11.4912,"gross_charge":11.97,"discounted_cash":6.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.63,"methodology":"fee schedule"}]}]},{"description":"FUROSEMIDE 20MG/2ML VIAL","code_information":[{"code":"J1940","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":10.6799,"maximum":14.0448,"gross_charge":14.63,"discounted_cash":8.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.15,"methodology":"fee schedule"}]}]},{"description":"FUROSEMIDE 20MG/2ML VIAL","code_information":[{"code":"J1940","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.89,"maximum":14.0448,"gross_charge":14.63,"discounted_cash":8.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.88,"methodology":"fee schedule"}]}]},{"description":"FUROSEMIDE 40 MG/4 ML SDV","code_information":[{"code":"J1940","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"FUROSEMIDE 40 MG/4 ML SDV","code_information":[{"code":"J1940","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.89,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE 3.75 MG KIT","code_information":[{"code":"J1950","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2118.0074,"maximum":2785.3248,"gross_charge":2901.38,"discounted_cash":1607.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2785.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2379.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2669.27,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2495.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2118.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2408.15,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE 3.75 MG KIT","code_information":[{"code":"J1950","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1363.6486,"maximum":2785.3248,"gross_charge":2901.38,"discounted_cash":1607.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1990.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2756.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2785.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2379.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2669.27,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2495.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2118.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2408.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2001.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1363.65,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE DEPOT 11.25 MG KIT","code_information":[{"code":"J1950","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5295.0623,"maximum":6963.3696,"gross_charge":7253.51,"discounted_cash":4019.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6890.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6963.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5947.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6673.23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6238.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5295.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6020.42,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE DEPOT 11.25 MG KIT","code_information":[{"code":"J1950","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1990.14,"maximum":6963.3696,"gross_charge":7253.51,"discounted_cash":4019.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1990.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6890.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6963.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5947.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6673.23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6238.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5295.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6020.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5004.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3409.15,"methodology":"fee schedule"}]}]},{"description":"LEVETIRACETAM 1,500 MG/100 ML","code_information":[{"code":"J1953","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":140.89,"maximum":185.28,"gross_charge":193,"discounted_cash":106.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":185.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":177.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":160.19,"methodology":"fee schedule"}]}]},{"description":"LEVETIRACETAM 1,500 MG/100 ML","code_information":[{"code":"J1953","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.12,"maximum":185.28,"gross_charge":193,"discounted_cash":106.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":183.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":185.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":158.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":177.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":165.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":140.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":160.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":133.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":90.71,"methodology":"fee schedule"}]}]},{"description":"LEVETIRACETAM 1000 MG IN 100ML","code_information":[{"code":"J1953","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":157.68,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"}]}]},{"description":"LEVETIRACETAM 1000 MG IN 100ML","code_information":[{"code":"J1953","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.12,"maximum":207.36,"gross_charge":216,"discounted_cash":119.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":205.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":207.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":198.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":185.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":157.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":179.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":149.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":101.52,"methodology":"fee schedule"}]}]},{"description":"LEVETIRACETAM 500MG/100ML","code_information":[{"code":"J1953","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"LEVETIRACETAM 500MG/100ML","code_information":[{"code":"J1953","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.12,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"LEVO/DEX 5%-WA 250MG/50ML","code_information":[{"code":"J1956","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"LEVO/DEX 5%-WA 250MG/50ML","code_information":[{"code":"J1956","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.31,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"LIDO.4%/D5W 2GM/500ML PRE","code_information":[{"code":"J2001","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"LIDO.4%/D5W 2GM/500ML PRE","code_information":[{"code":"J2001","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.04,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 1% 50 ML MDV","code_information":[{"code":"J2001","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 1% 50 ML MDV","code_information":[{"code":"J2001","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.04,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"LINEZOLID 600 MG/300 ML BAG","code_information":[{"code":"J2020","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"LINEZOLID 600 MG/300 ML BAG","code_information":[{"code":"J2020","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.36,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"LORAZEPAM 20MG/10ML MDV","code_information":[{"code":"J2060","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":51.1,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"}]}]},{"description":"LORAZEPAM 20MG/10ML MDV","code_information":[{"code":"J2060","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.22,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.9,"methodology":"fee schedule"}]}]},{"description":"LORAZEPAM 2MG/ML SDV","code_information":[{"code":"J2060","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"LORAZEPAM 2MG/ML SDV","code_information":[{"code":"J2060","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.22,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"MEPERIDINE 50 MG/ML VIAL","code_information":[{"code":"J2175","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"MEPERIDINE 50 MG/ML VIAL","code_information":[{"code":"J2175","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":12.95,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"MEPERIDINE PF 100 MG/ML SYR","code_information":[{"code":"J2175","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.5776,"maximum":12.5952,"gross_charge":13.12,"discounted_cash":7.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.89,"methodology":"fee schedule"}]}]},{"description":"MEPERIDINE PF 100 MG/ML SYR","code_information":[{"code":"J2175","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":6.1664,"maximum":12.95,"gross_charge":13.12,"discounted_cash":7.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.17,"methodology":"fee schedule"}]}]},{"description":"MEPERIDINE PF 25 MG/ML SY","code_information":[{"code":"J2175","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.0374,"maximum":11.8848,"gross_charge":12.38,"discounted_cash":6.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.39,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.28,"methodology":"fee schedule"}]}]},{"description":"MEPERIDINE PF 25 MG/ML SY","code_information":[{"code":"J2175","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.8186,"maximum":12.38,"gross_charge":12.38,"discounted_cash":6.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.39,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.82,"methodology":"fee schedule"}]}]},{"description":"MEPERIDINE PF 25MG/ML SDV","code_information":[{"code":"J2175","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"MEPERIDINE PF 25MG/ML SDV","code_information":[{"code":"J2175","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":10,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"MEROPENEM 1 GM SDV","code_information":[{"code":"J2185","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":21.17,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"}]}]},{"description":"MEROPENEM 1 GM SDV","code_information":[{"code":"J2185","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.84,"maximum":27.84,"gross_charge":29,"discounted_cash":16.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.63,"methodology":"fee schedule"}]}]},{"description":"MEROPENEM 500 MG SDV","code_information":[{"code":"J2185","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.19,"maximum":2.88,"gross_charge":3,"discounted_cash":1.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.49,"methodology":"fee schedule"}]}]},{"description":"MEROPENEM 500 MG SDV","code_information":[{"code":"J2185","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.84,"maximum":2.88,"gross_charge":3,"discounted_cash":1.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.41,"methodology":"fee schedule"}]}]},{"description":"METHYLERGONOVINE .2 MG/1ML","code_information":[{"code":"J2210","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":35.4853,"maximum":46.6656,"gross_charge":48.61,"discounted_cash":26.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.73,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.35,"methodology":"fee schedule"}]}]},{"description":"METHYLERGONOVINE .2 MG/1ML","code_information":[{"code":"J2210","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":22.8467,"maximum":46.6656,"gross_charge":48.61,"discounted_cash":26.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.26,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":46.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":46.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.73,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":35.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":40.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.85,"methodology":"fee schedule"}]}]},{"description":"METHYLERGONOVINE 0.2 MG/ML SDV","code_information":[{"code":"J2210","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":42.1575,"maximum":55.44,"gross_charge":57.75,"discounted_cash":32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":54.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":47.94,"methodology":"fee schedule"}]}]},{"description":"METHYLERGONOVINE 0.2 MG/ML SDV","code_information":[{"code":"J2210","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":27.1425,"maximum":55.44,"gross_charge":57.75,"discounted_cash":32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.26,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":54.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":47.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.15,"methodology":"fee schedule"}]}]},{"description":"RELISTOR 12MG/0.6ML SYRINGE","code_information":[{"code":"J2212","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":270.1,"maximum":355.2,"gross_charge":370,"discounted_cash":205.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":355.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":303.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":340.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":318.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":307.1,"methodology":"fee schedule"}]}]},{"description":"RELISTOR 12MG/0.6ML SYRINGE","code_information":[{"code":"J2212","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.27,"maximum":355.2,"gross_charge":370,"discounted_cash":205.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.27,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":351.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":355.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":303.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":340.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":318.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":270.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":307.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":255.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":173.9,"methodology":"fee schedule"}]}]},{"description":"MYCAMINE 100MG VIAL","code_information":[{"code":"J2248","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":136.51,"maximum":179.52,"gross_charge":187,"discounted_cash":103.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":179.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":160.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":155.21,"methodology":"fee schedule"}]}]},{"description":"MYCAMINE 100MG VIAL","code_information":[{"code":"J2248","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.24,"maximum":179.52,"gross_charge":187,"discounted_cash":103.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":177.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":179.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":153.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":172.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":160.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":136.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":155.21,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":129.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":87.89,"methodology":"fee schedule"}]}]},{"description":"MIDAZOLAM 1 MG/ML 10 ML MDV","code_information":[{"code":"J2250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.4825,"maximum":9.84,"gross_charge":10.25,"discounted_cash":5.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.51,"methodology":"fee schedule"}]}]},{"description":"MIDAZOLAM 1 MG/ML 10 ML MDV","code_information":[{"code":"J2250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.21,"maximum":9.84,"gross_charge":10.25,"discounted_cash":5.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.82,"methodology":"fee schedule"}]}]},{"description":"MIDAZOLAM 1 MG/ML 2 ML SDV","code_information":[{"code":"J2250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"MIDAZOLAM 1 MG/ML 2 ML SDV","code_information":[{"code":"J2250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.21,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"MIDAZOLAM 5 MG/ML 10 ML MDV","code_information":[{"code":"J2250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11.2566,"maximum":14.8032,"gross_charge":15.42,"discounted_cash":8.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.8,"methodology":"fee schedule"}]}]},{"description":"MIDAZOLAM 5 MG/ML 10 ML MDV","code_information":[{"code":"J2250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.21,"maximum":14.8032,"gross_charge":15.42,"discounted_cash":8.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.25,"methodology":"fee schedule"}]}]},{"description":"MIDAZOLAM HCL 5 MG/2.5 ML","code_information":[{"code":"J2250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":14.7533,"maximum":19.4016,"gross_charge":20.21,"discounted_cash":11.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.78,"methodology":"fee schedule"}]}]},{"description":"MIDAZOLAM HCL 5 MG/2.5 ML","code_information":[{"code":"J2250","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.21,"maximum":19.4016,"gross_charge":20.21,"discounted_cash":11.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"}]}]},{"description":"MORPHINE 10 MG/ML SYRINGE","code_information":[{"code":"J2270","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"MORPHINE 10 MG/ML SYRINGE","code_information":[{"code":"J2270","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.32,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"MORPHINE 4MG/ML SDV","code_information":[{"code":"J2270","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"MORPHINE 4MG/ML SDV","code_information":[{"code":"J2270","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.32,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"MORPHINE PF 10 MG/10 ML SDV","code_information":[{"code":"J2270","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":13.5853,"maximum":17.8656,"gross_charge":18.61,"discounted_cash":10.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.45,"methodology":"fee schedule"}]}]},{"description":"MORPHINE PF 10 MG/10 ML SDV","code_information":[{"code":"J2270","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.32,"maximum":17.8656,"gross_charge":18.61,"discounted_cash":10.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.75,"methodology":"fee schedule"}]}]},{"description":"MORP PF 30MG/30ML PCA SYR","code_information":[{"code":"J2274","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":83.2784,"maximum":109.5168,"gross_charge":114.08,"discounted_cash":63.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.69,"methodology":"fee schedule"}]}]},{"description":"MORP PF 30MG/30ML PCA SYR","code_information":[{"code":"J2274","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":12.29,"maximum":109.5168,"gross_charge":114.08,"discounted_cash":63.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":53.62,"methodology":"fee schedule"}]}]},{"description":"MORPHINE PF 5 MG/10 ML SDV","code_information":[{"code":"J2274","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":12.3151,"maximum":16.1952,"gross_charge":16.87,"discounted_cash":9.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.53,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.01,"methodology":"fee schedule"}]}]},{"description":"MORPHINE PF 5 MG/10 ML SDV","code_information":[{"code":"J2274","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.9289,"maximum":16.1952,"gross_charge":16.87,"discounted_cash":9.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.53,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.93,"methodology":"fee schedule"}]}]},{"description":"NALBUPHINE 10 MG/1 ML AMP","code_information":[{"code":"J2300","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"NALBUPHINE 10 MG/1 ML AMP","code_information":[{"code":"J2300","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.75,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"NALBUPHINE 20 MG/1 ML AMP","code_information":[{"code":"J2300","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":10.4317,"maximum":13.7184,"gross_charge":14.29,"discounted_cash":7.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.87,"methodology":"fee schedule"}]}]},{"description":"NALBUPHINE 20 MG/1 ML AMP","code_information":[{"code":"J2300","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.75,"maximum":13.7184,"gross_charge":14.29,"discounted_cash":7.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"}]}]},{"description":"NALBUPHINE HCL 10MG/ 1ML AMP","code_information":[{"code":"J2300","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":50.735,"maximum":66.72,"gross_charge":69.5,"discounted_cash":38.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.69,"methodology":"fee schedule"}]}]},{"description":"NALBUPHINE HCL 10MG/ 1ML AMP","code_information":[{"code":"J2300","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.75,"maximum":66.72,"gross_charge":69.5,"discounted_cash":38.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.67,"methodology":"fee schedule"}]}]},{"description":"NITRO/D5W(0.1MG/ML)25MG/250ML","code_information":[{"code":"J2305","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"NITRO/D5W(0.1MG/ML)25MG/250ML","code_information":[{"code":"J2305","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":30.55,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"NALOXONE 0.4 MG/ML SDV","code_information":[{"code":"J2310","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":23.6885,"maximum":31.152,"gross_charge":32.45,"discounted_cash":17.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.86,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.94,"methodology":"fee schedule"}]}]},{"description":"NALOXONE 0.4 MG/ML SDV","code_information":[{"code":"J2310","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":13.91,"maximum":31.152,"gross_charge":32.45,"discounted_cash":17.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13.91,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.86,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.26,"methodology":"fee schedule"}]}]},{"description":"NALOXONE 2 MG/2 ML SYRINGE","code_information":[{"code":"J2310","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":46.4937,"maximum":61.1424,"gross_charge":63.69,"discounted_cash":35.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.87,"methodology":"fee schedule"}]}]},{"description":"NALOXONE 2 MG/2 ML SYRINGE","code_information":[{"code":"J2310","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":13.91,"maximum":61.1424,"gross_charge":63.69,"discounted_cash":35.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13.91,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":52.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.94,"methodology":"fee schedule"}]}]},{"description":"NALTREXONE MICROSPHERES 380MG","code_information":[{"code":"J2315","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2786.41,"maximum":3664.32,"gross_charge":3817,"discounted_cash":2115,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3626.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3664.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3129.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3511.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3282.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2786.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3168.11,"methodology":"fee schedule"}]}]},{"description":"NALTREXONE MICROSPHERES 380MG","code_information":[{"code":"J2315","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.04,"maximum":3664.32,"gross_charge":3817,"discounted_cash":2115,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3626.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3664.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3129.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3511.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3282.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2786.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3168.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2633.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1793.99,"methodology":"fee schedule"}]}]},{"description":"OCTREOTIDE 20 MG KIT","code_information":[{"code":"J2353","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5639.7318,"maximum":7416.6336,"gross_charge":7725.66,"discounted_cash":4280.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7339.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7416.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6335.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7107.61,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6644.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5639.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6412.3,"methodology":"fee schedule"}]}]},{"description":"OCTREOTIDE 20 MG KIT","code_information":[{"code":"J2353","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":277.62,"maximum":7416.6336,"gross_charge":7725.66,"discounted_cash":4280.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":277.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7339.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7416.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6335.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7107.61,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6644.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5639.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6412.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5330.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3631.07,"methodology":"fee schedule"}]}]},{"description":"OCTREOTIDE DEPOT 10 MG KIT INJ","code_information":[{"code":"J2353","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4304.5764,"maximum":5660.8128,"gross_charge":5896.68,"discounted_cash":3267.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5601.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4835.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5424.95,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5071.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4304.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4894.25,"methodology":"fee schedule"}]}]},{"description":"OCTREOTIDE DEPOT 10 MG KIT INJ","code_information":[{"code":"J2353","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":277.62,"maximum":5660.8128,"gross_charge":5896.68,"discounted_cash":3267.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":277.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5601.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5660.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4835.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5424.95,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5071.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4304.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4894.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4068.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2771.44,"methodology":"fee schedule"}]}]},{"description":"OCTREOTIDE DEPOT 30 MG KIT/INJ","code_information":[{"code":"J2353","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8445.0853,"maximum":11105.8656,"gross_charge":11568.61,"discounted_cash":6410.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10990.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11105.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9486.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10643.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9949.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8445.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9601.95,"methodology":"fee schedule"}]}]},{"description":"OCTREOTIDE DEPOT 30 MG KIT/INJ","code_information":[{"code":"J2353","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":277.62,"maximum":11105.8656,"gross_charge":11568.61,"discounted_cash":6410.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":277.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10990.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11105.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9486.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10643.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9949.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8445.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9601.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7982.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5437.25,"methodology":"fee schedule"}]}]},{"description":"OMALIZUMAB (150MG)","code_information":[{"code":"J2357","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1219.2095,"maximum":1603.344,"gross_charge":1670.15,"discounted_cash":925.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1603.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1369.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1536.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1436.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1219.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1386.23,"methodology":"fee schedule"}]}]},{"description":"OMALIZUMAB (150MG)","code_information":[{"code":"J2357","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":51.56,"maximum":1603.344,"gross_charge":1670.15,"discounted_cash":925.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":51.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1586.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1603.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1369.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1536.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1436.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1219.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1386.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1152.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":784.98,"methodology":"fee schedule"}]}]},{"description":"OMALIZUMAB 150MG/ML SYR","code_information":[{"code":"J2357","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2289.28,"maximum":3010.56,"gross_charge":3136,"discounted_cash":1737.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2979.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3010.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2571.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2885.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2696.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2289.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2602.88,"methodology":"fee schedule"}]}]},{"description":"OMALIZUMAB 150MG/ML SYR","code_information":[{"code":"J2357","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":51.56,"maximum":3010.56,"gross_charge":3136,"discounted_cash":1737.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":51.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2979.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3010.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2571.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2885.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2696.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2289.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2602.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2163.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1473.92,"methodology":"fee schedule"}]}]},{"description":"ORPHENADRINE 60 MG/2 ML AMP","code_information":[{"code":"J2360","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":23.3454,"maximum":30.7008,"gross_charge":31.98,"discounted_cash":17.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.55,"methodology":"fee schedule"}]}]},{"description":"ORPHENADRINE 60 MG/2 ML AMP","code_information":[{"code":"J2360","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.79,"maximum":30.7008,"gross_charge":31.98,"discounted_cash":17.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.55,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.04,"methodology":"fee schedule"}]}]},{"description":"PHENYLEPHRINE 1% 10 MG/ML SDV","code_information":[{"code":"J2371","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"PHENYLEPHRINE 1% 10 MG/ML SDV","code_information":[{"code":"J2371","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"PHEPHHCL0.9%NACL 1 MG/10 ML","code_information":[{"code":"J2371","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":51.1,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"}]}]},{"description":"PHEPHHCL0.9%NACL 1 MG/10 ML","code_information":[{"code":"J2371","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":32.9,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.9,"methodology":"fee schedule"}]}]},{"description":"CHLORO 1% 10MG/30ML MDV","code_information":[{"code":"J2401","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":26.9954,"maximum":35.5008,"gross_charge":36.98,"discounted_cash":20.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":35.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":35.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.03,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":31.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":30.7,"methodology":"fee schedule"}]}]},{"description":"CHLORO 1% 10MG/30ML MDV","code_information":[{"code":"J2401","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":17.3806,"maximum":35.5008,"gross_charge":36.98,"discounted_cash":20.5,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":35.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":35.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.03,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":31.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":30.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.39,"methodology":"fee schedule"}]}]},{"description":"OLANZAPINE 10 MG VIAL","code_information":[{"code":"J2405","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":66.7731,"maximum":87.8112,"gross_charge":91.47,"discounted_cash":50.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":86.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":87.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":84.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":78.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":75.93,"methodology":"fee schedule"}]}]},{"description":"OLANZAPINE 10 MG VIAL","code_information":[{"code":"J2405","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.13,"maximum":87.8112,"gross_charge":91.47,"discounted_cash":50.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":86.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":87.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":75.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":84.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":78.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":75.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":63.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":43,"methodology":"fee schedule"}]}]},{"description":"ONDANSETRON 4 MG/2 ML SDV","code_information":[{"code":"J2405","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"ONDANSETRON 4 MG/2 ML SDV","code_information":[{"code":"J2405","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.13,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"ORITAVANCIN DIP 400MG VIAL","code_information":[{"code":"J2407","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1974.504,"maximum":2596.608,"gross_charge":2704.8,"discounted_cash":1498.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2569.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2596.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2217.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2488.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2326.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1974.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2244.99,"methodology":"fee schedule"}]}]},{"description":"ORITAVANCIN DIP 400MG VIAL","code_information":[{"code":"J2407","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":35.11,"maximum":2596.608,"gross_charge":2704.8,"discounted_cash":1498.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35.11,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2569.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2596.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2217.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2488.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2326.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1974.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2244.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1866.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1271.26,"methodology":"fee schedule"}]}]},{"description":"INVEGA TRINZA 546 MG/1.75 ML","code_information":[{"code":"J2426","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11732.1074,"maximum":15428.5248,"gross_charge":16071.38,"discounted_cash":8905.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15267.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15428.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13178.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14785.67,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13821.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11732.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13339.25,"methodology":"fee schedule"}]}]},{"description":"INVEGA TRINZA 546 MG/1.75 ML","code_information":[{"code":"J2426","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18,"maximum":15428.5248,"gross_charge":16071.38,"discounted_cash":8905.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15267.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15428.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13178.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14785.67,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13821.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11732.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13339.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11089.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7553.55,"methodology":"fee schedule"}]}]},{"description":"PALIPER PALMIT 234MG/1.5ML SYR","code_information":[{"code":"J2426","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3617.3106,"maximum":4757.0112,"gross_charge":4955.22,"discounted_cash":2745.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4707.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4757.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4063.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4558.81,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4261.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3617.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4112.84,"methodology":"fee schedule"}]}]},{"description":"PALIPER PALMIT 234MG/1.5ML SYR","code_information":[{"code":"J2426","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18,"maximum":4757.0112,"gross_charge":4955.22,"discounted_cash":2745.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4707.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4757.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4063.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4558.81,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4261.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3617.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4112.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3419.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2328.96,"methodology":"fee schedule"}]}]},{"description":"PALIPERIDONE 117MG/0.75ML SYR","code_information":[{"code":"J2426","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1808.6334,"maximum":2378.4768,"gross_charge":2477.58,"discounted_cash":1372.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2378.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2031.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2279.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2130.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1808.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2056.4,"methodology":"fee schedule"}]}]},{"description":"PALIPERIDONE 117MG/0.75ML SYR","code_information":[{"code":"J2426","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18,"maximum":2378.4768,"gross_charge":2477.58,"discounted_cash":1372.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2353.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2378.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2031.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2279.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2130.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1808.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2056.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1709.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1164.47,"methodology":"fee schedule"}]}]},{"description":"PALIPERIDONE PAL.156 MG/1 ML","code_information":[{"code":"J2426","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2411.6061,"maximum":3171.4272,"gross_charge":3303.57,"discounted_cash":1830.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3138.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3171.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2708.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3039.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2841.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2411.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2741.97,"methodology":"fee schedule"}]}]},{"description":"PALIPERIDONE PAL.156 MG/1 ML","code_information":[{"code":"J2426","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18,"maximum":3171.4272,"gross_charge":3303.57,"discounted_cash":1830.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3138.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3171.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2708.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3039.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2841.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2411.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2741.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2279.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1552.68,"methodology":"fee schedule"}]}]},{"description":"PALIPERIDONE PALM 410MG SYR","code_information":[{"code":"J2426","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7304.5114,"maximum":9605.9328,"gross_charge":10006.18,"discounted_cash":5544.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9505.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9605.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8205.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9205.69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8605.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7304.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8305.13,"methodology":"fee schedule"}]}]},{"description":"PALIPERIDONE PALM 410MG SYR","code_information":[{"code":"J2426","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18,"maximum":9605.9328,"gross_charge":10006.18,"discounted_cash":5544.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9505.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9605.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8205.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9205.69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8605.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7304.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8305.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6904.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4702.91,"methodology":"fee schedule"}]}]},{"description":"PAMIDRONATE 30 MG VIAL","code_information":[{"code":"J2430","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":13.7167,"maximum":18.0384,"gross_charge":18.79,"discounted_cash":10.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.6,"methodology":"fee schedule"}]}]},{"description":"PAMIDRONATE 30 MG VIAL","code_information":[{"code":"J2430","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.8313,"maximum":18.0384,"gross_charge":18.79,"discounted_cash":10.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14.01,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.84,"methodology":"fee schedule"}]}]},{"description":"PALONOSETRON 0.25 MG/5 ML SDV","code_information":[{"code":"J2469","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":209.7144,"maximum":275.7888,"gross_charge":287.28,"discounted_cash":159.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":272.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":275.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":264.3,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":247.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":238.45,"methodology":"fee schedule"}]}]},{"description":"PALONOSETRON 0.25 MG/5 ML SDV","code_information":[{"code":"J2469","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.37,"maximum":275.7888,"gross_charge":287.28,"discounted_cash":159.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":272.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":275.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":264.3,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":247.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":209.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":238.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":198.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":135.03,"methodology":"fee schedule"}]}]},{"description":"PEGFILGRASTIM 6 MG/0.6 ML SYR","code_information":[{"code":"J2506","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":6933.9999,"maximum":9118.6848,"gross_charge":9498.63,"discounted_cash":5263.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9023.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9118.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7788.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8738.74,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8168.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6934,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7883.87,"methodology":"fee schedule"}]}]},{"description":"PEGFILGRASTIM 6 MG/0.6 ML SYR","code_information":[{"code":"J2506","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4464.3561,"maximum":9118.6848,"gross_charge":9498.63,"discounted_cash":5263.2,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9023.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9118.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7788.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8738.74,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8168.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6934,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7883.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6554.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4464.36,"methodology":"fee schedule"}]}]},{"description":"PENICILLIN G POT 5000000U","code_information":[{"code":"J2540","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.2856,"maximum":12.2112,"gross_charge":12.72,"discounted_cash":7.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.71,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.56,"methodology":"fee schedule"}]}]},{"description":"PENICILLIN G POT 5000000U","code_information":[{"code":"J2540","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.06,"maximum":12.2112,"gross_charge":12.72,"discounted_cash":7.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.71,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.98,"methodology":"fee schedule"}]}]},{"description":"PIPERACILLIN/TAZOBAC 3.375GM","code_information":[{"code":"J2543","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.03,"maximum":10.56,"gross_charge":11,"discounted_cash":6.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.13,"methodology":"fee schedule"}]}]},{"description":"PIPERACILLIN/TAZOBAC 3.375GM","code_information":[{"code":"J2543","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.06,"maximum":10.56,"gross_charge":11,"discounted_cash":6.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.17,"methodology":"fee schedule"}]}]},{"description":"PIPERACILLIN/TAZOBACT 2.25GM","code_information":[{"code":"J2543","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.0151,"maximum":6.5952,"gross_charge":6.87,"discounted_cash":3.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.33,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.71,"methodology":"fee schedule"}]}]},{"description":"PIPERACILLIN/TAZOBACT 2.25GM","code_information":[{"code":"J2543","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.06,"maximum":6.5952,"gross_charge":6.87,"discounted_cash":3.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.33,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.23,"methodology":"fee schedule"}]}]},{"description":"PIPERACILLIN/TAZOBACTAM 4.5 GM","code_information":[{"code":"J2543","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":20.1115,"maximum":26.448,"gross_charge":27.55,"discounted_cash":15.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.35,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.87,"methodology":"fee schedule"}]}]},{"description":"PIPERACILLIN/TAZOBACTAM 4.5 GM","code_information":[{"code":"J2543","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.06,"maximum":26.448,"gross_charge":27.55,"discounted_cash":15.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.35,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.95,"methodology":"fee schedule"}]}]},{"description":"PENTAMIDINE ISETH 300MG VIAL","code_information":[{"code":"J2545","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":461.1775,"maximum":606.48,"gross_charge":631.75,"discounted_cash":350.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":600.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":606.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":518.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":581.21,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":543.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":461.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":524.36,"methodology":"fee schedule"}]}]},{"description":"PENTAMIDINE ISETH 300MG VIAL","code_information":[{"code":"J2545","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":134.69,"maximum":606.48,"gross_charge":631.75,"discounted_cash":350.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":134.69,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":600.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":606.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":518.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":581.21,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":543.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":461.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":524.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":435.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":296.93,"methodology":"fee schedule"}]}]},{"description":"PROMETHAZINE 25 MG/ML SDV","code_information":[{"code":"J2550","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"PROMETHAZINE 25 MG/ML SDV","code_information":[{"code":"J2550","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.34,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.34,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"PHENOBARBITAL SOD 65MG/ML","code_information":[{"code":"J2560","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":37.1278,"maximum":48.8256,"gross_charge":50.86,"discounted_cash":28.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.22,"methodology":"fee schedule"}]}]},{"description":"PHENOBARBITAL SOD 65MG/ML","code_information":[{"code":"J2560","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":23.9042,"maximum":50.86,"gross_charge":50.86,"discounted_cash":28.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.91,"methodology":"fee schedule"}]}]},{"description":"OXYTOCIN 10 UNITS/1 ML SDV","code_information":[{"code":"J2590","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"OXYTOCIN 10 UNITS/1 ML SDV","code_information":[{"code":"J2590","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.91,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.91,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"OXYTOCIN/NOR SAL 30 U/500ML","code_information":[{"code":"J2590","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"OXYTOCIN/NOR SAL 30 U/500ML","code_information":[{"code":"J2590","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.91,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.91,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"DESMOPR 40MCG/10ML MDV","code_information":[{"code":"J2597","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":823.805,"maximum":1083.36,"gross_charge":1128.5,"discounted_cash":625.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1072.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1083.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":925.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1038.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":970.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":823.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":936.66,"methodology":"fee schedule"}]}]},{"description":"DESMOPR 40MCG/10ML MDV","code_information":[{"code":"J2597","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.9,"maximum":1083.36,"gross_charge":1128.5,"discounted_cash":625.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9.9,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1072.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1083.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":925.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1038.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":970.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":823.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":936.66,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":778.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":530.4,"methodology":"fee schedule"}]}]},{"description":"DESMOPR 4MCG/1ML AMP","code_information":[{"code":"J2597","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":53.5382,"maximum":70.4064,"gross_charge":73.34,"discounted_cash":40.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":70.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":67.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.88,"methodology":"fee schedule"}]}]},{"description":"DESMOPR 4MCG/1ML AMP","code_information":[{"code":"J2597","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.9,"maximum":70.4064,"gross_charge":73.34,"discounted_cash":40.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9.9,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":70.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":67.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":63.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":34.47,"methodology":"fee schedule"}]}]},{"description":"PROCAINAMIDE 500 MG/ML 2 ML","code_information":[{"code":"J2690","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":53.1148,"maximum":69.8496,"gross_charge":72.76,"discounted_cash":40.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":69.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":66.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.4,"methodology":"fee schedule"}]}]},{"description":"PROCAINAMIDE 500 MG/ML 2 ML","code_information":[{"code":"J2690","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":34.1972,"maximum":72.76,"gross_charge":72.76,"discounted_cash":40.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":69.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":69.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":66.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":62.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":60.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":50.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":34.2,"methodology":"fee schedule"}]}]},{"description":"OXACILLIN 1 GM VIAL","code_information":[{"code":"J2700","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":21.7029,"maximum":28.5408,"gross_charge":29.73,"discounted_cash":16.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.68,"methodology":"fee schedule"}]}]},{"description":"OXACILLIN 1 GM VIAL","code_information":[{"code":"J2700","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.73,"maximum":28.5408,"gross_charge":29.73,"discounted_cash":16.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.98,"methodology":"fee schedule"}]}]},{"description":"OXACILLIN 2 GM VIAL","code_information":[{"code":"J2700","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":34.9597,"maximum":45.9744,"gross_charge":47.89,"discounted_cash":26.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.06,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.75,"methodology":"fee schedule"}]}]},{"description":"OXACILLIN 2 GM VIAL","code_information":[{"code":"J2700","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.73,"maximum":45.9744,"gross_charge":47.89,"discounted_cash":26.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":45.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":44.06,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":41.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":33.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.51,"methodology":"fee schedule"}]}]},{"description":"PROPOFOL 1000MG/100ML SDV","code_information":[{"code":"J2704","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":42.267,"maximum":55.584,"gross_charge":57.9,"discounted_cash":32.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.27,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.06,"methodology":"fee schedule"}]}]},{"description":"PROPOFOL 1000MG/100ML SDV","code_information":[{"code":"J2704","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":55.584,"gross_charge":57.9,"discounted_cash":32.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.27,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.22,"methodology":"fee schedule"}]}]},{"description":"PROPOFOL 200 MG/20 ML SDV","code_information":[{"code":"J2704","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"PROPOFOL 200 MG/20 ML SDV","code_information":[{"code":"J2704","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"PROPOFOL 500 MG/50 ML SDV","code_information":[{"code":"J2704","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":22.4475,"maximum":29.52,"gross_charge":30.75,"discounted_cash":17.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.53,"methodology":"fee schedule"}]}]},{"description":"PROPOFOL 500 MG/50 ML SDV","code_information":[{"code":"J2704","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":29.52,"gross_charge":30.75,"discounted_cash":17.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.46,"methodology":"fee schedule"}]}]},{"description":"NEOSTIGMINE METH 10MG/10ML MDV","code_information":[{"code":"J2710","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.0228,"maximum":11.8656,"gross_charge":12.36,"discounted_cash":6.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.26,"methodology":"fee schedule"}]}]},{"description":"NEOSTIGMINE METH 10MG/10ML MDV","code_information":[{"code":"J2710","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.84,"maximum":11.8656,"gross_charge":12.36,"discounted_cash":6.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.81,"methodology":"fee schedule"}]}]},{"description":"PROTAMINE 250MG/25ML SDV","code_information":[{"code":"J2720","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":65.3861,"maximum":85.9872,"gross_charge":89.57,"discounted_cash":49.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":85.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.41,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.35,"methodology":"fee schedule"}]}]},{"description":"PROTAMINE 250MG/25ML SDV","code_information":[{"code":"J2720","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.38,"maximum":85.9872,"gross_charge":89.57,"discounted_cash":49.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":85.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.41,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":42.1,"methodology":"fee schedule"}]}]},{"description":"PROTAMINE 50 MG/5 ML SDV","code_information":[{"code":"J2720","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":23.1629,"maximum":30.4608,"gross_charge":31.73,"discounted_cash":17.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.34,"methodology":"fee schedule"}]}]},{"description":"PROTAMINE 50 MG/5 ML SDV","code_information":[{"code":"J2720","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.38,"maximum":30.4608,"gross_charge":31.73,"discounted_cash":17.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.92,"methodology":"fee schedule"}]}]},{"description":"PRALIDOXIME 1 GM VIAL","code_information":[{"code":"J2730","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":115.1867,"maximum":151.4784,"gross_charge":157.79,"discounted_cash":87.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":149.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":151.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":145.17,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":130.97,"methodology":"fee schedule"}]}]},{"description":"PRALIDOXIME 1 GM VIAL","code_information":[{"code":"J2730","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":74.1613,"maximum":151.4784,"gross_charge":157.79,"discounted_cash":87.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":91.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":149.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":151.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":145.17,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":135.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":130.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":108.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":74.17,"methodology":"fee schedule"}]}]},{"description":"PHENTOLAMINE 5 MG VIAL","code_information":[{"code":"J2760","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":611.6305,"maximum":804.336,"gross_charge":837.85,"discounted_cash":464.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":795.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":804.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":687.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":770.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":720.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":611.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":695.42,"methodology":"fee schedule"}]}]},{"description":"PHENTOLAMINE 5 MG VIAL","code_information":[{"code":"J2760","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":393.7895,"maximum":804.336,"gross_charge":837.85,"discounted_cash":464.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":607.98,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":795.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":804.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":687.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":770.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":720.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":611.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":695.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":578.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":393.79,"methodology":"fee schedule"}]}]},{"description":"METOCLOPRAMIDE 10MG/2ML SDV","code_information":[{"code":"J2765","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"METOCLOPRAMIDE 10MG/2ML SDV","code_information":[{"code":"J2765","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.49,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"RANITIDINE 50 MG/2 ML SDV","code_information":[{"code":"J2780","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"RANITIDINE 50 MG/2 ML SDV","code_information":[{"code":"J2780","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"REGADENOSON .4MG / 5ML SYR","code_information":[{"code":"J2785","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":42.267,"maximum":55.584,"gross_charge":57.9,"discounted_cash":32.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.27,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.06,"methodology":"fee schedule"}]}]},{"description":"REGADENOSON .4MG / 5ML SYR","code_information":[{"code":"J2785","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":27.213,"maximum":57.9,"gross_charge":57.9,"discounted_cash":32.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57.9,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":55.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.27,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.22,"methodology":"fee schedule"}]}]},{"description":"RHOGAM","code_information":[{"code":"J2790","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":445.3,"maximum":585.6,"gross_charge":610,"discounted_cash":338.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":585.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":500.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":561.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":524.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":445.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":506.3,"methodology":"fee schedule"}]}]},{"description":"RHOGAM","code_information":[{"code":"J2790","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":110.39,"maximum":585.6,"gross_charge":610,"discounted_cash":338.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":579.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":585.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":500.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":561.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":524.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":445.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":506.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":420.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":286.7,"methodology":"fee schedule"}]}]},{"description":"ROPIVA 0.2% 2MG/ML100ML INF","code_information":[{"code":"J2795","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":29.6818,"maximum":39.0336,"gross_charge":40.66,"discounted_cash":22.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.41,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.75,"methodology":"fee schedule"}]}]},{"description":"ROPIVA 0.2% 2MG/ML100ML INF","code_information":[{"code":"J2795","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.1,"maximum":39.0336,"gross_charge":40.66,"discounted_cash":22.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.41,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.12,"methodology":"fee schedule"}]}]},{"description":"ROPIVAC.75% 7.5MG/20ML","code_information":[{"code":"J2795","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":28.2875,"maximum":37.2,"gross_charge":38.75,"discounted_cash":21.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":37.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":35.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":33.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":32.17,"methodology":"fee schedule"}]}]},{"description":"ROPIVAC.75% 7.5MG/20ML","code_information":[{"code":"J2795","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.1,"maximum":37.2,"gross_charge":38.75,"discounted_cash":21.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":37.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":35.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":33.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":32.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.22,"methodology":"fee schedule"}]}]},{"description":"ROPIVACAINE 0.2% 2MG/ML 20ML","code_information":[{"code":"J2795","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":14.4832,"maximum":19.0464,"gross_charge":19.84,"discounted_cash":11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.26,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.47,"methodology":"fee schedule"}]}]},{"description":"ROPIVACAINE 0.2% 2MG/ML 20ML","code_information":[{"code":"J2795","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.1,"maximum":19.0464,"gross_charge":19.84,"discounted_cash":11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.26,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.33,"methodology":"fee schedule"}]}]},{"description":"ROPIVACAINE 0.5% 5 MG/ML 30ML","code_information":[{"code":"J2795","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":32.4923,"maximum":42.7296,"gross_charge":44.51,"discounted_cash":24.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.95,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.95,"methodology":"fee schedule"}]}]},{"description":"ROPIVACAINE 0.5% 5 MG/ML 30ML","code_information":[{"code":"J2795","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.1,"maximum":42.7296,"gross_charge":44.51,"discounted_cash":24.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.95,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.92,"methodology":"fee schedule"}]}]},{"description":"ROMIPLOSTIM 125 MCG VIAL","code_information":[{"code":"J2796","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3656.205,"maximum":4808.16,"gross_charge":5008.5,"discounted_cash":2775.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4758.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4808.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4106.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4607.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4307.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3656.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4157.06,"methodology":"fee schedule"}]}]},{"description":"ROMIPLOSTIM 125 MCG VIAL","code_information":[{"code":"J2796","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":123.18,"maximum":4808.16,"gross_charge":5008.5,"discounted_cash":2775.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":123.18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4758.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4808.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4106.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4607.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4307.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3656.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4157.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3455.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2354,"methodology":"fee schedule"}]}]},{"description":"ROMIPLOSTIM 250 MCG VIAL","code_information":[{"code":"J2796","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1741.0281,"maximum":2289.5712,"gross_charge":2384.97,"discounted_cash":1321.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2265.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2289.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1955.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2194.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2051.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1741.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1979.53,"methodology":"fee schedule"}]}]},{"description":"ROMIPLOSTIM 250 MCG VIAL","code_information":[{"code":"J2796","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":123.18,"maximum":2289.5712,"gross_charge":2384.97,"discounted_cash":1321.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":123.18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2265.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2289.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1955.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2194.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2051.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1741.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1979.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1645.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1120.94,"methodology":"fee schedule"}]}]},{"description":"ROMIPLOSTIM 500 MCG VIAL","code_information":[{"code":"J2796","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":6964.0978,"maximum":9158.2656,"gross_charge":9539.86,"discounted_cash":5286.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9062.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9158.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7822.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8776.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8204.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6964.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7918.09,"methodology":"fee schedule"}]}]},{"description":"ROMIPLOSTIM 500 MCG VIAL","code_information":[{"code":"J2796","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":123.18,"maximum":9158.2656,"gross_charge":9539.86,"discounted_cash":5286.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":123.18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9062.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9158.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7822.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8776.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8204.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6964.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7918.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6582.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4483.74,"methodology":"fee schedule"}]}]},{"description":"METHO 1,000MG/10ML SDV","code_information":[{"code":"J2800","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":39.4492,"maximum":51.8784,"gross_charge":54.04,"discounted_cash":29.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.86,"methodology":"fee schedule"}]}]},{"description":"METHO 1,000MG/10ML SDV","code_information":[{"code":"J2800","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.4,"maximum":51.8784,"gross_charge":54.04,"discounted_cash":29.95,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.4,"methodology":"fee schedule"}]}]},{"description":"SINCALIDE 5 MCG VIAL","code_information":[{"code":"J2805","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":132.6045,"maximum":174.384,"gross_charge":181.65,"discounted_cash":100.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":172.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":174.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":167.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":150.77,"methodology":"fee schedule"}]}]},{"description":"SINCALIDE 5 MCG VIAL","code_information":[{"code":"J2805","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":85.3755,"maximum":174.384,"gross_charge":181.65,"discounted_cash":100.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":166.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":172.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":174.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":167.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":156.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":150.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":125.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":85.38,"methodology":"fee schedule"}]}]},{"description":"SARGRAMOSTIM 500 MCG/1ML","code_information":[{"code":"J2820","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":235.5929,"maximum":309.8208,"gross_charge":322.73,"discounted_cash":178.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":306.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":309.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":296.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":277.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":267.87,"methodology":"fee schedule"}]}]},{"description":"SARGRAMOSTIM 500 MCG/1ML","code_information":[{"code":"J2820","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":76.28,"maximum":309.8208,"gross_charge":322.73,"discounted_cash":178.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":76.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":306.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":309.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":264.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":296.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":277.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":235.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":267.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":222.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":151.69,"methodology":"fee schedule"}]}]},{"description":"SOD FERRIC GLUC /SUC 62.5MG/5","code_information":[{"code":"J2916","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":23.214,"maximum":30.528,"gross_charge":31.8,"discounted_cash":17.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.26,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.4,"methodology":"fee schedule"}]}]},{"description":"SOD FERRIC GLUC /SUC 62.5MG/5","code_information":[{"code":"J2916","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.82,"maximum":30.528,"gross_charge":31.8,"discounted_cash":17.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.26,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.95,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE SOD SUC 40MG/1ML","code_information":[{"code":"J2920","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.0082,"maximum":11.8464,"gross_charge":12.34,"discounted_cash":6.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.25,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE SOD SUC 40MG/1ML","code_information":[{"code":"J2920","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.51,"maximum":11.8464,"gross_charge":12.34,"discounted_cash":6.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.51,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.8,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE SOD 1000MG/8ML","code_information":[{"code":"J2930","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.0193,"maximum":61.8336,"gross_charge":64.41,"discounted_cash":35.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.26,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.47,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE SOD 1000MG/8ML","code_information":[{"code":"J2930","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.03,"maximum":61.8336,"gross_charge":64.41,"discounted_cash":35.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.26,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.28,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE SOD SUC 125MG/2ML","code_information":[{"code":"J2930","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":14.5781,"maximum":19.1712,"gross_charge":19.97,"discounted_cash":11.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.58,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE SOD SUC 125MG/2ML","code_information":[{"code":"J2930","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.03,"maximum":19.1712,"gross_charge":19.97,"discounted_cash":11.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.78,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.39,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE SOD SUC 500MG/4ML","code_information":[{"code":"J2930","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":32.3244,"maximum":42.5088,"gross_charge":44.28,"discounted_cash":24.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.74,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.76,"methodology":"fee schedule"}]}]},{"description":"METHYLPRE SOD SUC 500MG/4ML","code_information":[{"code":"J2930","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.03,"maximum":42.5088,"gross_charge":44.28,"discounted_cash":24.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.74,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.82,"methodology":"fee schedule"}]}]},{"description":"METHYLPRED SODIUM 500MG MDV","code_information":[{"code":"J2930","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":88.622,"maximum":116.544,"gross_charge":121.4,"discounted_cash":67.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":115.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":116.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.77,"methodology":"fee schedule"}]}]},{"description":"METHYLPRED SODIUM 500MG MDV","code_information":[{"code":"J2930","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.03,"maximum":116.544,"gross_charge":121.4,"discounted_cash":67.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":115.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":116.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":99.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":111.69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":104.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.77,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":57.06,"methodology":"fee schedule"}]}]},{"description":"ALTEPLASE 100 MG VIAL","code_information":[{"code":"J2997","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11409.4912,"maximum":15004.2624,"gross_charge":15629.44,"discounted_cash":8660.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14847.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15004.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12816.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14379.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13441.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11409.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12972.44,"methodology":"fee schedule"}]}]},{"description":"ALTEPLASE 100 MG VIAL","code_information":[{"code":"J2997","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":118.85,"maximum":15004.2624,"gross_charge":15629.44,"discounted_cash":8660.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":118.85,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14847.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":15004.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12816.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14379.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13441.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11409.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12972.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10784.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7345.84,"methodology":"fee schedule"}]}]},{"description":"ALTEPLASE 2 MG VIAL","code_information":[{"code":"J2997","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":191.0629,"maximum":251.2608,"gross_charge":261.73,"discounted_cash":145.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":248.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":251.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":240.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":225.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":217.24,"methodology":"fee schedule"}]}]},{"description":"ALTEPLASE 2 MG VIAL","code_information":[{"code":"J2997","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":118.85,"maximum":251.2608,"gross_charge":261.73,"discounted_cash":145.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":118.85,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":248.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":251.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":214.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":240.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":225.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":191.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":217.24,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":180.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":123.02,"methodology":"fee schedule"}]}]},{"description":"FENTA PF 50 MCG/ML 2 ML SDV","code_information":[{"code":"J3010","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"FENTA PF 50 MCG/ML 2 ML SDV","code_information":[{"code":"J3010","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.24,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"FENTANYL 50MCG/ML SDV","code_information":[{"code":"J3010","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"FENTANYL 50MCG/ML SDV","code_information":[{"code":"J3010","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.24,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"FENTANYL CITR/PF 1,500MCG/30ML","code_information":[{"code":"J3010","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":83.22,"maximum":109.44,"gross_charge":114,"discounted_cash":63.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.62,"methodology":"fee schedule"}]}]},{"description":"FENTANYL CITR/PF 1,500MCG/30ML","code_information":[{"code":"J3010","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.24,"maximum":109.44,"gross_charge":114,"discounted_cash":63.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":98.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":53.58,"methodology":"fee schedule"}]}]},{"description":"FENTANYL/NACL 600MCG/30ML","code_information":[{"code":"J3010","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":10.439,"maximum":13.728,"gross_charge":14.3,"discounted_cash":7.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.87,"methodology":"fee schedule"}]}]},{"description":"FENTANYL/NACL 600MCG/30ML","code_information":[{"code":"J3010","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.24,"maximum":13.728,"gross_charge":14.3,"discounted_cash":7.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.73,"methodology":"fee schedule"}]}]},{"description":"SUMATRIPTAN 6 MG/0.5 ML SDV","code_information":[{"code":"J3030","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":22.4475,"maximum":29.52,"gross_charge":30.75,"discounted_cash":17.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.53,"methodology":"fee schedule"}]}]},{"description":"SUMATRIPTAN 6 MG/0.5 ML SDV","code_information":[{"code":"J3030","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":14.4525,"maximum":29.52,"gross_charge":30.75,"discounted_cash":17.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.46,"methodology":"fee schedule"}]}]},{"description":"EPTINEZUMAB 100MG/ML VIAL","code_information":[{"code":"J3032","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2992.343,"maximum":3935.136,"gross_charge":4099.1,"discounted_cash":2271.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3894.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3935.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3361.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3771.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3525.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2992.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3402.26,"methodology":"fee schedule"}]}]},{"description":"EPTINEZUMAB 100MG/ML VIAL","code_information":[{"code":"J3032","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":22.8,"maximum":3935.136,"gross_charge":4099.1,"discounted_cash":2271.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3894.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3935.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3361.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3771.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3525.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2992.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3402.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2828.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1926.58,"methodology":"fee schedule"}]}]},{"description":"TELAVANCIN HCL 750 MG VIAL","code_information":[{"code":"J3095","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1581.837,"maximum":2080.224,"gross_charge":2166.9,"discounted_cash":1200.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2058.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2080.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1776.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1993.55,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1863.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1581.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1798.53,"methodology":"fee schedule"}]}]},{"description":"TELAVANCIN HCL 750 MG VIAL","code_information":[{"code":"J3095","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.43,"maximum":2080.224,"gross_charge":2166.9,"discounted_cash":1200.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":9.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2058.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2080.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1776.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1993.55,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1863.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1581.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1798.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1495.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1018.45,"methodology":"fee schedule"}]}]},{"description":"TENECTEPLASE 50 MG KIT","code_information":[{"code":"J3101","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9565.7667,"maximum":12579.6384,"gross_charge":13103.79,"discounted_cash":7260.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12448.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12579.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10745.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12055.49,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11269.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9565.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10876.15,"methodology":"fee schedule"}]}]},{"description":"TENECTEPLASE 50 MG KIT","code_information":[{"code":"J3101","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":193.93,"maximum":12579.6384,"gross_charge":13103.79,"discounted_cash":7260.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":193.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12448.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12579.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10745.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12055.49,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11269.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9565.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10876.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9041.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6158.79,"methodology":"fee schedule"}]}]},{"description":"TERBUTALINE 1 MG/ML SDV","code_information":[{"code":"J3105","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"TERBUTALINE 1 MG/ML SDV","code_information":[{"code":"J3105","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.78,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"ROMOSOZUMAB 210MG/2.34ML","code_information":[{"code":"J3111","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4693.9,"maximum":6172.8,"gross_charge":6430,"discounted_cash":3562.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6108.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5272.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5915.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5529.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4693.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5336.9,"methodology":"fee schedule"}]}]},{"description":"ROMOSOZUMAB 210MG/2.34ML","code_information":[{"code":"J3111","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":13.44,"maximum":6172.8,"gross_charge":6430,"discounted_cash":3562.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13.44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6108.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6172.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5272.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5915.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5529.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4693.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5336.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4436.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3022.1,"methodology":"fee schedule"}]}]},{"description":"CHLORPRO 50 MG/2 ML AMP","code_information":[{"code":"J3230","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":46.6324,"maximum":61.3248,"gross_charge":63.88,"discounted_cash":35.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.03,"methodology":"fee schedule"}]}]},{"description":"CHLORPRO 50 MG/2 ML AMP","code_information":[{"code":"J3230","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":30.0236,"maximum":61.3248,"gross_charge":63.88,"discounted_cash":35.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.03,"methodology":"fee schedule"}]}]},{"description":"CHLORPROMAZINE 25 MG/ML AMP","code_information":[{"code":"J3230","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":28.7328,"maximum":37.7856,"gross_charge":39.36,"discounted_cash":21.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":37.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":37.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":33.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":32.67,"methodology":"fee schedule"}]}]},{"description":"CHLORPROMAZINE 25 MG/ML AMP","code_information":[{"code":"J3230","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18.4992,"maximum":39.36,"gross_charge":39.36,"discounted_cash":21.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":37.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":37.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":33.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":32.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":27.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.5,"methodology":"fee schedule"}]}]},{"description":"TEPROTUMUMAB 500 MG/VIAL","code_information":[{"code":"J3241","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":33882.804,"maximum":44558.208,"gross_charge":46414.8,"discounted_cash":25718.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44094.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":44558.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38060.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":42701.62,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":39916.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33882.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":38524.29,"methodology":"fee schedule"}]}]},{"description":"TEPROTUMUMAB 500 MG/VIAL","code_information":[{"code":"J3241","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":434.54,"maximum":44558.208,"gross_charge":46414.8,"discounted_cash":25718.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":434.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44094.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":44558.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38060.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":42701.62,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":39916.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33882.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":38524.29,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":32026.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21814.96,"methodology":"fee schedule"}]}]},{"description":"TILDRAK-ASMN 100 MG/ML SYRINGE","code_information":[{"code":"J3245","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":29255.48,"maximum":38472.96,"gross_charge":40076,"discounted_cash":22206.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38072.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38472.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32862.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36869.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34465.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29255.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33263.08,"methodology":"fee schedule"}]}]},{"description":"TILDRAK-ASMN 100 MG/ML SYRINGE","code_information":[{"code":"J3245","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":185.53,"maximum":38472.96,"gross_charge":40076,"discounted_cash":22206.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":185.53,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38072.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":38472.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32862.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":36869.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":34465.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29255.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":33263.08,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":27652.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18835.72,"methodology":"fee schedule"}]}]},{"description":"TOBRAMYCIN 80 MG/2 ML VIAL","code_information":[{"code":"J3260","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"TOBRAMYCIN 80 MG/2 ML VIAL","code_information":[{"code":"J3260","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.67,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.67,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"TRIAMCINOLONE ACET 40MD/ML SDV","code_information":[{"code":"J3300","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":201.0858,"maximum":264.4416,"gross_charge":275.46,"discounted_cash":152.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":261.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":236.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":228.64,"methodology":"fee schedule"}]}]},{"description":"TRIAMCINOLONE ACET 40MD/ML SDV","code_information":[{"code":"J3300","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.65,"maximum":264.4416,"gross_charge":275.46,"discounted_cash":152.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":261.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":236.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":228.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":190.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":129.47,"methodology":"fee schedule"}]}]},{"description":"TRIAMCINO ACET 40MG/ML MDV","code_information":[{"code":"J3301","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":14.0087,"maximum":18.4224,"gross_charge":19.19,"discounted_cash":10.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.66,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.93,"methodology":"fee schedule"}]}]},{"description":"TRIAMCINO ACET 40MG/ML MDV","code_information":[{"code":"J3301","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.43,"maximum":18.4224,"gross_charge":19.19,"discounted_cash":10.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":17.66,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.02,"methodology":"fee schedule"}]}]},{"description":"USTEKINUMAB 130 MG/26 ML VIAL","code_information":[{"code":"J3358","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3378.0312,"maximum":4442.3424,"gross_charge":4627.44,"discounted_cash":2564.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4396.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4442.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3794.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4257.25,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3979.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3378.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3840.78,"methodology":"fee schedule"}]}]},{"description":"USTEKINUMAB 130 MG/26 ML VIAL","code_information":[{"code":"J3358","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":16.54,"maximum":4442.3424,"gross_charge":4627.44,"discounted_cash":2564.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":16.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4396.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4442.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3794.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4257.25,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3979.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3378.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3840.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3192.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2174.9,"methodology":"fee schedule"}]}]},{"description":"DIAZEPAM 10 MG/2 ML SYRINGE","code_information":[{"code":"J3360","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":37.2665,"maximum":49.008,"gross_charge":51.05,"discounted_cash":28.29,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.97,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.38,"methodology":"fee schedule"}]}]},{"description":"DIAZEPAM 10 MG/2 ML SYRINGE","code_information":[{"code":"J3360","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11.54,"maximum":49.008,"gross_charge":51.05,"discounted_cash":28.29,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11.54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.97,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24,"methodology":"fee schedule"}]}]},{"description":"VANCO/WTR INJ(PEG)1.25GM/250ML","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":164.25,"maximum":216,"gross_charge":225,"discounted_cash":124.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":207,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":186.75,"methodology":"fee schedule"}]}]},{"description":"VANCO/WTR INJ(PEG)1.25GM/250ML","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.86,"maximum":216,"gross_charge":225,"discounted_cash":124.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":213.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":216,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":184.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":207,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":193.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":186.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":155.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":105.75,"methodology":"fee schedule"}]}]},{"description":"VANCO/WTR INJ(PEG)1.75GM/350ML","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":113.88,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"}]}]},{"description":"VANCO/WTR INJ(PEG)1.75GM/350ML","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.86,"maximum":149.76,"gross_charge":156,"discounted_cash":86.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":148.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":149.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":127.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":143.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":134.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":129.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":73.32,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 1 GM SDV","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":24.1265,"maximum":31.728,"gross_charge":33.05,"discounted_cash":18.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.41,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.44,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 1 GM SDV","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.86,"maximum":31.728,"gross_charge":33.05,"discounted_cash":18.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.41,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.54,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 1.25G/25ML","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":88.038,"maximum":115.776,"gross_charge":120.6,"discounted_cash":66.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":115.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":110.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":103.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.1,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 1.25G/25ML","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.86,"maximum":115.776,"gross_charge":120.6,"discounted_cash":66.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":114.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":115.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":110.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":103.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":88.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":100.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":83.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":56.69,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 1.5GM/300ML","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":100.521,"maximum":132.192,"gross_charge":137.7,"discounted_cash":76.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":130.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":132.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":118.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":114.3,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 1.5GM/300ML","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.86,"maximum":132.192,"gross_charge":137.7,"discounted_cash":76.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":130.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":132.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":112.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":118.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":114.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":64.72,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 1G/200ML","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":58.4,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 1G/200ML","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.86,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.6,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 2GM/400ML BAG","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":102.2,"maximum":134.4,"gross_charge":140,"discounted_cash":77.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":116.2,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 2GM/400ML BAG","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.86,"maximum":134.4,"gross_charge":140,"discounted_cash":77.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":133,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":134.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":114.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":128.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":120.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":102.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":116.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":96.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":65.8,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 500 MG SDV","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":12.2129,"maximum":16.0608,"gross_charge":16.73,"discounted_cash":9.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13.89,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 500 MG SDV","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.86,"maximum":16.0608,"gross_charge":16.73,"discounted_cash":9.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":15.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":13.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.87,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 500 MG/100 ML PRE","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":6.57,"maximum":8.64,"gross_charge":9,"discounted_cash":4.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.47,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 500 MG/100 ML PRE","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.86,"maximum":8.64,"gross_charge":9,"discounted_cash":4.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.23,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 750 MG SDV","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11.3442,"maximum":14.9184,"gross_charge":15.54,"discounted_cash":8.62,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.75,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.3,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.9,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 750 MG SDV","code_information":[{"code":"J3370","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.86,"maximum":14.9184,"gross_charge":15.54,"discounted_cash":8.62,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.75,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.3,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.31,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 750 MG/150ML PREMIX","code_information":[{"code":"J3372","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":52.56,"maximum":69.12,"gross_charge":72,"discounted_cash":39.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":69.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":59.76,"methodology":"fee schedule"}]}]},{"description":"VANCOMYCIN 750 MG/150ML PREMIX","code_information":[{"code":"J3372","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":33.84,"maximum":69.12,"gross_charge":72,"discounted_cash":39.9,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":69.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":59.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":33.84,"methodology":"fee schedule"}]}]},{"description":"VEDOLIZUMAB 300 MG VIAL","code_information":[{"code":"J3380","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":17189.2589,"maximum":22605.0528,"gross_charge":23546.93,"discounted_cash":13047.36,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22369.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":22605.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19308.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21663.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20250.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17189.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19543.96,"methodology":"fee schedule"}]}]},{"description":"VEDOLIZUMAB 300 MG VIAL","code_information":[{"code":"J3380","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":29.29,"maximum":22605.0528,"gross_charge":23546.93,"discounted_cash":13047.36,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":29.29,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22369.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":22605.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19308.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21663.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20250.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17189.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19543.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":16247.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11067.06,"methodology":"fee schedule"}]}]},{"description":"HYDROXYZINE HCL 50MG/SDV","code_information":[{"code":"J3410","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":39.6317,"maximum":52.1184,"gross_charge":54.29,"discounted_cash":30.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.95,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.07,"methodology":"fee schedule"}]}]},{"description":"HYDROXYZINE HCL 50MG/SDV","code_information":[{"code":"J3410","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":14.41,"maximum":52.1184,"gross_charge":54.29,"discounted_cash":30.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14.41,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":52.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.95,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":45.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.52,"methodology":"fee schedule"}]}]},{"description":"THIAMINE 200 MG/2 ML MDV","code_information":[{"code":"J3411","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":14.892,"maximum":19.584,"gross_charge":20.4,"discounted_cash":11.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.94,"methodology":"fee schedule"}]}]},{"description":"THIAMINE 200 MG/2 ML MDV","code_information":[{"code":"J3411","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.79,"maximum":19.584,"gross_charge":20.4,"discounted_cash":11.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.59,"methodology":"fee schedule"}]}]},{"description":"CYA (VIT B12) 1000MCG/ML SDV","code_information":[{"code":"J3420","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"CYA (VIT B12) 1000MCG/ML SDV","code_information":[{"code":"J3420","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.77,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"PHYTONADIONE 10 MG/1 ML AMP","code_information":[{"code":"J3430","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":68.9923,"maximum":90.7296,"gross_charge":94.51,"discounted_cash":52.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.95,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.45,"methodology":"fee schedule"}]}]},{"description":"PHYTONADIONE 10 MG/1 ML AMP","code_information":[{"code":"J3430","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.31,"maximum":90.7296,"gross_charge":94.51,"discounted_cash":52.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":89.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":90.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":86.95,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":44.42,"methodology":"fee schedule"}]}]},{"description":"PHYTONADIONE 10MG/ML VIAL","code_information":[{"code":"J3430","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":156.1105,"maximum":205.296,"gross_charge":213.85,"discounted_cash":118.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":203.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":205.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":175.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":196.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":183.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":177.5,"methodology":"fee schedule"}]}]},{"description":"PHYTONADIONE 10MG/ML VIAL","code_information":[{"code":"J3430","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.31,"maximum":205.296,"gross_charge":213.85,"discounted_cash":118.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":203.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":205.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":175.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":196.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":183.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":177.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":147.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":100.51,"methodology":"fee schedule"}]}]},{"description":"HYAL HUMAN REC150U/1ML SD","code_information":[{"code":"J3470","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":74.1388,"maximum":97.4976,"gross_charge":101.56,"discounted_cash":56.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":96.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":97.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":87.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":84.3,"methodology":"fee schedule"}]}]},{"description":"HYAL HUMAN REC150U/1ML SD","code_information":[{"code":"J3470","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.7332,"maximum":97.4976,"gross_charge":101.56,"discounted_cash":56.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":58.59,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":96.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":97.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":93.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":87.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":74.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":84.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":70.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":47.74,"methodology":"fee schedule"}]}]},{"description":"MAG SULFATE/D5W 1GM/100ML","code_information":[{"code":"J3475","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"MAG SULFATE/D5W 1GM/100ML","code_information":[{"code":"J3475","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.89,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"MAGN4VIA5","code_information":[{"code":"J3475","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.2629,"maximum":1.6608,"gross_charge":1.73,"discounted_cash":0.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.44,"methodology":"fee schedule"}]}]},{"description":"MAGN4VIA5","code_information":[{"code":"J3475","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.8131,"maximum":1.6608,"gross_charge":1.73,"discounted_cash":0.96,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.82,"methodology":"fee schedule"}]}]},{"description":"MAGNES SULF 1GM/2ML SDV","code_information":[{"code":"J3475","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"MAGNES SULF 1GM/2ML SDV","code_information":[{"code":"J3475","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.89,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"MAGNESIUM SULF 454 GM BOT","code_information":[{"code":"J3475","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.65,"maximum":4.8,"gross_charge":5,"discounted_cash":2.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.15,"methodology":"fee schedule"}]}]},{"description":"MAGNESIUM SULF 454 GM BOT","code_information":[{"code":"J3475","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.89,"maximum":4.8,"gross_charge":5,"discounted_cash":2.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.35,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .225% SOD CHL 20MEQ","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.3144,"maximum":6.9888,"gross_charge":7.28,"discounted_cash":4.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.7,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.05,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .225% SOD CHL 20MEQ","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":6.9888,"gross_charge":7.28,"discounted_cash":4.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.7,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.43,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .45% SOD CHL 10MEQ","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":6.5992,"maximum":8.6784,"gross_charge":9.04,"discounted_cash":5.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.51,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .45% SOD CHL 10MEQ","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":8.6784,"gross_charge":9.04,"discounted_cash":5.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.25,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .45% SOD CHL 20MEQ","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.1611,"maximum":6.7872,"gross_charge":7.07,"discounted_cash":3.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.87,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .45% SOD CHL 20MEQ","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":6.7872,"gross_charge":7.07,"discounted_cash":3.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.33,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .9% SOD CHL 20MEQ K","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.7376,"maximum":4.9152,"gross_charge":5.12,"discounted_cash":2.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.25,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .9% SOD CHL 20MEQ K","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":4.9152,"gross_charge":5.12,"discounted_cash":2.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.41,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .9% SOD CHL 40MEQ K","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.8254,"maximum":7.6608,"gross_charge":7.98,"discounted_cash":4.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.35,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.63,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .9% SOD CHL 40MEQ K","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":7.6608,"gross_charge":7.98,"discounted_cash":4.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.35,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.76,"methodology":"fee schedule"}]}]},{"description":"POT CHL/ST WA 10MEQ/100ML","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"POT CHL/ST WA 10MEQ/100ML","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"POT CHLORIDE 40 MEQ/20 ML SDV","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.5186,"maximum":4.6272,"gross_charge":4.82,"discounted_cash":2.68,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.01,"methodology":"fee schedule"}]}]},{"description":"POT CHLORIDE 40 MEQ/20 ML SDV","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":4.6272,"gross_charge":4.82,"discounted_cash":2.68,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.27,"methodology":"fee schedule"}]}]},{"description":"SOD CHL 0.9% W 40MEQ 1000ML","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":6.2634,"maximum":8.2368,"gross_charge":8.58,"discounted_cash":4.76,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.9,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.13,"methodology":"fee schedule"}]}]},{"description":"SOD CHL 0.9% W 40MEQ 1000ML","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":8.2368,"gross_charge":8.58,"discounted_cash":4.76,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.9,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.04,"methodology":"fee schedule"}]}]},{"description":"SOD CHL.45% W 20 KCL 1000ML","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.0078,"maximum":6.5856,"gross_charge":6.86,"discounted_cash":3.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.7,"methodology":"fee schedule"}]}]},{"description":"SOD CHL.45% W 20 KCL 1000ML","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":6.5856,"gross_charge":6.86,"discounted_cash":3.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.23,"methodology":"fee schedule"}]}]},{"description":"SOD CHL.9% W 20 MEQ 1000ML","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.6646,"maximum":4.8192,"gross_charge":5.02,"discounted_cash":2.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.62,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.17,"methodology":"fee schedule"}]}]},{"description":"SOD CHL.9% W 20 MEQ 1000ML","code_information":[{"code":"J3480","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.19,"maximum":4.8192,"gross_charge":5.02,"discounted_cash":2.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.19,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.62,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.17,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"}]}]},{"description":"ZIPRASIDONE MES 20MG VIAL","code_information":[{"code":"J3486","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":81.5264,"maximum":107.2128,"gross_charge":111.68,"discounted_cash":61.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":106.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":107.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":96.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.7,"methodology":"fee schedule"}]}]},{"description":"ZIPRASIDONE MES 20MG VIAL","code_information":[{"code":"J3486","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":13.71,"maximum":107.2128,"gross_charge":111.68,"discounted_cash":61.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13.71,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":106.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":107.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":96.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":77.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":52.49,"methodology":"fee schedule"}]}]},{"description":"ZOLEDRO ACID 4 MG/5ML SDV","code_information":[{"code":"J3489","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":65.7,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"}]}]},{"description":"ZOLEDRO ACID 4 MG/5ML SDV","code_information":[{"code":"J3489","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":15.04,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":42.3,"methodology":"fee schedule"}]}]},{"description":"ZOLEDRO ACID 5MG/100ML BOT","code_information":[{"code":"J3489","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"ZOLEDRO ACID 5MG/100ML BOT","code_information":[{"code":"J3489","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":15.04,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"ZOLEDRONIC ACID 4MG/100ML BAG","code_information":[{"code":"J3489","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":315.36,"maximum":414.72,"gross_charge":432,"discounted_cash":239.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":414.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":397.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":371.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":358.56,"methodology":"fee schedule"}]}]},{"description":"ZOLEDRONIC ACID 4MG/100ML BAG","code_information":[{"code":"J3489","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":15.04,"maximum":414.72,"gross_charge":432,"discounted_cash":239.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":414.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":354.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":397.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":371.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":315.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":358.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":298.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":203.04,"methodology":"fee schedule"}]}]},{"description":"10% DEXT WATER 500 ML BAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":3.2266,"maximum":4.2432,"gross_charge":4.42,"discounted_cash":2.45,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.25,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.07,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.67,"methodology":"fee schedule"}]}]},{"description":"10% DEXT WATER 500 ML BAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":2.0774,"maximum":4.42,"gross_charge":4.42,"discounted_cash":2.45,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.25,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.07,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.08,"methodology":"fee schedule"}]}]},{"description":"25% DEXT WATER 10 ML SY","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":21.0386,"maximum":27.6672,"gross_charge":28.82,"discounted_cash":15.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.93,"methodology":"fee schedule"}]}]},{"description":"25% DEXT WATER 10 ML SY","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":13.5454,"maximum":28.82,"gross_charge":28.82,"discounted_cash":15.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":28.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":27.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":27.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":26.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13.55,"methodology":"fee schedule"}]}]},{"description":"50% DEXT IN WATER 50 ML SYR","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":20.1553,"maximum":26.5056,"gross_charge":27.61,"discounted_cash":15.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.41,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.92,"methodology":"fee schedule"}]}]},{"description":"50% DEXT IN WATER 50 ML SYR","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":12.9767,"maximum":27.61,"gross_charge":27.61,"discounted_cash":15.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":27.61,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25.41,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":23.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":19.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.98,"methodology":"fee schedule"}]}]},{"description":"ACE 20 MG/2 ML INTRA INJ KIT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":103.1928,"maximum":135.7056,"gross_charge":141.36,"discounted_cash":78.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":134.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":135.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":130.06,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":121.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":117.33,"methodology":"fee schedule"}]}]},{"description":"ACE 20 MG/2 ML INTRA INJ KIT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":66.4392,"maximum":135.7056,"gross_charge":141.36,"discounted_cash":78.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":134.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":135.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":130.06,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":121.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":103.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":117.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":97.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":66.44,"methodology":"fee schedule"}]}]},{"description":"ACETYLCYSTEINE VL 20% 200MG/ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":32.12,"maximum":42.24,"gross_charge":44,"discounted_cash":24.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"}]}]},{"description":"ACETYLCYSTEINE VL 20% 200MG/ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":20.68,"maximum":44,"gross_charge":44,"discounted_cash":24.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":41.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":37.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.68,"methodology":"fee schedule"}]}]},{"description":"ALBUTEROL 0.63 MG/3 ML NEB","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":4.2413,"maximum":5.5776,"gross_charge":5.81,"discounted_cash":3.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.77,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.35,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.83,"methodology":"fee schedule"}]}]},{"description":"ALBUTEROL 0.63 MG/3 ML NEB","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":2.7307,"maximum":5.81,"gross_charge":5.81,"discounted_cash":3.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.81,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.77,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.35,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.74,"methodology":"fee schedule"}]}]},{"description":"AMINO ACID 5 GM/20 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":10.8916,"maximum":14.3232,"gross_charge":14.92,"discounted_cash":8.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.73,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.39,"methodology":"fee schedule"}]}]},{"description":"AMINO ACID 5 GM/20 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.0124,"maximum":14.3232,"gross_charge":14.92,"discounted_cash":8.27,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.73,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.02,"methodology":"fee schedule"}]}]},{"description":"AMINO ACIDS 5%DEX 15% 2,000ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":58.692,"maximum":77.184,"gross_charge":80.4,"discounted_cash":44.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":77.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.97,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":69.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.74,"methodology":"fee schedule"}]}]},{"description":"AMINO ACIDS 5%DEX 15% 2,000ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":37.788,"maximum":80.4,"gross_charge":80.4,"discounted_cash":44.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":80.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":77.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.97,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":69.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.74,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.79,"methodology":"fee schedule"}]}]},{"description":"AMVISC 12MG/ML 0.8ML SYR","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":218.9124,"maximum":287.8848,"gross_charge":299.88,"discounted_cash":166.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":284.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":287.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":275.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":257.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":248.91,"methodology":"fee schedule"}]}]},{"description":"AMVISC 12MG/ML 0.8ML SYR","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":287.8848,"gross_charge":299.88,"discounted_cash":166.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":284.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":287.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":245.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":275.89,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":257.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":218.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":248.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":206.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":140.95,"methodology":"fee schedule"}]}]},{"description":"ARFORMOTE 15 MCG/2ML NEB SOL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":57.5167,"maximum":75.6384,"gross_charge":78.79,"discounted_cash":43.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":74.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.49,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.4,"methodology":"fee schedule"}]}]},{"description":"ARFORMOTE 15 MCG/2ML NEB SOL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":37.0313,"maximum":78.79,"gross_charge":78.79,"discounted_cash":43.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":78.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":74.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":75.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":64.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":72.49,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":67.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":65.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":54.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.04,"methodology":"fee schedule"}]}]},{"description":"AZTREONAM 1 GM VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":50.8299,"maximum":66.8448,"gross_charge":69.63,"discounted_cash":38.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.06,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.8,"methodology":"fee schedule"}]}]},{"description":"AZTREONAM 1 GM VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":32.7261,"maximum":66.8448,"gross_charge":69.63,"discounted_cash":38.59,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.06,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.73,"methodology":"fee schedule"}]}]},{"description":"BAC SOD CHLOR .9% 10 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"BAC SOD CHLOR .9% 10 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":10,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"BAL SALT PLUS OPH 500 ML BOT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":83.1178,"maximum":109.3056,"gross_charge":113.86,"discounted_cash":63.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.51,"methodology":"fee schedule"}]}]},{"description":"BAL SALT PLUS OPH 500 ML BOT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":53.5142,"maximum":109.3056,"gross_charge":113.86,"discounted_cash":63.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":108.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":109.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":93.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":83.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":53.52,"methodology":"fee schedule"}]}]},{"description":"BAR SUL 2.1% SUSP 450 ML BOT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":12.9794,"maximum":17.0688,"gross_charge":17.78,"discounted_cash":9.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.76,"methodology":"fee schedule"}]}]},{"description":"BAR SUL 2.1% SUSP 450 ML BOT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":8.3566,"maximum":17.78,"gross_charge":17.78,"discounted_cash":9.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.36,"methodology":"fee schedule"}]}]},{"description":"BAR SULF 105% W/V 1900ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":2.19,"maximum":2.88,"gross_charge":3,"discounted_cash":1.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.49,"methodology":"fee schedule"}]}]},{"description":"BAR SULF 105% W/V 1900ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":1.41,"maximum":3,"gross_charge":3,"discounted_cash":1.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.41,"methodology":"fee schedule"}]}]},{"description":"BRIMONID .2% OPH 5 ML BOT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":38.4345,"maximum":50.544,"gross_charge":52.65,"discounted_cash":29.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.7,"methodology":"fee schedule"}]}]},{"description":"BRIMONID .2% OPH 5 ML BOT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":24.7455,"maximum":52.65,"gross_charge":52.65,"discounted_cash":29.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":52.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":50.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":48.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":45.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":36.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24.75,"methodology":"fee schedule"}]}]},{"description":"BUD .25 MG/2 ML NEB SUSP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":24.0462,"maximum":31.6224,"gross_charge":32.94,"discounted_cash":18.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.31,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.35,"methodology":"fee schedule"}]}]},{"description":"BUD .25 MG/2 ML NEB SUSP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":15.4818,"maximum":32.94,"gross_charge":32.94,"discounted_cash":18.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32.94,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":31.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":30.31,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":28.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":27.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.49,"methodology":"fee schedule"}]}]},{"description":"BUD .5 MG/2 ML NEB SUSP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":28.3386,"maximum":37.2672,"gross_charge":38.82,"discounted_cash":21.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":37.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":35.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":33.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":32.23,"methodology":"fee schedule"}]}]},{"description":"BUD .5 MG/2 ML NEB SUSP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":18.2454,"maximum":38.82,"gross_charge":38.82,"discounted_cash":21.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38.82,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":37.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":35.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":33.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":32.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.25,"methodology":"fee schedule"}]}]},{"description":"BUMETANIDE 1MG/4ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.1172,"maximum":5.4144,"gross_charge":5.64,"discounted_cash":3.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.69,"methodology":"fee schedule"}]}]},{"description":"BUMETANIDE 1MG/4ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.6508,"maximum":5.4144,"gross_charge":5.64,"discounted_cash":3.13,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.66,"methodology":"fee schedule"}]}]},{"description":"BUMETANIDE 2.5MG/10ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"BUMETANIDE 2.5MG/10ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"BUP 0.75%/D5W 2 ML AMP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":7.4679,"maximum":9.8208,"gross_charge":10.23,"discounted_cash":5.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.5,"methodology":"fee schedule"}]}]},{"description":"BUP 0.75%/D5W 2 ML AMP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":4.8081,"maximum":10.23,"gross_charge":10.23,"discounted_cash":5.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.5,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.81,"methodology":"fee schedule"}]}]},{"description":"BUP.25%/EP 1:200000 30ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":15.7899,"maximum":20.7648,"gross_charge":21.63,"discounted_cash":11.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.77,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.9,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.96,"methodology":"fee schedule"}]}]},{"description":"BUP.25%/EP 1:200000 30ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":10.1661,"maximum":21.63,"gross_charge":21.63,"discounted_cash":11.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21.63,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.77,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.9,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.17,"methodology":"fee schedule"}]}]},{"description":"BUP.5%/EP 1:200000 30 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.0373,"maximum":10.5696,"gross_charge":11.01,"discounted_cash":6.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.14,"methodology":"fee schedule"}]}]},{"description":"BUP.5%/EP 1:200000 30 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.1747,"maximum":10.5696,"gross_charge":11.01,"discounted_cash":6.11,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.18,"methodology":"fee schedule"}]}]},{"description":"BUPIV 0.5%/EPI 1:200,000 50 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":22.2212,"maximum":29.2224,"gross_charge":30.44,"discounted_cash":16.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.01,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.27,"methodology":"fee schedule"}]}]},{"description":"BUPIV 0.5%/EPI 1:200,000 50 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":14.3068,"maximum":29.2224,"gross_charge":30.44,"discounted_cash":16.87,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.01,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.31,"methodology":"fee schedule"}]}]},{"description":"BUPIVACAINE 0.25% 10 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.5337,"maximum":11.2224,"gross_charge":11.69,"discounted_cash":6.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.71,"methodology":"fee schedule"}]}]},{"description":"BUPIVACAINE 0.25% 10 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.4943,"maximum":11.2224,"gross_charge":11.69,"discounted_cash":6.48,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.5,"methodology":"fee schedule"}]}]},{"description":"BUPIVACAINE 0.25% 50ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.7819,"maximum":11.5488,"gross_charge":12.03,"discounted_cash":6.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.07,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.99,"methodology":"fee schedule"}]}]},{"description":"BUPIVACAINE 0.25% 50ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.6541,"maximum":11.5488,"gross_charge":12.03,"discounted_cash":6.67,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.07,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.66,"methodology":"fee schedule"}]}]},{"description":"BUPIVACAINE 0.75% 30 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11.2712,"maximum":14.8224,"gross_charge":15.44,"discounted_cash":8.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.21,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.82,"methodology":"fee schedule"}]}]},{"description":"BUPIVACAINE 0.75% 30 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.2568,"maximum":14.8224,"gross_charge":15.44,"discounted_cash":8.56,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14.21,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.26,"methodology":"fee schedule"}]}]},{"description":"CAF/SOD BEN 500MG/2ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":41.7195,"maximum":54.864,"gross_charge":57.15,"discounted_cash":31.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":54.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":54.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":52.58,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":47.44,"methodology":"fee schedule"}]}]},{"description":"CAF/SOD BEN 500MG/2ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":26.8605,"maximum":57.15,"gross_charge":57.15,"discounted_cash":31.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57.15,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":54.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":54.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":52.58,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":47.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":26.87,"methodology":"fee schedule"}]}]},{"description":"CAL CHLOR 10% 1 GM/10 ML SY","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":15.6074,"maximum":20.5248,"gross_charge":21.38,"discounted_cash":11.85,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.67,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.75,"methodology":"fee schedule"}]}]},{"description":"CAL CHLOR 10% 1 GM/10 ML SY","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":10.0486,"maximum":21.38,"gross_charge":21.38,"discounted_cash":11.85,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":21.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.67,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.39,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.05,"methodology":"fee schedule"}]}]},{"description":"CALCIUM GLUC IN NACL, ISO-OSM","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":348.1954,"maximum":457.9008,"gross_charge":476.98,"discounted_cash":264.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":453.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":457.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":438.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":410.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":395.9,"methodology":"fee schedule"}]}]},{"description":"CALCIUM GLUC IN NACL, ISO-OSM","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":457.9008,"gross_charge":476.98,"discounted_cash":264.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":453.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":457.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":391.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":438.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":410.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":348.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":395.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":329.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":224.19,"methodology":"fee schedule"}]}]},{"description":"CARB TROM 250 MCG/1 ML AMP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":174.762,"maximum":229.824,"gross_charge":239.4,"discounted_cash":132.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":227.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":229.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":196.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":220.25,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":205.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":174.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":198.71,"methodology":"fee schedule"}]}]},{"description":"CARB TROM 250 MCG/1 ML AMP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":229.824,"gross_charge":239.4,"discounted_cash":132.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":227.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":229.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":196.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":220.25,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":205.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":174.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":198.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":165.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":112.52,"methodology":"fee schedule"}]}]},{"description":"CARBACHOL 1.5 ML BOTTLE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":107.6969,"maximum":141.6288,"gross_charge":147.53,"discounted_cash":81.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":141.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":135.73,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.45,"methodology":"fee schedule"}]}]},{"description":"CARBACHOL 1.5 ML BOTTLE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":69.3391,"maximum":141.6288,"gross_charge":147.53,"discounted_cash":81.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":140.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":141.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":135.73,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":69.34,"methodology":"fee schedule"}]}]},{"description":"CHOND SULF/ SOD OPH INJ .75 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":414.64,"maximum":545.28,"gross_charge":568,"discounted_cash":314.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":539.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":545.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":465.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":522.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":488.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":414.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":471.44,"methodology":"fee schedule"}]}]},{"description":"CHOND SULF/ SOD OPH INJ .75 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":545.28,"gross_charge":568,"discounted_cash":314.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":539.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":545.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":465.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":522.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":488.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":414.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":471.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":391.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":266.96,"methodology":"fee schedule"}]}]},{"description":"CHONDRO/HYALU OPTH 0.55 ML KIT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":188.413,"maximum":247.776,"gross_charge":258.1,"discounted_cash":143.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":245.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":247.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":237.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":221.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":214.23,"methodology":"fee schedule"}]}]},{"description":"CHONDRO/HYALU OPTH 0.55 ML KIT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":121.307,"maximum":247.776,"gross_charge":258.1,"discounted_cash":143.02,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":245.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":247.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":211.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":237.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":221.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":188.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":214.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":178.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":121.31,"methodology":"fee schedule"}]}]},{"description":"CHONDROITIN/HY SOD .5 ML SY","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":224.5042,"maximum":295.2384,"gross_charge":307.54,"discounted_cash":170.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":292.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":295.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":252.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":282.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":264.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":255.26,"methodology":"fee schedule"}]}]},{"description":"CHONDROITIN/HY SOD .5 ML SY","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":295.2384,"gross_charge":307.54,"discounted_cash":170.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":292.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":295.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":252.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":282.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":264.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":255.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":212.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":144.55,"methodology":"fee schedule"}]}]},{"description":"CISATRACURIUM 200MG/20ML VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":520.49,"maximum":684.48,"gross_charge":713,"discounted_cash":395.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":684.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":584.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":655.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":613.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":520.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":591.79,"methodology":"fee schedule"}]}]},{"description":"CISATRACURIUM 200MG/20ML VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":684.48,"gross_charge":713,"discounted_cash":395.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":677.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":684.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":584.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":655.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":613.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":520.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":591.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":491.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":335.11,"methodology":"fee schedule"}]}]},{"description":"CLIND PHOSP IN D5W 300 MG/50ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"CLIND PHOSP IN D5W 300 MG/50ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":30.55,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"CLINDAMYCIN 0.9 % NACL 50ML BG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":58.4,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"}]}]},{"description":"CLINDAMYCIN 0.9 % NACL 50ML BG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":37.6,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.6,"methodology":"fee schedule"}]}]},{"description":"CLINDAMYCIN 300MG/50ML PREMIX","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":50.735,"maximum":66.72,"gross_charge":69.5,"discounted_cash":38.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.69,"methodology":"fee schedule"}]}]},{"description":"CLINDAMYCIN 300MG/50ML PREMIX","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":32.665,"maximum":69.5,"gross_charge":69.5,"discounted_cash":38.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":69.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.67,"methodology":"fee schedule"}]}]},{"description":"CLINDAMYCIN PHO D5W 600MG/50ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":63.656,"maximum":83.712,"gross_charge":87.2,"discounted_cash":48.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.38,"methodology":"fee schedule"}]}]},{"description":"CLINDAMYCIN PHO D5W 600MG/50ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":40.984,"maximum":83.712,"gross_charge":87.2,"discounted_cash":48.32,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":82.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":83.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":71.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":80.23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":72.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":60.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":40.99,"methodology":"fee schedule"}]}]},{"description":"CLINDAMYCIN PREMIX NACL 600MG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":52.56,"maximum":69.12,"gross_charge":72,"discounted_cash":39.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":69.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":59.76,"methodology":"fee schedule"}]}]},{"description":"CLINDAMYCIN PREMIX NACL 600MG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":33.84,"maximum":69.12,"gross_charge":72,"discounted_cash":39.9,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":68.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":69.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":61.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":59.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":33.84,"methodology":"fee schedule"}]}]},{"description":"CUPRIC CHLORIDE 4MG/10ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":19.1333,"maximum":25.1616,"gross_charge":26.21,"discounted_cash":14.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.76,"methodology":"fee schedule"}]}]},{"description":"CUPRIC CHLORIDE 4MG/10ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":12.3187,"maximum":26.21,"gross_charge":26.21,"discounted_cash":14.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.32,"methodology":"fee schedule"}]}]},{"description":"DANTROLENE 20 MG VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":117.7636,"maximum":154.8672,"gross_charge":161.32,"discounted_cash":89.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":153.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":154.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":148.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":138.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":133.9,"methodology":"fee schedule"}]}]},{"description":"DANTROLENE 20 MG VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":75.8204,"maximum":154.8672,"gross_charge":161.32,"discounted_cash":89.39,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":153.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":154.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":132.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":148.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":138.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":133.9,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":111.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":75.83,"methodology":"fee schedule"}]}]},{"description":"DEXMEDETOMIDINE 200MCG/2ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":30.66,"maximum":40.32,"gross_charge":42,"discounted_cash":23.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"}]}]},{"description":"DEXMEDETOMIDINE 200MCG/2ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":19.74,"maximum":42,"gross_charge":42,"discounted_cash":23.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":39.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":40.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":38.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.86,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.74,"methodology":"fee schedule"}]}]},{"description":"DICLOFENAC SODIUM 5 ML BOTTLE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":24.82,"maximum":32.64,"gross_charge":34,"discounted_cash":18.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":32.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.22,"methodology":"fee schedule"}]}]},{"description":"DICLOFENAC SODIUM 5 ML BOTTLE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":15.98,"maximum":34,"gross_charge":34,"discounted_cash":18.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":34,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":32.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":32.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":28.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":23.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.98,"methodology":"fee schedule"}]}]},{"description":"DILTIAZEM 100 MG ADVVIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.3293,"maximum":10.9536,"gross_charge":11.41,"discounted_cash":6.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.5,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.48,"methodology":"fee schedule"}]}]},{"description":"DILTIAZEM 100 MG ADVVIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.3627,"maximum":10.9536,"gross_charge":11.41,"discounted_cash":6.33,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.5,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.37,"methodology":"fee schedule"}]}]},{"description":"DILTIAZEM 125 MG/25 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":13.4685,"maximum":17.712,"gross_charge":18.45,"discounted_cash":10.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.98,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.32,"methodology":"fee schedule"}]}]},{"description":"DILTIAZEM 125 MG/25 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.6715,"maximum":17.712,"gross_charge":18.45,"discounted_cash":10.23,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.98,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.68,"methodology":"fee schedule"}]}]},{"description":"DILTIAZEM 50MG/10ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":50.735,"maximum":66.72,"gross_charge":69.5,"discounted_cash":38.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.69,"methodology":"fee schedule"}]}]},{"description":"DILTIAZEM 50MG/10ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":32.665,"maximum":66.72,"gross_charge":69.5,"discounted_cash":38.51,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.67,"methodology":"fee schedule"}]}]},{"description":"DIST WATER OPH IRRIG 120 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":37.3468,"maximum":49.1136,"gross_charge":51.16,"discounted_cash":28.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.07,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.47,"methodology":"fee schedule"}]}]},{"description":"DIST WATER OPH IRRIG 120 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":24.0452,"maximum":51.16,"gross_charge":51.16,"discounted_cash":28.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":51.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":49.12,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":47.07,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":24.05,"methodology":"fee schedule"}]}]},{"description":"DOXYCYCLINE 100 MG VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":37.0986,"maximum":48.7872,"gross_charge":50.82,"discounted_cash":28.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.19,"methodology":"fee schedule"}]}]},{"description":"DOXYCYCLINE 100 MG VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":23.8854,"maximum":48.7872,"gross_charge":50.82,"discounted_cash":28.16,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.19,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":35.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.89,"methodology":"fee schedule"}]}]},{"description":"ENALAPRILAT 1.25 MG/ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":7.9497,"maximum":10.4544,"gross_charge":10.89,"discounted_cash":6.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.04,"methodology":"fee schedule"}]}]},{"description":"ENALAPRILAT 1.25 MG/ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":5.1183,"maximum":10.89,"gross_charge":10.89,"discounted_cash":6.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.37,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.12,"methodology":"fee schedule"}]}]},{"description":"EPHEDRINE 50 MG/ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":40.9165,"maximum":53.808,"gross_charge":56.05,"discounted_cash":31.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.57,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.53,"methodology":"fee schedule"}]}]},{"description":"EPHEDRINE 50 MG/ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":26.3435,"maximum":56.05,"gross_charge":56.05,"discounted_cash":31.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56.05,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":53.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.57,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":26.35,"methodology":"fee schedule"}]}]},{"description":"ESMOLOL 100 MG/10 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18.1989,"maximum":23.9328,"gross_charge":24.93,"discounted_cash":13.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":23.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.7,"methodology":"fee schedule"}]}]},{"description":"ESMOLOL 100 MG/10 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11.7171,"maximum":23.9328,"gross_charge":24.93,"discounted_cash":13.82,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":23.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.72,"methodology":"fee schedule"}]}]},{"description":"ETOMIDATE 20 MG/10 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.4388,"maximum":11.0976,"gross_charge":11.56,"discounted_cash":6.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.6,"methodology":"fee schedule"}]}]},{"description":"ETOMIDATE 20 MG/10 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.4332,"maximum":11.0976,"gross_charge":11.56,"discounted_cash":6.41,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.44,"methodology":"fee schedule"}]}]},{"description":"FAT EMULSION 20% 250 ML BAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"FAT EMULSION 20% 250 ML BAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":30.55,"maximum":65,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"FERR SUB TOP 8GM (8 ML)","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":25.9807,"maximum":34.1664,"gross_charge":35.59,"discounted_cash":19.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":33.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":32.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.54,"methodology":"fee schedule"}]}]},{"description":"FERR SUB TOP 8GM (8 ML)","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":16.7273,"maximum":35.59,"gross_charge":35.59,"discounted_cash":19.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35.59,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":33.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":32.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.73,"methodology":"fee schedule"}]}]},{"description":"FLUMAZENIL 0.5 MG/5 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.7309,"maximum":12.7968,"gross_charge":13.33,"discounted_cash":7.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.27,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.07,"methodology":"fee schedule"}]}]},{"description":"FLUMAZENIL 0.5 MG/5 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":6.2651,"maximum":12.7968,"gross_charge":13.33,"discounted_cash":7.39,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.67,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.27,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.27,"methodology":"fee schedule"}]}]},{"description":"FLUMAZENIL 1 MG/10 ML VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":200.02,"maximum":263.04,"gross_charge":274,"discounted_cash":151.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":263.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":252.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":235.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":227.42,"methodology":"fee schedule"}]}]},{"description":"FLUMAZENIL 1 MG/10 ML VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":263.04,"gross_charge":274,"discounted_cash":151.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":260.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":263.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":224.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":252.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":235.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":227.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":189.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":128.78,"methodology":"fee schedule"}]}]},{"description":"FOLIC ACID 50 MG/10 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":69.2916,"maximum":91.1232,"gross_charge":94.92,"discounted_cash":52.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.33,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.79,"methodology":"fee schedule"}]}]},{"description":"FOLIC ACID 50 MG/10 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":44.6124,"maximum":94.92,"gross_charge":94.92,"discounted_cash":52.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":94.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":90.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":91.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":77.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":87.33,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":81.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":69.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":78.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":65.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":44.62,"methodology":"fee schedule"}]}]},{"description":"FOLIC ACID 50MG/10ML VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":50.5014,"maximum":66.4128,"gross_charge":69.18,"discounted_cash":38.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":65.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.42,"methodology":"fee schedule"}]}]},{"description":"FOLIC ACID 50MG/10ML VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":32.5146,"maximum":69.18,"gross_charge":69.18,"discounted_cash":38.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":69.18,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":65.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.73,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.52,"methodology":"fee schedule"}]}]},{"description":"GLYCO .2 MG/ML 2 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":34.4195,"maximum":45.264,"gross_charge":47.15,"discounted_cash":26.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.14,"methodology":"fee schedule"}]}]},{"description":"GLYCO .2 MG/ML 2 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":22.1605,"maximum":45.264,"gross_charge":47.15,"discounted_cash":26.13,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":44.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":45.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":38.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":43.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":40.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":34.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":39.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":32.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":22.17,"methodology":"fee schedule"}]}]},{"description":"GLYCOPYRROLATE 0.2 MG/ML 2 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":29.93,"maximum":39.36,"gross_charge":41,"discounted_cash":22.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.03,"methodology":"fee schedule"}]}]},{"description":"GLYCOPYRROLATE 0.2 MG/ML 2 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":19.27,"maximum":41,"gross_charge":41,"discounted_cash":22.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":41,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":38.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":39.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":37.72,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":35.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":34.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":19.27,"methodology":"fee schedule"}]}]},{"description":"GLYCOPYRROLATE 0.2 MG/ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":19.4545,"maximum":25.584,"gross_charge":26.65,"discounted_cash":14.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.12,"methodology":"fee schedule"}]}]},{"description":"GLYCOPYRROLATE 0.2 MG/ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":12.5255,"maximum":25.584,"gross_charge":26.65,"discounted_cash":14.77,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.53,"methodology":"fee schedule"}]}]},{"description":"HYAL SOD 10MG/1ML 0.85 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":277.8307,"maximum":365.3664,"gross_charge":380.59,"discounted_cash":210.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":361.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":365.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":312.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":350.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":327.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":315.89,"methodology":"fee schedule"}]}]},{"description":"HYAL SOD 10MG/1ML 0.85 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":365.3664,"gross_charge":380.59,"discounted_cash":210.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":361.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":365.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":312.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":350.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":327.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":277.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":315.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":262.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":178.88,"methodology":"fee schedule"}]}]},{"description":"HYDROXOCOBALAMIN 5GM KIT INFUS","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":1940.5152,"maximum":2551.9104,"gross_charge":2658.24,"discounted_cash":1472.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2525.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2551.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2179.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2445.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2286.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1940.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2206.34,"methodology":"fee schedule"}]}]},{"description":"HYDROXOCOBALAMIN 5GM KIT INFUS","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":2551.9104,"gross_charge":2658.24,"discounted_cash":1472.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2525.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2551.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2179.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2445.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2286.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1940.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2206.34,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1834.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1249.38,"methodology":"fee schedule"}]}]},{"description":"INDIGOTIND SOD 40MG/5ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":271.3775,"maximum":356.88,"gross_charge":371.75,"discounted_cash":205.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":353.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":356.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":304.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":342.01,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":319.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":308.56,"methodology":"fee schedule"}]}]},{"description":"INDIGOTIND SOD 40MG/5ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":356.88,"gross_charge":371.75,"discounted_cash":205.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":353.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":356.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":304.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":342.01,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":319.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":271.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":308.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":256.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":174.73,"methodology":"fee schedule"}]}]},{"description":"INFUVITE PED 5ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":15.2643,"maximum":20.0736,"gross_charge":20.91,"discounted_cash":11.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.36,"methodology":"fee schedule"}]}]},{"description":"INFUVITE PED 5ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":9.8277,"maximum":20.91,"gross_charge":20.91,"discounted_cash":11.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.91,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.08,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.83,"methodology":"fee schedule"}]}]},{"description":"IPRA.02% 0.5MG/2.5ML NEB","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":0.9198,"maximum":1.2096,"gross_charge":1.26,"discounted_cash":0.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.05,"methodology":"fee schedule"}]}]},{"description":"IPRA.02% 0.5MG/2.5ML NEB","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":0.5922,"maximum":1.26,"gross_charge":1.26,"discounted_cash":0.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.26,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":0.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.6,"methodology":"fee schedule"}]}]},{"description":"KETAMINE 200 MG/20 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":36.1131,"maximum":47.4912,"gross_charge":49.47,"discounted_cash":27.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.07,"methodology":"fee schedule"}]}]},{"description":"KETAMINE 200 MG/20 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":23.2509,"maximum":49.47,"gross_charge":49.47,"discounted_cash":27.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":49.47,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":47.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":40.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":45.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":42.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.26,"methodology":"fee schedule"}]}]},{"description":"KETAMINE 500 MG/10 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":116.5883,"maximum":153.3216,"gross_charge":159.71,"discounted_cash":88.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":153.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":137.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":132.56,"methodology":"fee schedule"}]}]},{"description":"KETAMINE 500 MG/10 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":75.0637,"maximum":153.3216,"gross_charge":159.71,"discounted_cash":88.5,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":151.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":153.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":146.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":137.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":116.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":132.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":110.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":75.07,"methodology":"fee schedule"}]}]},{"description":"LABETALOL 20 MG/4 ML SYRINGE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":23.1994,"maximum":30.5088,"gross_charge":31.78,"discounted_cash":17.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.38,"methodology":"fee schedule"}]}]},{"description":"LABETALOL 20 MG/4 ML SYRINGE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":14.9366,"maximum":30.5088,"gross_charge":31.78,"discounted_cash":17.61,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":30.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.94,"methodology":"fee schedule"}]}]},{"description":"LEVALBUTEROL HCL 0.63MG/3 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":10.0448,"maximum":13.2096,"gross_charge":13.76,"discounted_cash":7.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.66,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.43,"methodology":"fee schedule"}]}]},{"description":"LEVALBUTEROL HCL 0.63MG/3 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":6.4672,"maximum":13.76,"gross_charge":13.76,"discounted_cash":7.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.66,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.47,"methodology":"fee schedule"}]}]},{"description":"LEVOTHYROXINE 100 MCG VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":131.7942,"maximum":173.3184,"gross_charge":180.54,"discounted_cash":100.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":173.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":166.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":155.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.85,"methodology":"fee schedule"}]}]},{"description":"LEVOTHYROXINE 100 MCG VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":84.8538,"maximum":173.3184,"gross_charge":180.54,"discounted_cash":100.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":171.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":173.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":148.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":166.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":155.27,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":149.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":124.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":84.86,"methodology":"fee schedule"}]}]},{"description":"LIDO 1% W EPINE 1:100000 30ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":8.4826,"maximum":11.1552,"gross_charge":11.62,"discounted_cash":6.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.7,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.65,"methodology":"fee schedule"}]}]},{"description":"LIDO 1% W EPINE 1:100000 30ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":5.4614,"maximum":11.62,"gross_charge":11.62,"discounted_cash":6.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":11.62,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.7,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.49,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.47,"methodology":"fee schedule"}]}]},{"description":"LIDO 2% W EPINE 1:200000 20ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":27.0538,"maximum":35.5776,"gross_charge":37.06,"discounted_cash":20.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":35.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":35.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":31.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":30.76,"methodology":"fee schedule"}]}]},{"description":"LIDO 2% W EPINE 1:200000 20ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":17.4182,"maximum":37.06,"gross_charge":37.06,"discounted_cash":20.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":37.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":35.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":35.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":30.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":31.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":30.76,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":25.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.42,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 1% 5 ML SYRINGE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":51.1,"maximum":67.2,"gross_charge":70,"discounted_cash":38.79,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 1% 5 ML SYRINGE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":32.9,"maximum":70,"gross_charge":70,"discounted_cash":38.79,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.9,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 2% 10 ML AMP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":10.3733,"maximum":13.6416,"gross_charge":14.21,"discounted_cash":7.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.8,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 2% 10 ML AMP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":6.6787,"maximum":14.21,"gross_charge":14.21,"discounted_cash":7.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.68,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 2% 100MG/5ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":11.1033,"maximum":14.6016,"gross_charge":15.21,"discounted_cash":8.43,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.63,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 2% 100MG/5ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":7.1487,"maximum":15.21,"gross_charge":15.21,"discounted_cash":8.43,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":15.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.15,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 2% 5 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":12.5706,"maximum":16.5312,"gross_charge":17.22,"discounted_cash":9.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.3,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 2% 5 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":8.0934,"maximum":17.22,"gross_charge":17.22,"discounted_cash":9.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17.22,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.1,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 2% W/EPI 1:200,000","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":26.2435,"maximum":34.512,"gross_charge":35.95,"discounted_cash":19.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.84,"methodology":"fee schedule"}]}]},{"description":"LIDOCAINE 2% W/EPI 1:200,000","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":16.8965,"maximum":35.95,"gross_charge":35.95,"discounted_cash":19.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":35.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":34.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":34.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":29.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":33.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":30.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":29.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":24.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":16.9,"methodology":"fee schedule"}]}]},{"description":"MANNITOL 500 ML BAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":36.6679,"maximum":48.2208,"gross_charge":50.23,"discounted_cash":27.84,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.7,"methodology":"fee schedule"}]}]},{"description":"MANNITOL 500 ML BAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":23.6081,"maximum":50.23,"gross_charge":50.23,"discounted_cash":27.84,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":50.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":47.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":41.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.61,"methodology":"fee schedule"}]}]},{"description":"METHYLENE BLUE 50 MG/10 ML AMP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":548.23,"maximum":720.96,"gross_charge":751,"discounted_cash":416.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":713.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":720.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":615.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":690.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":645.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":548.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":623.33,"methodology":"fee schedule"}]}]},{"description":"METHYLENE BLUE 50 MG/10 ML AMP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":720.96,"gross_charge":751,"discounted_cash":416.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":713.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":720.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":615.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":690.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":645.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":548.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":623.33,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":518.19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":352.97,"methodology":"fee schedule"}]}]},{"description":"MOXIFLOXACIN PF IN BSS 1 MG/ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":146,"maximum":192,"gross_charge":200,"discounted_cash":110.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":190,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":192,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":184,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":172,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":166,"methodology":"fee schedule"}]}]},{"description":"MOXIFLOXACIN PF IN BSS 1 MG/ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":94,"maximum":192,"gross_charge":200,"discounted_cash":110.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":190,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":192,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":164,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":184,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":172,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":146,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":166,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":138,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":94,"methodology":"fee schedule"}]}]},{"description":"MVI ADULT W VIT K 10ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":9.7674,"maximum":12.8448,"gross_charge":13.38,"discounted_cash":7.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.31,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.11,"methodology":"fee schedule"}]}]},{"description":"MVI ADULT W VIT K 10ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":6.2886,"maximum":13.38,"gross_charge":13.38,"discounted_cash":7.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12.31,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.29,"methodology":"fee schedule"}]}]},{"description":"NAFCILLIN 10GM VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100.74,"maximum":132.48,"gross_charge":138,"discounted_cash":76.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":132.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":118.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":114.54,"methodology":"fee schedule"}]}]},{"description":"NAFCILLIN 10GM VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":64.86,"maximum":132.48,"gross_charge":138,"discounted_cash":76.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":131.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":132.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":113.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":126.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":118.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":100.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":114.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":95.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":64.86,"methodology":"fee schedule"}]}]},{"description":"NAFCILLIN 2 GM VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":22.4475,"maximum":29.52,"gross_charge":30.75,"discounted_cash":17.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.53,"methodology":"fee schedule"}]}]},{"description":"NAFCILLIN 2 GM VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":14.4525,"maximum":30.75,"gross_charge":30.75,"discounted_cash":17.04,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":30.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.29,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.46,"methodology":"fee schedule"}]}]},{"description":"NITROPRUSSIDE 50 MG/2 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":58.4,"maximum":76.8,"gross_charge":80,"discounted_cash":44.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"}]}]},{"description":"NITROPRUSSIDE 50 MG/2 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":37.6,"maximum":80,"gross_charge":80,"discounted_cash":44.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":80,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":76.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":73.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":68.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":66.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.6,"methodology":"fee schedule"}]}]},{"description":"NOREPINEPHR-0.9% NACL 4 MG/250","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":94.681,"maximum":124.512,"gross_charge":129.7,"discounted_cash":71.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":123.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":124.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":119.33,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":111.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":107.66,"methodology":"fee schedule"}]}]},{"description":"NOREPINEPHR-0.9% NACL 4 MG/250","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":60.959,"maximum":124.512,"gross_charge":129.7,"discounted_cash":71.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":123.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":124.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":106.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":119.33,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":111.55,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":94.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":107.66,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":89.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":60.96,"methodology":"fee schedule"}]}]},{"description":"NOREPINEPHRINE 4 MG/4 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":16.4104,"maximum":21.5808,"gross_charge":22.48,"discounted_cash":12.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.66,"methodology":"fee schedule"}]}]},{"description":"NOREPINEPHRINE 4 MG/4 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":10.5656,"maximum":22.48,"gross_charge":22.48,"discounted_cash":12.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.69,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.66,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.57,"methodology":"fee schedule"}]}]},{"description":"NOREPINEPHRINE-D5W 4 MG/250 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":73,"maximum":96,"gross_charge":100,"discounted_cash":55.41,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"}]}]},{"description":"NOREPINEPHRINE-D5W 4 MG/250 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":47,"maximum":100,"gross_charge":100,"discounted_cash":55.41,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":47,"methodology":"fee schedule"}]}]},{"description":"NYSTATIN TOP POWDER 60 GM BTL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":177.0615,"maximum":232.848,"gross_charge":242.55,"discounted_cash":134.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":230.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":232.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":223.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":208.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":201.32,"methodology":"fee schedule"}]}]},{"description":"NYSTATIN TOP POWDER 60 GM BTL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":232.848,"gross_charge":242.55,"discounted_cash":134.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":230.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":232.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":223.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":208.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":177.07,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":201.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":167.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114,"methodology":"fee schedule"}]}]},{"description":"PERIT DIALY 6/DEXT 1.5% 2,500","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":39.1645,"maximum":51.504,"gross_charge":53.65,"discounted_cash":29.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.53,"methodology":"fee schedule"}]}]},{"description":"PERIT DIALY 6/DEXT 1.5% 2,500","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":25.2155,"maximum":53.65,"gross_charge":53.65,"discounted_cash":29.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":53.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":50.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.22,"methodology":"fee schedule"}]}]},{"description":"PERITON DIAL 7/DEXT 2.5% 2,000","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":32.3536,"maximum":42.5472,"gross_charge":44.32,"discounted_cash":24.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.79,"methodology":"fee schedule"}]}]},{"description":"PERITON DIAL 7/DEXT 2.5% 2,000","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":20.8304,"maximum":44.32,"gross_charge":44.32,"discounted_cash":24.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.35,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":40.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":36.79,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":20.84,"methodology":"fee schedule"}]}]},{"description":"PERITON DIAL 7/DEXT 2.5% 2500","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":33.0909,"maximum":43.5168,"gross_charge":45.33,"discounted_cash":25.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":43.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":43.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":41.71,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":37.63,"methodology":"fee schedule"}]}]},{"description":"PERITON DIAL 7/DEXT 2.5% 2500","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":21.3051,"maximum":45.33,"gross_charge":45.33,"discounted_cash":25.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":45.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":43.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":43.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":41.71,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":37.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.31,"methodology":"fee schedule"}]}]},{"description":"PERITON DIAL 8/DEXT 4.25% 2000","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":32.6456,"maximum":42.9312,"gross_charge":44.72,"discounted_cash":24.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":41.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":37.12,"methodology":"fee schedule"}]}]},{"description":"PERITON DIAL 8/DEXT 4.25% 2000","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":21.0184,"maximum":44.72,"gross_charge":44.72,"discounted_cash":24.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44.72,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":42.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":42.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":36.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":41.15,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":38.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":37.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":30.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.02,"methodology":"fee schedule"}]}]},{"description":"PERITON DIAL 8/DEXT 4.25% 2500","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":33.799,"maximum":44.448,"gross_charge":46.3,"discounted_cash":25.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":43.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":44.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":42.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":39.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":38.43,"methodology":"fee schedule"}]}]},{"description":"PERITON DIAL 8/DEXT 4.25% 2500","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":21.761,"maximum":46.3,"gross_charge":46.3,"discounted_cash":25.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":46.3,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":43.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":44.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":42.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":39.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":33.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":38.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":31.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":21.77,"methodology":"fee schedule"}]}]},{"description":"PERITON DIALY 6/DEXT 1.5% 2000","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":14.6,"maximum":19.2,"gross_charge":20,"discounted_cash":11.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.6,"methodology":"fee schedule"}]}]},{"description":"PERITON DIALY 6/DEXT 1.5% 2000","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":9.4,"maximum":20,"gross_charge":20,"discounted_cash":11.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.4,"methodology":"fee schedule"}]}]},{"description":"PHYTONADIONE 1 MG/0.5 ML SYR","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":37.011,"maximum":48.672,"gross_charge":50.7,"discounted_cash":28.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.09,"methodology":"fee schedule"}]}]},{"description":"PHYTONADIONE 1 MG/0.5 ML SYR","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":23.829,"maximum":48.672,"gross_charge":50.7,"discounted_cash":28.1,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":48.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":48.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":46.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":43.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":37.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":42.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":34.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":23.83,"methodology":"fee schedule"}]}]},{"description":"POT PHO 4.4MEQ/ML 15ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":10.7967,"maximum":14.1984,"gross_charge":14.79,"discounted_cash":8.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.28,"methodology":"fee schedule"}]}]},{"description":"POT PHO 4.4MEQ/ML 15ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":6.9513,"maximum":14.79,"gross_charge":14.79,"discounted_cash":8.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14.79,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.61,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.28,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.96,"methodology":"fee schedule"}]}]},{"description":"POT PHOS 3MMOLE/5ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":10.8113,"maximum":14.2176,"gross_charge":14.81,"discounted_cash":8.21,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.63,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.3,"methodology":"fee schedule"}]}]},{"description":"POT PHOS 3MMOLE/5ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":6.9607,"maximum":14.81,"gross_charge":14.81,"discounted_cash":8.21,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":14.81,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":13.63,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":12.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6.97,"methodology":"fee schedule"}]}]},{"description":"POTASSIUM ACETATE 40 MEQ/20 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":2.5185,"maximum":3.312,"gross_charge":3.45,"discounted_cash":1.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.87,"methodology":"fee schedule"}]}]},{"description":"POTASSIUM ACETATE 40 MEQ/20 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":1.6215,"maximum":3.45,"gross_charge":3.45,"discounted_cash":1.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.45,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.18,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.63,"methodology":"fee schedule"}]}]},{"description":"POVIDONE-IODINE 30 ML BOTTLE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":41.1647,"maximum":54.1344,"gross_charge":56.39,"discounted_cash":31.25,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":54.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.81,"methodology":"fee schedule"}]}]},{"description":"POVIDONE-IODINE 30 ML BOTTLE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":26.5033,"maximum":56.39,"gross_charge":56.39,"discounted_cash":31.25,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.58,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":54.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":51.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":46.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":38.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":26.51,"methodology":"fee schedule"}]}]},{"description":"PROPARACAINE 15 ML BOTTLE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":46.6251,"maximum":61.3152,"gross_charge":63.87,"discounted_cash":35.4,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.02,"methodology":"fee schedule"}]}]},{"description":"PROPARACAINE 15 ML BOTTLE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":30.0189,"maximum":63.87,"gross_charge":63.87,"discounted_cash":35.4,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.87,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":60.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":61.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":52.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":58.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":54.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.02,"methodology":"fee schedule"}]}]},{"description":"RACEPINEPHRINE 0.5 ML NEB","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":4.599,"maximum":6.048,"gross_charge":6.3,"discounted_cash":3.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.23,"methodology":"fee schedule"}]}]},{"description":"RACEPINEPHRINE 0.5 ML NEB","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":2.961,"maximum":6.3,"gross_charge":6.3,"discounted_cash":3.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6.3,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.23,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.97,"methodology":"fee schedule"}]}]},{"description":"REMIFENTANIL 1 MG VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":81.4315,"maximum":107.088,"gross_charge":111.55,"discounted_cash":61.81,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":107.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.63,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.59,"methodology":"fee schedule"}]}]},{"description":"REMIFENTANIL 1 MG VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":52.4285,"maximum":107.088,"gross_charge":111.55,"discounted_cash":61.81,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":105.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":107.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":91.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":102.63,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":95.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":92.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":76.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":52.43,"methodology":"fee schedule"}]}]},{"description":"ROCURONIUM 100MG/10ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":19.4545,"maximum":25.584,"gross_charge":26.65,"discounted_cash":14.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.12,"methodology":"fee schedule"}]}]},{"description":"ROCURONIUM 100MG/10ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":12.5255,"maximum":26.65,"gross_charge":26.65,"discounted_cash":14.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":26.65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":25.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":22.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":18.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12.53,"methodology":"fee schedule"}]}]},{"description":"SEVOFLURANE 250 ML BOTTLE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":178.2587,"maximum":234.4224,"gross_charge":244.19,"discounted_cash":135.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":231.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":234.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":224.66,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":202.68,"methodology":"fee schedule"}]}]},{"description":"SEVOFLURANE 250 ML BOTTLE","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":234.4224,"gross_charge":244.19,"discounted_cash":135.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":231.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":234.43,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":200.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":224.66,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":210.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":178.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":202.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":168.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":114.77,"methodology":"fee schedule"}]}]},{"description":"SOD BIC 50MEQ/50ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":14.7241,"maximum":19.3632,"gross_charge":20.17,"discounted_cash":11.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.75,"methodology":"fee schedule"}]}]},{"description":"SOD BIC 50MEQ/50ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":9.4799,"maximum":20.17,"gross_charge":20.17,"discounted_cash":11.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":20.17,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.56,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.75,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.48,"methodology":"fee schedule"}]}]},{"description":"SOD BIC 50MEQ/50ML SYR","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":16.206,"maximum":21.312,"gross_charge":22.2,"discounted_cash":12.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.43,"methodology":"fee schedule"}]}]},{"description":"SOD BIC 50MEQ/50ML SYR","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":10.434,"maximum":22.2,"gross_charge":22.2,"discounted_cash":12.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.2,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.21,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.43,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.44,"methodology":"fee schedule"}]}]},{"description":"SOD BIC 5MEQ/10ML SY","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":16.1768,"maximum":21.2736,"gross_charge":22.16,"discounted_cash":12.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.39,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.4,"methodology":"fee schedule"}]}]},{"description":"SOD BIC 5MEQ/10ML SY","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":10.4152,"maximum":22.16,"gross_charge":22.16,"discounted_cash":12.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":22.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.39,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.42,"methodology":"fee schedule"}]}]},{"description":"SOD NIT/SOD THI 300MG12.5GM 60","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":357.7,"maximum":470.4,"gross_charge":490,"discounted_cash":271.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":465.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":470.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":401.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":450.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":421.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":357.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":406.7,"methodology":"fee schedule"}]}]},{"description":"SOD NIT/SOD THI 300MG12.5GM 60","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":470.4,"gross_charge":490,"discounted_cash":271.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":465.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":470.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":401.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":450.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":421.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":357.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":406.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":338.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":230.3,"methodology":"fee schedule"}]}]},{"description":"SOD TETRA SUL 3% 60MG/2 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":124.5599,"maximum":163.8048,"gross_charge":170.63,"discounted_cash":94.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":162.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":163.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":156.98,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":146.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.63,"methodology":"fee schedule"}]}]},{"description":"SOD TETRA SUL 3% 60MG/2 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":80.1961,"maximum":163.8048,"gross_charge":170.63,"discounted_cash":94.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":162.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":163.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":156.98,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":146.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":124.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":141.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":117.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":80.2,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR 0.9% 100ML ADVBAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.6791,"maximum":3.5232,"gross_charge":3.67,"discounted_cash":2.04,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.05,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR 0.9% 100ML ADVBAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.7249,"maximum":3.5232,"gross_charge":3.67,"discounted_cash":2.04,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.38,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.73,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR 0.9% 50ML ADVBAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.7156,"maximum":3.5712,"gross_charge":3.72,"discounted_cash":2.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.09,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR 0.9% 50ML ADVBAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.7484,"maximum":3.5712,"gross_charge":3.72,"discounted_cash":2.07,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.43,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.09,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.75,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR 5% OPH OINT 3.5GM","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":27.8568,"maximum":36.6336,"gross_charge":38.16,"discounted_cash":21.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":35.11,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.68,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR 5% OPH OINT 3.5GM","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":17.9352,"maximum":38.16,"gross_charge":38.16,"discounted_cash":21.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":38.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":35.11,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.94,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR.9% INH 3ML NEB","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":0.803,"maximum":1.056,"gross_charge":1.1,"discounted_cash":0.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.92,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR.9% INH 3ML NEB","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":0.517,"maximum":1.1,"gross_charge":1.1,"discounted_cash":0.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":0.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.52,"methodology":"fee schedule"}]}]},{"description":"SODI PHOS 60MEQ/15ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":13.3444,"maximum":17.5488,"gross_charge":18.28,"discounted_cash":10.13,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.18,"methodology":"fee schedule"}]}]},{"description":"SODI PHOS 60MEQ/15ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":8.5916,"maximum":18.28,"gross_charge":18.28,"discounted_cash":10.13,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":15.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"}]}]},{"description":"SODI THIOSULF 12,500MG/50ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":133.5681,"maximum":175.6512,"gross_charge":182.97,"discounted_cash":101.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.34,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.87,"methodology":"fee schedule"}]}]},{"description":"SODI THIOSULF 12,500MG/50ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":85.9959,"maximum":175.6512,"gross_charge":182.97,"discounted_cash":101.39,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":173.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":175.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":150.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":168.34,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":157.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":133.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":151.87,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":126.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":86,"methodology":"fee schedule"}]}]},{"description":"SODIU BICARBONATE 0.5MEQ/ML VL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":60.59,"maximum":79.68,"gross_charge":83,"discounted_cash":46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"}]}]},{"description":"SODIU BICARBONATE 0.5MEQ/ML VL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":39.01,"maximum":83,"gross_charge":83,"discounted_cash":46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":83,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":78.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":79.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":68.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":76.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":71.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":60.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.89,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":57.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":39.01,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 100 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.9856,"maximum":2.6112,"gross_charge":2.72,"discounted_cash":1.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.26,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 100 ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.2784,"maximum":2.6112,"gross_charge":2.72,"discounted_cash":1.51,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.34,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.28,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 150ML BAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":3.8325,"maximum":5.04,"gross_charge":5.25,"discounted_cash":2.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.36,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 150ML BAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.4675,"maximum":5.04,"gross_charge":5.25,"discounted_cash":2.91,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.47,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 50ML BAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.971,"maximum":2.592,"gross_charge":2.7,"discounted_cash":1.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.25,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 50ML BAG","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.269,"maximum":2.592,"gross_charge":2.7,"discounted_cash":1.5,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.27,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 3% 4 ML NEB","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":1.6133,"maximum":2.1216,"gross_charge":2.21,"discounted_cash":1.23,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.84,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 3% 4 ML NEB","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":1.0387,"maximum":2.21,"gross_charge":2.21,"discounted_cash":1.23,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.84,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.04,"methodology":"fee schedule"}]}]},{"description":"SODIUM ZIRCONIUM 5 GM","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":51.3555,"maximum":67.536,"gross_charge":70.35,"discounted_cash":38.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.73,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.4,"methodology":"fee schedule"}]}]},{"description":"SODIUM ZIRCONIUM 5 GM","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":33.0645,"maximum":70.35,"gross_charge":70.35,"discounted_cash":38.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":70.35,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.84,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.54,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.73,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":33.07,"methodology":"fee schedule"}]}]},{"description":"SUGAM SOD 200 MG/2 ML VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":259.88,"maximum":341.76,"gross_charge":356,"discounted_cash":197.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":341.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":327.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":306.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":295.48,"methodology":"fee schedule"}]}]},{"description":"SUGAM SOD 200 MG/2 ML VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":167.32,"maximum":341.76,"gross_charge":356,"discounted_cash":197.26,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":338.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":341.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":291.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":327.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":306.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":259.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":295.48,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":245.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":167.32,"methodology":"fee schedule"}]}]},{"description":"SULF/TRIM 800-160MG/10ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9.1542,"maximum":12.0384,"gross_charge":12.54,"discounted_cash":6.95,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.41,"methodology":"fee schedule"}]}]},{"description":"SULF/TRIM 800-160MG/10ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.8938,"maximum":12.0384,"gross_charge":12.54,"discounted_cash":6.95,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11.92,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10.41,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.9,"methodology":"fee schedule"}]}]},{"description":"TETRACAINE 1% 2 ML AMP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":120.9391,"maximum":159.0432,"gross_charge":165.67,"discounted_cash":91.8,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":157.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":159.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":152.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":142.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":137.51,"methodology":"fee schedule"}]}]},{"description":"TETRACAINE 1% 2 ML AMP","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":77.8649,"maximum":159.0432,"gross_charge":165.67,"discounted_cash":91.8,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":157.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":159.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":135.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":152.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":142.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":137.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":114.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":77.87,"methodology":"fee schedule"}]}]},{"description":"TETRACAINE HCL 0.5% 4ML BTTL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":23.7031,"maximum":31.1712,"gross_charge":32.47,"discounted_cash":18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.96,"methodology":"fee schedule"}]}]},{"description":"TETRACAINE HCL 0.5% 4ML BTTL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":15.2609,"maximum":32.47,"gross_charge":32.47,"discounted_cash":18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":32.47,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":30.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":31.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":26.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":29.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":27.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":23.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":26.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":22.41,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":15.27,"methodology":"fee schedule"}]}]},{"description":"THROMBIN (BOV) 5000 U KIT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":215.131,"maximum":282.912,"gross_charge":294.7,"discounted_cash":163.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":279.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":282.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":271.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.61,"methodology":"fee schedule"}]}]},{"description":"THROMBIN (BOV) 5000 U KIT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":100,"maximum":282.912,"gross_charge":294.7,"discounted_cash":163.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":279.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":282.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":241.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":271.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":253.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":215.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":244.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":203.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":138.51,"methodology":"fee schedule"}]}]},{"description":"TRAN ACID0.7%NACL1,000MG/100ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":76.65,"maximum":100.8,"gross_charge":105,"discounted_cash":58.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":96.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":90.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.15,"methodology":"fee schedule"}]}]},{"description":"TRAN ACID0.7%NACL1,000MG/100ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":49.35,"maximum":100.8,"gross_charge":105,"discounted_cash":58.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":99.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":100.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":86.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":96.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":90.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":76.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":87.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":72.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":49.35,"methodology":"fee schedule"}]}]},{"description":"TRANEXAMIC 1,000 MG/10 ML VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":18.2135,"maximum":23.952,"gross_charge":24.95,"discounted_cash":13.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":23.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.71,"methodology":"fee schedule"}]}]},{"description":"TRANEXAMIC 1,000 MG/10 ML VIAL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":11.7265,"maximum":24.95,"gross_charge":24.95,"discounted_cash":13.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24.95,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":23.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"}]}]},{"description":"TRY BLUE .06% OPH SOLN .5ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":98.4478,"maximum":129.4656,"gross_charge":134.86,"discounted_cash":74.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":115.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":111.94,"methodology":"fee schedule"}]}]},{"description":"TRY BLUE .06% OPH SOLN .5ML","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":63.3842,"maximum":129.4656,"gross_charge":134.86,"discounted_cash":74.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":100,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":128.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":129.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":124.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":115.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":98.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":111.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":93.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":63.39,"methodology":"fee schedule"}]}]},{"description":"VALPRO SOD 500MG/5ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":4.891,"maximum":6.432,"gross_charge":6.7,"discounted_cash":3.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.17,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.57,"methodology":"fee schedule"}]}]},{"description":"VALPRO SOD 500MG/5ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":3.149,"maximum":6.7,"gross_charge":6.7,"discounted_cash":3.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":6.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":6.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.17,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.57,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.15,"methodology":"fee schedule"}]}]},{"description":"VASOPRESSIN 20 U/1 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":107.6166,"maximum":141.5232,"gross_charge":147.42,"discounted_cash":81.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":140.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":141.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":135.63,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.36,"methodology":"fee schedule"}]}]},{"description":"VASOPRESSIN 20 U/1 ML MDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":69.2874,"maximum":141.5232,"gross_charge":147.42,"discounted_cash":81.69,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":140.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":141.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":120.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":135.63,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":126.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":107.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":122.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":101.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":69.29,"methodology":"fee schedule"}]}]},{"description":"VERAPAMIL 10 MG/4 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":45.552,"maximum":59.904,"gross_charge":62.4,"discounted_cash":34.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.41,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.8,"methodology":"fee schedule"}]}]},{"description":"VERAPAMIL 10 MG/4 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":29.328,"maximum":62.4,"gross_charge":62.4,"discounted_cash":34.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":59.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":59.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":57.41,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":53.67,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":45.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":51.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":43.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":29.33,"methodology":"fee schedule"}]}]},{"description":"VERAPAMIL 5 MG/2 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":41.391,"maximum":54.432,"gross_charge":56.7,"discounted_cash":31.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":54.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":52.17,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":47.07,"methodology":"fee schedule"}]}]},{"description":"VERAPAMIL 5 MG/2 ML SDV","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":26.649,"maximum":56.7,"gross_charge":56.7,"discounted_cash":31.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":56.7,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":53.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":54.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":46.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":52.17,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":48.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":41.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":47.07,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":26.65,"methodology":"fee schedule"}]}]},{"description":"VOLUMEN 0.1% SUSP 450 ML BOTTL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":18.1405,"maximum":23.856,"gross_charge":24.85,"discounted_cash":13.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":23.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.87,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.63,"methodology":"fee schedule"}]}]},{"description":"VOLUMEN 0.1% SUSP 450 ML BOTTL","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":11.6795,"maximum":24.85,"gross_charge":24.85,"discounted_cash":13.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":24.85,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":23.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.86,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.87,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":21.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.15,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":20.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":17.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.68,"methodology":"fee schedule"}]}]},{"description":"WATER FOR IRRIGATION 1.5 L BOT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":7.8548,"maximum":10.3296,"gross_charge":10.76,"discounted_cash":5.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.9,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.94,"methodology":"fee schedule"}]}]},{"description":"WATER FOR IRRIGATION 1.5 L BOT","code_information":[{"code":"J3490","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":5.0572,"maximum":10.76,"gross_charge":10.76,"discounted_cash":5.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.9,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.06,"methodology":"fee schedule"}]}]},{"description":"SOD CHLORIDE .45% 1000 ML BAG","code_information":[{"code":"J7030","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":15.257,"maximum":20.064,"gross_charge":20.9,"discounted_cash":11.59,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.35,"methodology":"fee schedule"}]}]},{"description":"SOD CHLORIDE .45% 1000 ML BAG","code_information":[{"code":"J7030","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":3.56,"maximum":20.064,"gross_charge":20.9,"discounted_cash":11.59,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.07,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.14,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.23,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.83,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 1000ML","code_information":[{"code":"J7030","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":14.4029,"maximum":18.9408,"gross_charge":19.73,"discounted_cash":10.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.95,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.38,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 1000ML","code_information":[{"code":"J7030","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":3.56,"maximum":18.9408,"gross_charge":19.73,"discounted_cash":10.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":18.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":18.95,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":16.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.28,"methodology":"fee schedule"}]}]},{"description":"SOL NACL 0.45PCT 1000ML BG","code_information":[{"code":"J7030","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":12.41,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"}]}]},{"description":"SOL NACL 0.45PCT 1000ML BG","code_information":[{"code":"J7030","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":3.56,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.56,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.99,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR .9% IRR 500ML CONT","code_information":[{"code":"J7040","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":7.8548,"maximum":10.3296,"gross_charge":10.76,"discounted_cash":5.97,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.9,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.94,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR .9% IRR 500ML CONT","code_information":[{"code":"J7040","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.78,"maximum":10.3296,"gross_charge":10.76,"discounted_cash":5.97,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.83,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.9,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.94,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.06,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 500ML BAG","code_information":[{"code":"J7040","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":14.8774,"maximum":19.5648,"gross_charge":20.38,"discounted_cash":11.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.92,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 500ML BAG","code_information":[{"code":"J7040","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.78,"maximum":19.5648,"gross_charge":20.38,"discounted_cash":11.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.37,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.57,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.75,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.58,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 3% 500ML BAG","code_information":[{"code":"J7040","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":16.2206,"maximum":21.3312,"gross_charge":22.22,"discounted_cash":12.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.45,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 3% 500ML BAG","code_information":[{"code":"J7040","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.78,"maximum":21.3312,"gross_charge":22.22,"discounted_cash":12.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.45,"methodology":"fee schedule"}]}]},{"description":"10% DEXT WATER 1000 ML BAG","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":4.4019,"maximum":5.7888,"gross_charge":6.03,"discounted_cash":3.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.95,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.55,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.01,"methodology":"fee schedule"}]}]},{"description":"10% DEXT WATER 1000 ML BAG","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.43,"maximum":5.7888,"gross_charge":6.03,"discounted_cash":3.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.95,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5.55,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":5.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":5.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":4.17,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.84,"methodology":"fee schedule"}]}]},{"description":"5% DEX & .9% SOD CHL 1000ML","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":15.1767,"maximum":19.9584,"gross_charge":20.79,"discounted_cash":11.52,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.26,"methodology":"fee schedule"}]}]},{"description":"5% DEX & .9% SOD CHL 1000ML","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.43,"maximum":19.9584,"gross_charge":20.79,"discounted_cash":11.52,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.13,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.26,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.78,"methodology":"fee schedule"}]}]},{"description":"5% DEX & 0.9% SOD 500ML","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":15.8629,"maximum":20.8608,"gross_charge":21.73,"discounted_cash":12.05,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.04,"methodology":"fee schedule"}]}]},{"description":"5% DEX & 0.9% SOD 500ML","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.43,"maximum":20.8608,"gross_charge":21.73,"discounted_cash":12.05,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.22,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .3% SOD CHL 1000ML","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":16.2425,"maximum":21.36,"gross_charge":22.25,"discounted_cash":12.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.25,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.47,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.47,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .3% SOD CHL 1000ML","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.43,"maximum":21.36,"gross_charge":22.25,"discounted_cash":12.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.25,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.47,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.46,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .45% SOD CHL 1000ML","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":14.6438,"maximum":19.2576,"gross_charge":20.06,"discounted_cash":11.12,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.65,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & .45% SOD CHL 1000ML","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.43,"maximum":19.2576,"gross_charge":20.06,"discounted_cash":11.12,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.06,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.65,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.43,"methodology":"fee schedule"}]}]},{"description":"D5W 0.2% NACL1000ML BG","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":16.2206,"maximum":21.3312,"gross_charge":22.22,"discounted_cash":12.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.45,"methodology":"fee schedule"}]}]},{"description":"D5W 0.2% NACL1000ML BG","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.43,"maximum":21.3312,"gross_charge":22.22,"discounted_cash":12.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.45,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.45,"methodology":"fee schedule"}]}]},{"description":"SOL D5 NACL 0.2PCT 1000ML","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":12.41,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"}]}]},{"description":"SOL D5 NACL 0.2PCT 1000ML","code_information":[{"code":"J7042","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.43,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.43,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.99,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR 0.9% 250ML ADVBAG","code_information":[{"code":"J7050","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":3.5332,"maximum":4.6464,"gross_charge":4.84,"discounted_cash":2.69,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.02,"methodology":"fee schedule"}]}]},{"description":"SODI CHLOR 0.9% 250ML ADVBAG","code_information":[{"code":"J7050","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":0.89,"maximum":4.6464,"gross_charge":4.84,"discounted_cash":2.69,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.17,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.54,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.34,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.28,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 250 ML","code_information":[{"code":"J7050","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.0951,"maximum":2.7552,"gross_charge":2.87,"discounted_cash":1.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.39,"methodology":"fee schedule"}]}]},{"description":"SODIUM CHLORIDE 0.9% 250 ML","code_information":[{"code":"J7050","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":0.89,"maximum":2.7552,"gross_charge":2.87,"discounted_cash":1.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.47,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.39,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.35,"methodology":"fee schedule"}]}]},{"description":"5% DEXT WATER 1000 ML BAG","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":15.3446,"maximum":20.1792,"gross_charge":21.02,"discounted_cash":11.65,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.34,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.45,"methodology":"fee schedule"}]}]},{"description":"5% DEXT WATER 1000 ML BAG","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.36,"maximum":20.1792,"gross_charge":21.02,"discounted_cash":11.65,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.34,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.45,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.88,"methodology":"fee schedule"}]}]},{"description":"5% DEXT WATER 250 ML BAG","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":14.8993,"maximum":19.5936,"gross_charge":20.41,"discounted_cash":11.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.95,"methodology":"fee schedule"}]}]},{"description":"5% DEXT WATER 250 ML BAG","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.36,"maximum":19.5936,"gross_charge":20.41,"discounted_cash":11.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.09,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"}]}]},{"description":"5% DEXT WATER 500 ML BAG","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":15.1256,"maximum":19.8912,"gross_charge":20.72,"discounted_cash":11.49,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.07,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.2,"methodology":"fee schedule"}]}]},{"description":"5% DEXT WATER 500 ML BAG","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.36,"maximum":19.8912,"gross_charge":20.72,"discounted_cash":11.49,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.07,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.74,"methodology":"fee schedule"}]}]},{"description":"5% DEXTROSE IN WAT 100ML BAG","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.8031,"maximum":2.3712,"gross_charge":2.47,"discounted_cash":1.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.06,"methodology":"fee schedule"}]}]},{"description":"5% DEXTROSE IN WAT 100ML BAG","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.1609,"maximum":2.3712,"gross_charge":2.47,"discounted_cash":1.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.35,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.06,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.17,"methodology":"fee schedule"}]}]},{"description":"5% DEXTROSE IN WATER 150ML","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":3.8325,"maximum":5.04,"gross_charge":5.25,"discounted_cash":2.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.36,"methodology":"fee schedule"}]}]},{"description":"5% DEXTROSE IN WATER 150ML","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.36,"maximum":5.04,"gross_charge":5.25,"discounted_cash":2.91,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.31,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.36,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.47,"methodology":"fee schedule"}]}]},{"description":"SOL D5 500ML BG LF","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":12.41,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"}]}]},{"description":"SOL D5 500ML BG LF","code_information":[{"code":"J7060","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.36,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.99,"methodology":"fee schedule"}]}]},{"description":"SOL D5 LR 1000ML BG","code_information":[{"code":"J7070","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":12.41,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"}]}]},{"description":"SOL D5 LR 1000ML BG","code_information":[{"code":"J7070","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":4.72,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.72,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.99,"methodology":"fee schedule"}]}]},{"description":"LACT RINGERS 1000 ML BAG","code_information":[{"code":"J7120","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":14.6292,"maximum":19.2384,"gross_charge":20.04,"discounted_cash":11.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.64,"methodology":"fee schedule"}]}]},{"description":"LACT RINGERS 1000 ML BAG","code_information":[{"code":"J7120","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":3.38,"maximum":19.2384,"gross_charge":20.04,"discounted_cash":11.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.44,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.42,"methodology":"fee schedule"}]}]},{"description":"LACTATED RINGERS 500ML BAG","code_information":[{"code":"J7120","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":15.1037,"maximum":19.8624,"gross_charge":20.69,"discounted_cash":11.47,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.18,"methodology":"fee schedule"}]}]},{"description":"LACTATED RINGERS 500ML BAG","code_information":[{"code":"J7120","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.38,"maximum":19.8624,"gross_charge":20.69,"discounted_cash":11.47,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.66,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":19.04,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":17.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":14.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.73,"methodology":"fee schedule"}]}]},{"description":"SOL LR 1000ML BG","code_information":[{"code":"J7120","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":12.41,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"}]}]},{"description":"SOL LR 1000ML BG","code_information":[{"code":"J7120","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":3.38,"maximum":16.32,"gross_charge":17,"discounted_cash":9.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7.99,"methodology":"fee schedule"}]}]},{"description":"SOL LR 500ML BG","code_information":[{"code":"J7120","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":2.92,"maximum":3.84,"gross_charge":4,"discounted_cash":2.22,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.32,"methodology":"fee schedule"}]}]},{"description":"SOL LR 500ML BG","code_information":[{"code":"J7120","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":1.88,"maximum":3.84,"gross_charge":4,"discounted_cash":2.22,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":3.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.88,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & LACT RING 1000ML","code_information":[{"code":"J7121","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":14.7022,"maximum":19.3344,"gross_charge":20.14,"discounted_cash":11.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.53,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.72,"methodology":"fee schedule"}]}]},{"description":"5% DEXT & LACT RING 1000ML","code_information":[{"code":"J7121","type":"HCPCS"},{"code":"0258","type":"RC"}],"standard_charges":[{"minimum":6.15,"maximum":19.3344,"gross_charge":20.14,"discounted_cash":11.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":6.15,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":19.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":19.34,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.52,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":18.53,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":17.33,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":16.72,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":13.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":9.47,"methodology":"fee schedule"}]}]},{"description":"SOD CHLORIDE 23.4% 4 MEQ/ML","code_information":[{"code":"J7131","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":50.735,"maximum":66.72,"gross_charge":69.5,"discounted_cash":38.51,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.69,"methodology":"fee schedule"}]}]},{"description":"SOD CHLORIDE 23.4% 4 MEQ/ML","code_information":[{"code":"J7131","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.08,"maximum":66.72,"gross_charge":69.5,"discounted_cash":38.51,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":66.72,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.99,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":63.94,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":59.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":50.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":57.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":47.96,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":32.67,"methodology":"fee schedule"}]}]},{"description":"FACTOR IX CMPLX HUMAN 1,000UN","code_information":[{"code":"J7168","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":6326.91,"maximum":8320.32,"gross_charge":8667,"discounted_cash":4802.39,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8233.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8320.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7106.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7973.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7453.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6326.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7193.61,"methodology":"fee schedule"}]}]},{"description":"FACTOR IX CMPLX HUMAN 1,000UN","code_information":[{"code":"J7168","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4073.49,"maximum":8320.32,"gross_charge":8667,"discounted_cash":4802.39,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":8233.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":8320.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7106.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7973.64,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":7453.62,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6326.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7193.61,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5980.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4073.49,"methodology":"fee schedule"}]}]},{"description":"PROTHROMBIN(KCENTRA) VL 500U","code_information":[{"code":"J7168","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1146.1,"maximum":1507.2,"gross_charge":1570,"discounted_cash":869.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1491.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1507.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1287.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1444.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1350.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1146.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1303.1,"methodology":"fee schedule"}]}]},{"description":"PROTHROMBIN(KCENTRA) VL 500U","code_information":[{"code":"J7168","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":737.9,"maximum":1507.2,"gross_charge":1570,"discounted_cash":869.94,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1491.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1507.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1287.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1444.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1350.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1146.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1303.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1083.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":737.9,"methodology":"fee schedule"}]}]},{"description":"HYLAN G-F 20 48MG/6 ML SYR","code_information":[{"code":"J7325","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1775.6812,"maximum":2335.1424,"gross_charge":2432.44,"discounted_cash":1347.82,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2310.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2335.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1994.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2237.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2091.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1775.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2018.93,"methodology":"fee schedule"}]}]},{"description":"HYLAN G-F 20 48MG/6 ML SYR","code_information":[{"code":"J7325","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":13.21,"maximum":2335.1424,"gross_charge":2432.44,"discounted_cash":1347.82,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":13.21,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2310.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2335.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1994.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2237.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2091.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1775.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2018.93,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1678.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1143.25,"methodology":"fee schedule"}]}]},{"description":"AZATHIOPRINE 50 MG TAB","code_information":[{"code":"J7500","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.3947,"maximum":7.0944,"gross_charge":7.39,"discounted_cash":4.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.14,"methodology":"fee schedule"}]}]},{"description":"AZATHIOPRINE 50 MG TAB","code_information":[{"code":"J7500","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.4733,"maximum":7.39,"gross_charge":7.39,"discounted_cash":4.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":7.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.14,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.48,"methodology":"fee schedule"}]}]},{"description":"TACROLIMUS 0.5 MG CAP","code_information":[{"code":"J7507","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.7013,"maximum":7.4976,"gross_charge":7.81,"discounted_cash":4.33,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.49,"methodology":"fee schedule"}]}]},{"description":"TACROLIMUS 0.5 MG CAP","code_information":[{"code":"J7507","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.41,"maximum":7.4976,"gross_charge":7.81,"discounted_cash":4.33,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.41,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.42,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.68,"methodology":"fee schedule"}]}]},{"description":"METHYLPREDNI 4MG DOSEPK","code_information":[{"code":"J7509","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.65,"maximum":4.8,"gross_charge":5,"discounted_cash":2.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.15,"methodology":"fee schedule"}]}]},{"description":"METHYLPREDNI 4MG DOSEPK","code_information":[{"code":"J7509","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.34,"maximum":4.8,"gross_charge":5,"discounted_cash":2.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.34,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.35,"methodology":"fee schedule"}]}]},{"description":"METHYLPREDNI 4MG TAB","code_information":[{"code":"J7509","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.4969,"maximum":7.2288,"gross_charge":7.53,"discounted_cash":4.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.93,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.25,"methodology":"fee schedule"}]}]},{"description":"METHYLPREDNI 4MG TAB","code_information":[{"code":"J7509","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.34,"maximum":7.2288,"gross_charge":7.53,"discounted_cash":4.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.34,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7.23,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":6.93,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5.2,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3.54,"methodology":"fee schedule"}]}]},{"description":"PREDNISO SYRUP 5MG/5ML120ML","code_information":[{"code":"J7510","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.19,"maximum":2.88,"gross_charge":3,"discounted_cash":1.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.49,"methodology":"fee schedule"}]}]},{"description":"PREDNISO SYRUP 5MG/5ML120ML","code_information":[{"code":"J7510","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.31,"maximum":2.88,"gross_charge":3,"discounted_cash":1.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.41,"methodology":"fee schedule"}]}]},{"description":"PREDNISOLONE SYRUP 5MG/5ML 30M","code_information":[{"code":"J7510","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.65,"maximum":4.8,"gross_charge":5,"discounted_cash":2.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.15,"methodology":"fee schedule"}]}]},{"description":"PREDNISOLONE SYRUP 5MG/5ML 30M","code_information":[{"code":"J7510","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.31,"maximum":4.8,"gross_charge":5,"discounted_cash":2.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4.1,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4.6,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2.35,"methodology":"fee schedule"}]}]},{"description":"PREDNISONE 1 MG TAB","code_information":[{"code":"J7512","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.803,"maximum":1.056,"gross_charge":1.1,"discounted_cash":0.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.92,"methodology":"fee schedule"}]}]},{"description":"PREDNISONE 1 MG TAB","code_information":[{"code":"J7512","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.02,"maximum":1.056,"gross_charge":1.1,"discounted_cash":0.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":0.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.52,"methodology":"fee schedule"}]}]},{"description":"PREDNISONE 20 MG, 2 TAB","code_information":[{"code":"J7512","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.4308,"maximum":1.8816,"gross_charge":1.96,"discounted_cash":1.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.81,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.63,"methodology":"fee schedule"}]}]},{"description":"PREDNISONE 20 MG, 2 TAB","code_information":[{"code":"J7512","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.02,"maximum":1.8816,"gross_charge":1.96,"discounted_cash":1.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.61,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.81,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.63,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.36,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.93,"methodology":"fee schedule"}]}]},{"description":"MYCOPHENOLOATE DR 180MG TAB","code_information":[{"code":"J7518","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":16.6805,"maximum":21.936,"gross_charge":22.85,"discounted_cash":12.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.03,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.97,"methodology":"fee schedule"}]}]},{"description":"MYCOPHENOLOATE DR 180MG TAB","code_information":[{"code":"J7518","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.04,"maximum":21.936,"gross_charge":22.85,"discounted_cash":12.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.04,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21.94,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18.74,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.03,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.97,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.74,"methodology":"fee schedule"}]}]},{"description":"METHACHOLINE 100 MG VIAL","code_information":[{"code":"J7674","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":110.2738,"maximum":145.0176,"gross_charge":151.06,"discounted_cash":83.71,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":143.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":145.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.98,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":125.38,"methodology":"fee schedule"}]}]},{"description":"METHACHOLINE 100 MG VIAL","code_information":[{"code":"J7674","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.93,"maximum":145.0176,"gross_charge":151.06,"discounted_cash":83.71,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.93,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":143.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":145.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":123.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":138.98,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":129.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":110.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":125.38,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":104.24,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":71,"methodology":"fee schedule"}]}]},{"description":"REVEFENACIN 175MCG/3ML NEB SOL","code_information":[{"code":"J7677","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":72.8175,"maximum":95.76,"gross_charge":99.75,"discounted_cash":55.28,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.8,"methodology":"fee schedule"}]}]},{"description":"REVEFENACIN 175MCG/3ML NEB SOL","code_information":[{"code":"J7677","type":"HCPCS"},{"code":"0250","type":"RC"}],"standard_charges":[{"minimum":0.25,"maximum":95.76,"gross_charge":99.75,"discounted_cash":55.28,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":94.77,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":95.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":81.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":91.77,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":85.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":72.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":68.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":46.89,"methodology":"fee schedule"}]}]},{"description":"DEXAMETHASONE 0.5 MG TAB","code_information":[{"code":"J8540","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.803,"maximum":1.056,"gross_charge":1.1,"discounted_cash":0.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.92,"methodology":"fee schedule"}]}]},{"description":"DEXAMETHASONE 0.5 MG TAB","code_information":[{"code":"J8540","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.14,"maximum":1.056,"gross_charge":1.1,"discounted_cash":0.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":0.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.52,"methodology":"fee schedule"}]}]},{"description":"DEXAMETHASONE 2 MG TAB","code_information":[{"code":"J8540","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.8907,"maximum":2.4864,"gross_charge":2.59,"discounted_cash":1.44,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.39,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.15,"methodology":"fee schedule"}]}]},{"description":"DEXAMETHASONE 2 MG TAB","code_information":[{"code":"J8540","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.14,"maximum":2.4864,"gross_charge":2.59,"discounted_cash":1.44,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.47,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.39,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.15,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.79,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.22,"methodology":"fee schedule"}]}]},{"description":"DEXAMETHASONE 4 MG TAB","code_information":[{"code":"J8540","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3.0441,"maximum":4.0032,"gross_charge":4.17,"discounted_cash":2.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.47,"methodology":"fee schedule"}]}]},{"description":"DEXAMETHASONE 4 MG TAB","code_information":[{"code":"J8540","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.14,"maximum":4.0032,"gross_charge":4.17,"discounted_cash":2.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3.05,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.88,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.96,"methodology":"fee schedule"}]}]},{"description":"DEXAMETHASONE 6 MG TABLET","code_information":[{"code":"J8540","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"DEXAMETHASONE 6 MG TABLET","code_information":[{"code":"J8540","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.14,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.14,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"METHOTREXATE 2.5 MG TAB","code_information":[{"code":"J8610","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":15.9432,"maximum":20.9664,"gross_charge":21.84,"discounted_cash":12.11,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.13,"methodology":"fee schedule"}]}]},{"description":"METHOTREXATE 2.5 MG TAB","code_information":[{"code":"J8610","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.31,"maximum":20.9664,"gross_charge":21.84,"discounted_cash":12.11,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":20.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":20.97,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20.1,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":18.79,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":15.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.27,"methodology":"fee schedule"}]}]},{"description":"ATEZOLIZUMAB 1200 MG/20ML VIAL","code_information":[{"code":"J9022","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":21754.0219,"maximum":28608.0288,"gross_charge":29800.03,"discounted_cash":16512.2,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28310.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28608.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24436.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27416.03,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25628.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21754.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24734.03,"methodology":"fee schedule"}]}]},{"description":"ATEZOLIZUMAB 1200 MG/20ML VIAL","code_information":[{"code":"J9022","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":109.08,"maximum":28608.0288,"gross_charge":29800.03,"discounted_cash":16512.2,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":109.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":28310.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":28608.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":24436.03,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":27416.03,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":25628.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21754.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":24734.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":20562.03,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14006.02,"methodology":"fee schedule"}]}]},{"description":"BORTEZOMIB 3.5 MG VIAL","code_information":[{"code":"J9041","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":65.7,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"}]}]},{"description":"BORTEZOMIB 3.5 MG VIAL","code_information":[{"code":"J9041","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":12.16,"maximum":86.4,"gross_charge":90,"discounted_cash":49.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":12.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":85.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":86.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":77.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":62.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":42.3,"methodology":"fee schedule"}]}]},{"description":"CISPLATIN 100 MG/100 ML MDV","code_information":[{"code":"J9060","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":176.514,"maximum":232.128,"gross_charge":241.8,"discounted_cash":133.99,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":229.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":232.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":222.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":207.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":200.7,"methodology":"fee schedule"}]}]},{"description":"CISPLATIN 100 MG/100 ML MDV","code_information":[{"code":"J9060","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.28,"maximum":232.128,"gross_charge":241.8,"discounted_cash":133.99,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":229.71,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":232.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":198.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":222.46,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":207.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":176.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":200.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":166.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":113.65,"methodology":"fee schedule"}]}]},{"description":"CISPLATIN 50 MG/50 ML MDV","code_information":[{"code":"J9060","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":13.1765,"maximum":17.328,"gross_charge":18.05,"discounted_cash":10.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.61,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.99,"methodology":"fee schedule"}]}]},{"description":"CISPLATIN 50 MG/50 ML MDV","code_information":[{"code":"J9060","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.28,"maximum":17.328,"gross_charge":18.05,"discounted_cash":10.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":2.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":17.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":17.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":16.61,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":15.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":13.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14.99,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":12.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8.49,"methodology":"fee schedule"}]}]},{"description":"DARATUM-HYALURONI-FIHJ 15ML VL","code_information":[{"code":"J9144","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":19170.9461,"maximum":25211.1072,"gross_charge":26261.57,"discounted_cash":14551.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24948.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25211.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21534.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24160.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22584.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19170.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21797.11,"methodology":"fee schedule"}]}]},{"description":"DARATUM-HYALURONI-FIHJ 15ML VL","code_information":[{"code":"J9144","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":63.16,"maximum":25211.1072,"gross_charge":26261.57,"discounted_cash":14551.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":63.16,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":24948.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":25211.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":21534.49,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":24160.65,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":22584.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19170.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":21797.11,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":18120.49,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":12342.94,"methodology":"fee schedule"}]}]},{"description":"DARATUMAUM 400MG/20ML","code_information":[{"code":"J9145","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5626.0078,"maximum":7398.5856,"gross_charge":7706.86,"discounted_cash":4270.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7321.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7398.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6319.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7090.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6627.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5626.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6396.7,"methodology":"fee schedule"}]}]},{"description":"DARATUMAUM 400MG/20ML","code_information":[{"code":"J9145","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":79.55,"maximum":7398.5856,"gross_charge":7706.86,"discounted_cash":4270.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":79.55,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7321.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7398.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6319.63,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7090.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6627.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5626.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6396.7,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5317.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3622.23,"methodology":"fee schedule"}]}]},{"description":"DARATUMUMAB 100 MG/5 ML VIAL","code_information":[{"code":"J9145","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1406.5056,"maximum":1849.6512,"gross_charge":1926.72,"discounted_cash":1067.6,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1830.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1849.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1579.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1772.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1656.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1406.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1599.18,"methodology":"fee schedule"}]}]},{"description":"DARATUMUMAB 100 MG/5 ML VIAL","code_information":[{"code":"J9145","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":79.55,"maximum":1849.6512,"gross_charge":1926.72,"discounted_cash":1067.6,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":79.55,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1830.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1849.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1579.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1772.59,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1656.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1406.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1599.18,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1329.44,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":905.56,"methodology":"fee schedule"}]}]},{"description":"DEGARELIX 80 MG VIAL","code_information":[{"code":"J9155","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":676.053,"maximum":889.056,"gross_charge":926.1,"discounted_cash":513.16,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":879.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":889.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":759.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":852.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":796.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":676.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":768.67,"methodology":"fee schedule"}]}]},{"description":"DEGARELIX 80 MG VIAL","code_information":[{"code":"J9155","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5.57,"maximum":889.056,"gross_charge":926.1,"discounted_cash":513.16,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":5.57,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":879.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":889.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":759.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":852.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":796.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":676.06,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":768.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":639.01,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":435.27,"methodology":"fee schedule"}]}]},{"description":"DOCETAXEL 80 MG/4 ML MDV","code_information":[{"code":"J9171","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2132.476,"maximum":2804.352,"gross_charge":2921.2,"discounted_cash":1618.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2775.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2804.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2395.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2687.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2512.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2132.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2424.6,"methodology":"fee schedule"}]}]},{"description":"DOCETAXEL 80 MG/4 ML MDV","code_information":[{"code":"J9171","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.78,"maximum":2804.352,"gross_charge":2921.2,"discounted_cash":1618.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2775.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2804.36,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2395.39,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2687.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2512.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2132.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2424.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2015.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1372.97,"methodology":"fee schedule"}]}]},{"description":"DURVALUMAB 500MG/10ML VIAL","code_information":[{"code":"J9173","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5764.445,"maximum":7580.64,"gross_charge":7896.5,"discounted_cash":4375.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7501.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7580.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6475.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7264.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6790.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5764.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6554.1,"methodology":"fee schedule"}]}]},{"description":"DURVALUMAB 500MG/10ML VIAL","code_information":[{"code":"J9173","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":106.52,"maximum":7580.64,"gross_charge":7896.5,"discounted_cash":4375.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":106.52,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7501.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7580.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6475.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7264.78,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6790.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5764.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6554.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5448.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3711.36,"methodology":"fee schedule"}]}]},{"description":"GEMCITABINE 1 GM VIAL","code_information":[{"code":"J9201","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":43.6978,"maximum":57.4656,"gross_charge":59.86,"discounted_cash":33.17,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":56.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":57.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":55.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":51.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":49.69,"methodology":"fee schedule"}]}]},{"description":"GEMCITABINE 1 GM VIAL","code_information":[{"code":"J9201","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.73,"maximum":57.4656,"gross_charge":59.86,"discounted_cash":33.17,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":56.87,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":57.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":49.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":55.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":51.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":43.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":49.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":41.31,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":28.14,"methodology":"fee schedule"}]}]},{"description":"GEMCITABINE HCL 1 GM/26.3 ML","code_information":[{"code":"J9201","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":115.7415,"maximum":152.208,"gross_charge":158.55,"discounted_cash":87.86,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":150.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":145.87,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.6,"methodology":"fee schedule"}]}]},{"description":"GEMCITABINE HCL 1 GM/26.3 ML","code_information":[{"code":"J9201","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.73,"maximum":152.208,"gross_charge":158.55,"discounted_cash":87.86,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.73,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":150.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":152.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":130.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":145.87,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":136.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":115.75,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":131.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":109.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":74.52,"methodology":"fee schedule"}]}]},{"description":"ELIGARD SQ 45MG 6 MONTH SYRNG","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":5698.38,"maximum":7493.76,"gross_charge":7806,"discounted_cash":4325.31,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7415.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7493.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6400.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7181.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6713.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5698.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6478.98,"methodology":"fee schedule"}]}]},{"description":"ELIGARD SQ 45MG 6 MONTH SYRNG","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":254.25,"maximum":7493.76,"gross_charge":7806,"discounted_cash":4325.31,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":254.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":7415.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":7493.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":6400.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":7181.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":6713.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":5698.38,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":6478.98,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":5386.14,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":3668.82,"methodology":"fee schedule"}]}]},{"description":"LEUP DEPOT 1-MONTH 7.5 MG KIT","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2523.9312,"maximum":3319.1424,"gross_charge":3457.44,"discounted_cash":1915.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3284.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3319.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2835.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3180.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2973.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2523.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2869.68,"methodology":"fee schedule"}]}]},{"description":"LEUP DEPOT 1-MONTH 7.5 MG KIT","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":254.25,"maximum":3319.1424,"gross_charge":3457.44,"discounted_cash":1915.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":254.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3284.57,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3319.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2835.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3180.85,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2973.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2523.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2869.68,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2385.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1625,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE 22.5 MG KIT","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7571.779,"maximum":9957.408,"gross_charge":10372.3,"discounted_cash":5747.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9853.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9957.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8505.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9542.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8920.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7571.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8609.01,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE 22.5 MG KIT","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":254.25,"maximum":9957.408,"gross_charge":10372.3,"discounted_cash":5747.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":254.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9853.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9957.41,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8505.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9542.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8920.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7571.78,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8609.01,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7156.89,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4874.99,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE 30 MG KIT","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":10095.7321,"maximum":13276.5792,"gross_charge":13829.77,"discounted_cash":7663.08,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13138.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13276.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11340.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12723.39,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11893.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10095.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11478.71,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE 30 MG KIT","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":254.25,"maximum":13276.5792,"gross_charge":13829.77,"discounted_cash":7663.08,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":254.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13138.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13276.58,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11340.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12723.39,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11893.61,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10095.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11478.71,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9542.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6500,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE 7.5MG 6MOS 45MG","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":20464.82,"maximum":26912.64,"gross_charge":28034,"discounted_cash":15533.64,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26632.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26912.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22987.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25791.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24109.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20464.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23268.22,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE 7.5MG 6MOS 45MG","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":254.25,"maximum":26912.64,"gross_charge":28034,"discounted_cash":15533.64,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":254.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":26632.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":26912.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22987.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":25791.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":24109.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":20464.82,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":23268.22,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":19343.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":13175.98,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE ACETATE 22.5 MG SYR","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2849.19,"maximum":3746.88,"gross_charge":3903,"discounted_cash":2162.66,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3707.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3746.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3200.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3590.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3356.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2849.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3239.49,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE ACETATE 22.5 MG SYR","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":254.25,"maximum":3746.88,"gross_charge":3903,"discounted_cash":2162.66,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":254.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3707.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3746.88,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3200.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":3590.76,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":3356.58,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2849.19,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":3239.49,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2693.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1834.41,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE ACETATE 30 MG SYRIN","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":3798.92,"maximum":4995.84,"gross_charge":5204,"discounted_cash":2883.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4943.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4995.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4267.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4787.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4475.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3798.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4319.32,"methodology":"fee schedule"}]}]},{"description":"LEUPROLIDE ACETATE 30 MG SYRIN","code_information":[{"code":"J9217","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":254.25,"maximum":4995.84,"gross_charge":5204,"discounted_cash":2883.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":254.25,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4943.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4995.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4267.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4787.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4475.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3798.92,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4319.32,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3590.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2445.88,"methodology":"fee schedule"}]}]},{"description":"OXALIPLATIN 100MG/20ML SDV","code_information":[{"code":"J9263","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":17.52,"maximum":23.04,"gross_charge":24,"discounted_cash":13.3,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.92,"methodology":"fee schedule"}]}]},{"description":"OXALIPLATIN 100MG/20ML SDV","code_information":[{"code":"J9263","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.1,"maximum":23.04,"gross_charge":24,"discounted_cash":13.3,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":23.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":22.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":20.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":17.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":11.28,"methodology":"fee schedule"}]}]},{"description":"PEMBROLIZUMAB 100 MG/4 ML VIAL","code_information":[{"code":"J9271","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":9545.8742,"maximum":12553.4784,"gross_charge":13076.54,"discounted_cash":7245.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12422.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12553.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10722.77,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12030.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11245.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9545.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10853.53,"methodology":"fee schedule"}]}]},{"description":"PEMBROLIZUMAB 100 MG/4 ML VIAL","code_information":[{"code":"J9271","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":72.78,"maximum":12553.4784,"gross_charge":13076.54,"discounted_cash":7245.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":72.78,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":12422.72,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":12553.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10722.77,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12030.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11245.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9545.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":10853.53,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9022.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6145.98,"methodology":"fee schedule"}]}]},{"description":"NIVOLUMAB 240 MG/24 ML VIAL","code_information":[{"code":"J9299","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":12604.399,"maximum":16575.648,"gross_charge":17266.3,"discounted_cash":9567.26,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16402.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16575.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14158.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15885,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14849.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12604.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14331.03,"methodology":"fee schedule"}]}]},{"description":"NIVOLUMAB 240 MG/24 ML VIAL","code_information":[{"code":"J9299","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":40.5,"maximum":16575.648,"gross_charge":17266.3,"discounted_cash":9567.26,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":40.5,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":16402.99,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":16575.65,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":14158.37,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":15885,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":14849.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12604.4,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":14331.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":11913.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":8115.17,"methodology":"fee schedule"}]}]},{"description":"OBIN1000-GAZYVA 1000MG/40ML","code_information":[{"code":"J9301","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":16346.8243,"maximum":21497.1936,"gross_charge":22392.91,"discounted_cash":12407.92,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21273.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21497.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18362.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20601.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19257.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16346.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18586.12,"methodology":"fee schedule"}]}]},{"description":"OBIN1000-GAZYVA 1000MG/40ML","code_information":[{"code":"J9301","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":90.38,"maximum":21497.1936,"gross_charge":22392.91,"discounted_cash":12407.92,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":90.38,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":21273.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":21497.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":18362.19,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":20601.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19257.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16346.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":18586.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":15451.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10524.67,"methodology":"fee schedule"}]}]},{"description":"RITUXIMAB 500 MG/50 ML SDV","code_information":[{"code":"J9312","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4115.0976,"maximum":5411.6352,"gross_charge":5637.12,"discounted_cash":3123.53,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5355.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5411.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4622.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5186.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4847.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4115.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4678.81,"methodology":"fee schedule"}]}]},{"description":"RITUXIMAB 500 MG/50 ML SDV","code_information":[{"code":"J9312","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":110.36,"maximum":5411.6352,"gross_charge":5637.12,"discounted_cash":3123.53,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":110.36,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":5355.27,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":5411.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4622.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":5186.16,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4847.93,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4115.1,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4678.81,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3889.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2649.45,"methodology":"fee schedule"}]}]},{"description":"FULVESTRANT 250MG/5ML SYRINGE","code_information":[{"code":"J9395","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2156.3032,"maximum":2835.6864,"gross_charge":2953.84,"discounted_cash":1636.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2806.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2835.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2422.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2717.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2540.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2156.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2451.69,"methodology":"fee schedule"}]}]},{"description":"FULVESTRANT 250MG/5ML SYRINGE","code_information":[{"code":"J9395","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":17.09,"maximum":2835.6864,"gross_charge":2953.84,"discounted_cash":1636.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":17.09,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2806.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2835.69,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2422.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2717.54,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2540.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2156.31,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2451.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2038.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1388.31,"methodology":"fee schedule"}]}]},{"description":"STRAP CLAVICAL HVY-PD MED","code_information":[{"code":"L3650","type":"HCPCS"},{"code":"0274","type":"RC"}],"standard_charges":[{"minimum":22.63,"maximum":29.76,"gross_charge":31,"discounted_cash":17.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.73,"methodology":"fee schedule"}]}]},{"description":"STRAP CLAVICAL HVY-PD MED","code_information":[{"code":"L3650","type":"HCPCS"},{"code":"0274","type":"RC"}],"standard_charges":[{"minimum":14.57,"maximum":31,"gross_charge":31,"discounted_cash":17.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":31,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":29.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":29.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":25.42,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":28.52,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":26.66,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":22.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":25.73,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":21.39,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":14.57,"methodology":"fee schedule"}]}]},{"description":"NO ACTIVE CODE DESCRIPTION","code_information":[{"code":"Other Inpatient","type":"LOCAL"}],"standard_charges":[{"minimum":4519,"maximum":6592,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6592,"methodology":"per diem"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4519,"methodology":"per diem"}],"additional_generic_notes":"Default Reimbursement Method"}]},{"description":"NO ACTIVE CODE DESCRIPTION","code_information":[{"code":"Other Outpatient","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_percentage":95,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_percentage":96,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_percentage":82,"methodology":"percent of total billed charges"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_percentage":92,"methodology":"percent of total billed charges"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_percentage":86,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_percentage":73,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_percentage":83,"methodology":"percent of total billed charges"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_percentage":69,"methodology":"percent of total billed charges"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_percentage":47,"methodology":"percent of total billed charges"}],"additional_generic_notes":"Default Reimbursement Method"}]},{"description":"CRYOPRECIPITATE","code_information":[{"code":"P9012","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":288.35,"maximum":379.2,"gross_charge":395,"discounted_cash":218.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":379.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":363.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":339.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":288.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":327.85,"methodology":"fee schedule"}]}]},{"description":"CRYOPRECIPITATE","code_information":[{"code":"P9012","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":126.13,"maximum":379.2,"gross_charge":395,"discounted_cash":218.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":126.13,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":379.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":363.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":339.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":288.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":327.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":272.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":185.65,"methodology":"fee schedule"}]}]},{"description":"LEUKOREDUCED PACKED CELLS","code_information":[{"code":"P9016","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":838.77,"maximum":1103.04,"gross_charge":1149,"discounted_cash":636.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1091.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1103.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":942.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1057.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":988.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":838.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":953.67,"methodology":"fee schedule"}]}]},{"description":"LEUKOREDUCED PACKED CELLS","code_information":[{"code":"P9016","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":297.77,"maximum":1103.04,"gross_charge":1149,"discounted_cash":636.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":297.77,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1091.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1103.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":942.18,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1057.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":988.14,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":838.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":953.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":792.81,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":540.03,"methodology":"fee schedule"}]}]},{"description":"COVID CONVALESCENT PLASMA","code_information":[{"code":"P9017","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":0.73,"maximum":0.96,"gross_charge":1,"discounted_cash":0.56,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":0.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":0.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.83,"methodology":"fee schedule"}]}]},{"description":"COVID CONVALESCENT PLASMA","code_information":[{"code":"P9017","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":0.47,"maximum":1,"gross_charge":1,"discounted_cash":0.56,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":0.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.82,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":0.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.73,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":0.69,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.47,"methodology":"fee schedule"}]}]},{"description":"FRESH FROZEN PLASMA","code_information":[{"code":"P9017","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":288.35,"maximum":379.2,"gross_charge":395,"discounted_cash":218.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":379.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":363.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":339.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":288.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":327.85,"methodology":"fee schedule"}]}]},{"description":"FRESH FROZEN PLASMA","code_information":[{"code":"P9017","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":130.57,"maximum":379.2,"gross_charge":395,"discounted_cash":218.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":130.57,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":375.25,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":379.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":363.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":339.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":288.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":327.85,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":272.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":185.65,"methodology":"fee schedule"}]}]},{"description":"PLATELETS PHERESIS","code_information":[{"code":"P9034","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":3729.57,"maximum":4904.64,"gross_charge":5109,"discounted_cash":2830.9,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4853.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4904.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4189.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4700.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4393.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3729.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4240.47,"methodology":"fee schedule"}]}]},{"description":"PLATELETS PHERESIS","code_information":[{"code":"P9034","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":511.76,"maximum":4904.64,"gross_charge":5109,"discounted_cash":2830.9,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":511.76,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4853.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4904.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":4189.38,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4700.28,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4393.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3729.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4240.47,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3525.21,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2401.23,"methodology":"fee schedule"}]}]},{"description":"IRRADIATED PLATELETS","code_information":[{"code":"P9037","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":3550.72,"maximum":4669.44,"gross_charge":4864,"discounted_cash":2695.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4620.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4669.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3988.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4474.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4183.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3550.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4037.12,"methodology":"fee schedule"}]}]},{"description":"IRRADIATED PLATELETS","code_information":[{"code":"P9037","type":"HCPCS"},{"code":"0390","type":"RC"}],"standard_charges":[{"minimum":975.09,"maximum":4669.44,"gross_charge":4864,"discounted_cash":2695.15,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":975.09,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":4620.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":4669.44,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3988.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":4474.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":4183.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":3550.72,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":4037.12,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":3356.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":2286.08,"methodology":"fee schedule"}]}]},{"description":"ALBUMIN 5% 250ML BOTTLE","code_information":[{"code":"P9045","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":47.45,"maximum":62.4,"gross_charge":65,"discounted_cash":36.02,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"}]}]},{"description":"ALBUMIN 5% 250ML BOTTLE","code_information":[{"code":"P9045","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":30.55,"maximum":65,"gross_charge":65,"discounted_cash":36.02,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":61.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":62.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":53.3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":59.8,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":55.9,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":53.95,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":44.85,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":30.55,"methodology":"fee schedule"}]}]},{"description":"ALBU 25% 12.5 GM/50 ML BAG","code_information":[{"code":"P9047","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":42.2378,"maximum":55.5456,"gross_charge":57.86,"discounted_cash":32.07,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":54.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.03,"methodology":"fee schedule"}]}]},{"description":"ALBU 25% 12.5 GM/50 ML BAG","code_information":[{"code":"P9047","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":27.1942,"maximum":57.86,"gross_charge":57.86,"discounted_cash":32.07,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":57.86,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":54.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":55.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":47.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":53.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":49.76,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":42.24,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":48.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":39.93,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":27.2,"methodology":"fee schedule"}]}]},{"description":"ALBUMIN 25% 25GM/100ML BAG","code_information":[{"code":"P9047","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":201.1296,"maximum":264.4992,"gross_charge":275.52,"discounted_cash":152.67,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":261.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":236.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":228.69,"methodology":"fee schedule"}]}]},{"description":"ALBUMIN 25% 25GM/100ML BAG","code_information":[{"code":"P9047","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":71.24,"maximum":264.4992,"gross_charge":275.52,"discounted_cash":152.67,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":71.24,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":261.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":264.5,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":225.93,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":253.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":236.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":201.13,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":228.69,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":190.11,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":129.5,"methodology":"fee schedule"}]}]},{"description":"FERUMOXYTOL 510 MG/17 ML SDV","code_information":[{"code":"Q0138","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1173.767,"maximum":1543.584,"gross_charge":1607.9,"discounted_cash":890.94,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1527.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1318.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1479.27,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1382.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1173.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1334.56,"methodology":"fee schedule"}]}]},{"description":"FERUMOXYTOL 510 MG/17 ML SDV","code_information":[{"code":"Q0138","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.75,"maximum":1543.584,"gross_charge":1607.9,"discounted_cash":890.94,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.75,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1527.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1543.59,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1318.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1479.27,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1382.8,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1173.77,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1334.56,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1109.46,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":755.72,"methodology":"fee schedule"}]}]},{"description":"CHLORPROMAZINE 10 MG TAB","code_information":[{"code":"Q0161","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":16.9433,"maximum":22.2816,"gross_charge":23.21,"discounted_cash":12.87,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":22.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.27,"methodology":"fee schedule"}]}]},{"description":"CHLORPROMAZINE 10 MG TAB","code_information":[{"code":"Q0161","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.37,"maximum":22.2816,"gross_charge":23.21,"discounted_cash":12.87,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":22.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":22.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":19.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":21.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":19.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":16.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":19.27,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":16.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":10.91,"methodology":"fee schedule"}]}]},{"description":"TAKE HOME: ONDANSETRON 4MG (5)","code_information":[{"code":"Q0162","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":28.4919,"maximum":37.4688,"gross_charge":39.03,"discounted_cash":21.63,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":37.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":37.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":35.91,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":33.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":32.4,"methodology":"fee schedule"}]}]},{"description":"TAKE HOME: ONDANSETRON 4MG (5)","code_information":[{"code":"Q0162","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.02,"maximum":37.4688,"gross_charge":39.03,"discounted_cash":21.63,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":37.08,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":37.47,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":32.01,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":35.91,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":33.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":28.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":32.4,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":18.35,"methodology":"fee schedule"}]}]},{"description":"DIPHENHYDRAMINE 50 MG CAP","code_information":[{"code":"Q0163","type":"HCPCS"},{"code":"0637","type":"RC"}],"standard_charges":[{"minimum":0.803,"maximum":1.056,"gross_charge":1.1,"discounted_cash":0.61,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.92,"methodology":"fee schedule"}]}]},{"description":"DIPHENHYDRAMINE 50 MG CAP","code_information":[{"code":"Q0163","type":"HCPCS"},{"code":"0637","type":"RC"}],"standard_charges":[{"minimum":0.02,"maximum":1.056,"gross_charge":1.1,"discounted_cash":0.61,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.02,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1.05,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":0.95,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":0.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":0.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":0.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":0.52,"methodology":"fee schedule"}]}]},{"description":"PROCHLORPERAZINE 10 MG TAB","code_information":[{"code":"Q0164","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2.2776,"maximum":2.9952,"gross_charge":3.12,"discounted_cash":1.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.59,"methodology":"fee schedule"}]}]},{"description":"PROCHLORPERAZINE 10 MG TAB","code_information":[{"code":"Q0164","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.37,"maximum":2.9952,"gross_charge":3.12,"discounted_cash":1.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2.88,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2.28,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.47,"methodology":"fee schedule"}]}]},{"description":"PROCHLORPERAZINE 5 MG TAB","code_information":[{"code":"Q0164","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.5622,"maximum":2.0544,"gross_charge":2.14,"discounted_cash":1.19,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.97,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.78,"methodology":"fee schedule"}]}]},{"description":"PROCHLORPERAZINE 5 MG TAB","code_information":[{"code":"Q0164","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.37,"maximum":2.0544,"gross_charge":2.14,"discounted_cash":1.19,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.37,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2.04,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1.97,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1.57,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1.78,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1.48,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1.01,"methodology":"fee schedule"}]}]},{"description":"DRONABINOL 5MG CAPSULE","code_information":[{"code":"Q0167","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8.03,"maximum":10.56,"gross_charge":11,"discounted_cash":6.1,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.13,"methodology":"fee schedule"}]}]},{"description":"DRONABINOL 5MG CAPSULE","code_information":[{"code":"Q0167","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1.06,"maximum":10.56,"gross_charge":11,"discounted_cash":6.1,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":1.06,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":10.45,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":10.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9.02,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":10.12,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":9.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.03,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9.13,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7.59,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5.17,"methodology":"fee schedule"}]}]},{"description":"HYDROXYZINE PAMO 25MG CAP","code_information":[{"code":"Q0177","type":"HCPCS"},{"code":"0637","type":"RC"}],"standard_charges":[{"minimum":7.0007,"maximum":9.2064,"gross_charge":9.59,"discounted_cash":5.32,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.96,"methodology":"fee schedule"}]}]},{"description":"HYDROXYZINE PAMO 25MG CAP","code_information":[{"code":"Q0177","type":"HCPCS"},{"code":"0637","type":"RC"}],"standard_charges":[{"minimum":0.08,"maximum":9.2064,"gross_charge":9.59,"discounted_cash":5.32,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.08,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.12,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.21,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.87,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":8.83,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":7.96,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.62,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.51,"methodology":"fee schedule"}]}]},{"description":"BEBTELOVIMAB 175MG/2ML VL BILL","code_information":[{"code":"Q0222","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2268.84,"maximum":2983.68,"gross_charge":3108,"discounted_cash":1722.15,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2952.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2983.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2548.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2859.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2672.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2268.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2579.64,"methodology":"fee schedule"}]}]},{"description":"BEBTELOVIMAB 175MG/2ML VL BILL","code_information":[{"code":"Q0222","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1460.76,"maximum":2983.68,"gross_charge":3108,"discounted_cash":1722.15,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2952.6,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2983.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2548.56,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2859.36,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2672.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2268.84,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2579.64,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2144.52,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1460.76,"methodology":"fee schedule"}]}]},{"description":"TOCILIZU FOR COVID 200MG/10ML","code_information":[{"code":"Q0249","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1163.2477,"maximum":1529.7504,"gross_charge":1593.49,"discounted_cash":882.96,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1513.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1529.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1306.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1466.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1370.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1163.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1322.6,"methodology":"fee schedule"}]}]},{"description":"TOCILIZU FOR COVID 200MG/10ML","code_information":[{"code":"Q0249","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":748.9403,"maximum":1529.7504,"gross_charge":1593.49,"discounted_cash":882.96,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1513.82,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1529.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1306.67,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1466.02,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1370.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1163.25,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1322.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1099.51,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":748.95,"methodology":"fee schedule"}]}]},{"description":"TOCILIZU FOR COVID 400MG/20ML","code_information":[{"code":"Q0249","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":2326.4954,"maximum":3059.5008,"gross_charge":3186.98,"discounted_cash":1765.91,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3027.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3059.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2613.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2932.03,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2740.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2326.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2645.2,"methodology":"fee schedule"}]}]},{"description":"TOCILIZU FOR COVID 400MG/20ML","code_information":[{"code":"Q0249","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1497.8806,"maximum":3059.5008,"gross_charge":3186.98,"discounted_cash":1765.91,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":3027.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":3059.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2613.33,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2932.03,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2740.81,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2326.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2645.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":2199.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1497.89,"methodology":"fee schedule"}]}]},{"description":"TOCILIZU FOR COVID 80MG/4ML","code_information":[{"code":"Q0249","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":465.2947,"maximum":611.8944,"gross_charge":637.39,"discounted_cash":353.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":605.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":611.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":522.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":586.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":548.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":465.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":529.04,"methodology":"fee schedule"}]}]},{"description":"TOCILIZU FOR COVID 80MG/4ML","code_information":[{"code":"Q0249","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":299.5733,"maximum":611.8944,"gross_charge":637.39,"discounted_cash":353.18,"setting":"outpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":605.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":611.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":522.66,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":586.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":548.16,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":465.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":529.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":439.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":299.58,"methodology":"fee schedule"}]}]},{"description":"FOSPHEN 500MG PE/10ML SDV","code_information":[{"code":"Q2009","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7.3,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"}]}]},{"description":"FOSPHEN 500MG PE/10ML SDV","code_information":[{"code":"Q2009","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":4.7,"maximum":9.6,"gross_charge":10,"discounted_cash":5.55,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":4.99,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9.5,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9.6,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7.3,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8.3,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6.9,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4.7,"methodology":"fee schedule"}]}]},{"description":"FILIGRASTIM-SNDZ 480MCG SYR","code_information":[{"code":"Q5101","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":769.42,"maximum":1011.84,"gross_charge":1054,"discounted_cash":584.03,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1001.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1011.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":864.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":969.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":906.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":769.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":874.82,"methodology":"fee schedule"}]}]},{"description":"FILIGRASTIM-SNDZ 480MCG SYR","code_information":[{"code":"Q5101","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.32,"maximum":1011.84,"gross_charge":1054,"discounted_cash":584.03,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.32,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1001.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1011.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":864.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":969.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":906.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":769.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":874.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":727.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":495.38,"methodology":"fee schedule"}]}]},{"description":"INFLIXIMAB-DYYB 100MG VIAL","code_information":[{"code":"Q5103","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1989.98,"maximum":2616.96,"gross_charge":2726,"discounted_cash":1510.48,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2589.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2616.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2235.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2507.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2344.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1989.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2262.58,"methodology":"fee schedule"}]}]},{"description":"INFLIXIMAB-DYYB 100MG VIAL","code_information":[{"code":"Q5103","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":33.49,"maximum":2616.96,"gross_charge":2726,"discounted_cash":1510.48,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":33.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2589.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2616.96,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":2235.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2507.92,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2344.36,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1989.98,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2262.58,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1880.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1281.22,"methodology":"fee schedule"}]}]},{"description":"INFLIXIMAB-ABDA 100MG VIAL","code_information":[{"code":"Q5104","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1583.9321,"maximum":2082.9792,"gross_charge":2169.77,"discounted_cash":1202.27,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2061.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2082.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1779.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1996.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1866.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1583.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1800.91,"methodology":"fee schedule"}]}]},{"description":"INFLIXIMAB-ABDA 100MG VIAL","code_information":[{"code":"Q5104","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":61.39,"maximum":2082.9792,"gross_charge":2169.77,"discounted_cash":1202.27,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":61.39,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2061.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2082.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1779.22,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":1996.19,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":1866.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1583.94,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":1800.91,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1497.15,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1019.8,"methodology":"fee schedule"}]}]},{"description":"EPOE ALFA-EPBX 40,000UN/ML SDV","code_information":[{"code":"Q5106","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":772.9824,"maximum":1016.5248,"gross_charge":1058.88,"discounted_cash":586.73,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1005.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1016.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":868.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":974.17,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":910.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":772.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":878.88,"methodology":"fee schedule"}]}]},{"description":"EPOE ALFA-EPBX 40,000UN/ML SDV","code_information":[{"code":"Q5106","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":10.89,"maximum":1016.5248,"gross_charge":1058.88,"discounted_cash":586.73,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":1005.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":1016.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":868.29,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":974.17,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":910.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":772.99,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":878.88,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":730.63,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":497.68,"methodology":"fee schedule"}]}]},{"description":"EPOET ALFA-EPBX20,000UN/ML SDV","code_information":[{"code":"Q5106","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":386.4912,"maximum":508.2624,"gross_charge":529.44,"discounted_cash":293.37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":502.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":508.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":487.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":455.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":386.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":439.44,"methodology":"fee schedule"}]}]},{"description":"EPOET ALFA-EPBX20,000UN/ML SDV","code_information":[{"code":"Q5106","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":10.89,"maximum":508.2624,"gross_charge":529.44,"discounted_cash":293.37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":10.89,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":502.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":508.27,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":434.15,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":487.09,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":455.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":386.5,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":439.44,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":365.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":248.84,"methodology":"fee schedule"}]}]},{"description":"PEGFILGRASTIM 6MG/0.6ML SYR","code_information":[{"code":"Q5108","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":8777.52,"maximum":11543.04,"gross_charge":12024,"discounted_cash":6662.5,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11422.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11543.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9859.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11062.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10340.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8777.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9979.92,"methodology":"fee schedule"}]}]},{"description":"PEGFILGRASTIM 6MG/0.6ML SYR","code_information":[{"code":"Q5108","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":184.33,"maximum":11543.04,"gross_charge":12024,"discounted_cash":6662.5,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":184.33,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":11422.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":11543.04,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":9859.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":11062.08,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":10340.64,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8777.52,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":9979.92,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":8296.56,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":5651.28,"methodology":"fee schedule"}]}]},{"description":"FILGRSTMAAFI 480MCG/0.8 ML SYR","code_information":[{"code":"Q5110","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":736.6795,"maximum":968.784,"gross_charge":1009.15,"discounted_cash":559.18,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":958.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":968.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":827.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":928.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":867.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":736.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":837.6,"methodology":"fee schedule"}]}]},{"description":"FILGRSTMAAFI 480MCG/0.8 ML SYR","code_information":[{"code":"Q5110","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.48,"maximum":968.784,"gross_charge":1009.15,"discounted_cash":559.18,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.48,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":958.7,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":968.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":827.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":928.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":867.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":736.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":837.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":696.32,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":474.31,"methodology":"fee schedule"}]}]},{"description":"PEGFILGRASTIM 6MG/0.6ML SYR","code_information":[{"code":"Q5111","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7314.6,"maximum":9619.2,"gross_charge":10020,"discounted_cash":5552.09,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9519,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9619.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8216.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9218.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8617.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7314.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8316.6,"methodology":"fee schedule"}]}]},{"description":"PEGFILGRASTIM 6MG/0.6ML SYR","code_information":[{"code":"Q5111","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":185.84,"maximum":9619.2,"gross_charge":10020,"discounted_cash":5552.09,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":185.84,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9519,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9619.2,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8216.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9218.4,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8617.2,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7314.6,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8316.6,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":6913.8,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4709.4,"methodology":"fee schedule"}]}]},{"description":"RITUXIMAB-ABBS 500MG/50ML VIAL","code_information":[{"code":"Q5115","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":11110.527,"maximum":14611.104,"gross_charge":15219.9,"discounted_cash":8433.35,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14458.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14611.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12480.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14002.31,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13089.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11110.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12632.52,"methodology":"fee schedule"}]}]},{"description":"RITUXIMAB-ABBS 500MG/50ML VIAL","code_information":[{"code":"Q5115","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":65.92,"maximum":14611.104,"gross_charge":15219.9,"discounted_cash":8433.35,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":14458.91,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":14611.11,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":12480.32,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":14002.31,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":13089.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11110.53,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":12632.52,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":10501.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":7153.36,"methodology":"fee schedule"}]}]},{"description":"TRUXIMA 100 MG/10 ML VIAL","code_information":[{"code":"Q5115","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":1777.6814,"maximum":2337.7728,"gross_charge":2435.18,"discounted_cash":1349.34,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2313.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2337.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1996.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2240.37,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2094.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1777.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2021.2,"methodology":"fee schedule"}]}]},{"description":"TRUXIMA 100 MG/10 ML VIAL","code_information":[{"code":"Q5115","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":65.92,"maximum":2337.7728,"gross_charge":2435.18,"discounted_cash":1349.34,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":65.92,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":2313.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":2337.78,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1996.85,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":2240.37,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":2094.26,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":1777.69,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":2021.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":1680.28,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":1144.54,"methodology":"fee schedule"}]}]},{"description":"RITUXIMAB-PVVR 500MG/50ML","code_information":[{"code":"Q5119","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":7535.0016,"maximum":9909.0432,"gross_charge":10321.92,"discounted_cash":5719.38,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9805.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9909.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8463.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9496.17,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8876.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7535.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8567.2,"methodology":"fee schedule"}]}]},{"description":"RITUXIMAB-PVVR 500MG/50ML","code_information":[{"code":"Q5119","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":44.12,"maximum":9909.0432,"gross_charge":10321.92,"discounted_cash":5719.38,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":44.12,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":9805.83,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":9909.05,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":8463.98,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":9496.17,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":8876.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":7535.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":8567.2,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":7122.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":4851.31,"methodology":"fee schedule"}]}]},{"description":"PEGFILGRAS-BMEZ 6MG/0.6 ML SYR","code_information":[{"code":"Q5120","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":10029.7328,"maximum":13189.7856,"gross_charge":13739.36,"discounted_cash":7612.98,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13052.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13189.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11266.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12640.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11815.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10029.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11403.67,"methodology":"fee schedule"}]}]},{"description":"PEGFILGRAS-BMEZ 6MG/0.6 ML SYR","code_information":[{"code":"Q5120","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":121.42,"maximum":13189.7856,"gross_charge":13739.36,"discounted_cash":7612.98,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":121.42,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":13052.4,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":13189.79,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":11266.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":12640.22,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":11815.85,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":10029.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":11403.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":9480.16,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":6457.5,"methodology":"fee schedule"}]}]},{"description":"CYSTOGRAFIN-DIL 180MG/ML 300ML","code_information":[{"code":"Q9958","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":82.709,"maximum":108.768,"gross_charge":113.3,"discounted_cash":62.78,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.77,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.04,"methodology":"fee schedule"}]}]},{"description":"CYSTOGRAFIN-DIL 180MG/ML 300ML","code_information":[{"code":"Q9958","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.1,"maximum":108.768,"gross_charge":113.3,"discounted_cash":62.78,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.1,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":107.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":108.77,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":92.91,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":104.24,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":97.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":82.71,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":94.04,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":78.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":53.26,"methodology":"fee schedule"}]}]},{"description":"GASTROGRAFIN 660MG 120ML","code_information":[{"code":"Q9963","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":169.9586,"maximum":223.5072,"gross_charge":232.82,"discounted_cash":129.01,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":221.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":223.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":190.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":200.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":169.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":193.25,"methodology":"fee schedule"}]}]},{"description":"GASTROGRAFIN 660MG 120ML","code_information":[{"code":"Q9963","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.28,"maximum":223.5072,"gross_charge":232.82,"discounted_cash":129.01,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":221.18,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":223.51,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":190.92,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":214.2,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":200.23,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":169.96,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":193.25,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":160.65,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":109.43,"methodology":"fee schedule"}]}]},{"description":"GASTROGRAFIN 660MG 30ML","code_information":[{"code":"Q9963","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":58.9694,"maximum":77.5488,"gross_charge":80.78,"discounted_cash":44.77,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":77.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":74.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":69.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":67.05,"methodology":"fee schedule"}]}]},{"description":"GASTROGRAFIN 660MG 30ML","code_information":[{"code":"Q9963","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.28,"maximum":77.5488,"gross_charge":80.78,"discounted_cash":44.77,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.28,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":76.75,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":77.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":66.24,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":74.32,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":69.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":58.97,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":67.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":55.74,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":37.97,"methodology":"fee schedule"}]}]},{"description":"IOHEXOL 647 MG/ML 50 ML SDV","code_information":[{"code":"Q9966","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":141.9047,"maximum":186.6144,"gross_charge":194.39,"discounted_cash":107.72,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":184.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":186.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":178.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":167.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.35,"methodology":"fee schedule"}]}]},{"description":"IOHEXOL 647 MG/ML 50 ML SDV","code_information":[{"code":"Q9966","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.64,"maximum":186.6144,"gross_charge":194.39,"discounted_cash":107.72,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.64,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":184.68,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":186.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":159.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":178.84,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":167.18,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":141.91,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":161.35,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":134.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":91.37,"methodology":"fee schedule"}]}]},{"description":"IOPAMIDOL 612 MG/ML 30 ML SDV","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":56.3122,"maximum":74.0544,"gross_charge":77.14,"discounted_cash":42.75,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":73.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":74.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.97,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":66.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":64.03,"methodology":"fee schedule"}]}]},{"description":"IOPAMIDOL 612 MG/ML 30 ML SDV","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.23,"maximum":74.0544,"gross_charge":77.14,"discounted_cash":42.75,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":73.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":74.06,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":63.26,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":70.97,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":66.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":56.32,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":64.03,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":53.23,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":36.26,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 300 612MG/ML 100ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":117.019,"maximum":153.888,"gross_charge":160.3,"discounted_cash":88.83,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":152.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":153.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":147.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":137.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":133.05,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 300 612MG/ML 100ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.23,"maximum":153.888,"gross_charge":160.3,"discounted_cash":88.83,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":152.29,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":153.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":131.45,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":147.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":137.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":117.02,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":133.05,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":110.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":75.35,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 300 612MG/ML 150ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":48.7348,"maximum":64.0896,"gross_charge":66.76,"discounted_cash":37,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":64.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.75,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.42,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 300 612MG/ML 150ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.23,"maximum":64.0896,"gross_charge":66.76,"discounted_cash":37,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":63.43,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":64.09,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":54.75,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":61.42,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":57.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":48.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":55.42,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":46.07,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":31.38,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 300 612MG/ML 50ML VL","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":59.8892,"maximum":78.7584,"gross_charge":82.04,"discounted_cash":45.46,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.1,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 300 612MG/ML 50ML VL","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.23,"maximum":78.7584,"gross_charge":82.04,"discounted_cash":45.46,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":77.94,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":78.76,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":67.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":75.48,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":70.56,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":59.89,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":68.1,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":56.61,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":38.56,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 300 612MG/ML 75ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":27.7327,"maximum":36.4704,"gross_charge":37.99,"discounted_cash":21.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 300 612MG/ML 75ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.23,"maximum":36.4704,"gross_charge":37.99,"discounted_cash":21.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":36.1,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":36.48,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":31.16,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":34.96,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":32.68,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":27.74,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":31.54,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":26.22,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":17.86,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 370 755MG/ML 100ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":129.8743,"maximum":170.7936,"gross_charge":177.91,"discounted_cash":98.58,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":169.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":170.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":145.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":163.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":153.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":147.67,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 370 755MG/ML 100ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.23,"maximum":170.7936,"gross_charge":177.91,"discounted_cash":98.58,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":169.02,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":170.8,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":145.89,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":163.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":153.01,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":129.88,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":147.67,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":122.76,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":83.62,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 370 755MG/ML 200ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":288.1164,"maximum":378.8928,"gross_charge":394.68,"discounted_cash":218.7,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":374.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":378.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":363.11,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":339.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":288.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":327.59,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 370 755MG/ML 200ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.23,"maximum":378.8928,"gross_charge":394.68,"discounted_cash":218.7,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":374.95,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":378.9,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":323.64,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":363.11,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":339.43,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":288.12,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":327.59,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":272.33,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":185.5,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 370 755MG/ML 50ML VL","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":65.1014,"maximum":85.6128,"gross_charge":89.18,"discounted_cash":49.42,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":84.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":85.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.05,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":76.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.02,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 370 755MG/ML 50ML VL","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.23,"maximum":85.6128,"gross_charge":89.18,"discounted_cash":49.42,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":84.73,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":85.62,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":73.13,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":82.05,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":76.7,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":65.11,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":74.02,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":61.54,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":41.92,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 370 755MG/ML 75ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":139.503,"maximum":183.456,"gross_charge":191.1,"discounted_cash":105.89,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":181.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":183.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":175.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":158.62,"methodology":"fee schedule"}]}]},{"description":"ISOVUE 370 755MG/ML 75ML","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.23,"maximum":183.456,"gross_charge":191.1,"discounted_cash":105.89,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":181.55,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":183.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":156.71,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":175.82,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":164.35,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":139.51,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":158.62,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":131.86,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":89.82,"methodology":"fee schedule"}]}]},{"description":"ISOVUE M-300 612MG/ML 15ML VL","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":219.4015,"maximum":288.528,"gross_charge":300.55,"discounted_cash":166.54,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.46,"methodology":"fee schedule"}]}]},{"description":"ISOVUE M-300 612MG/ML 15ML VL","code_information":[{"code":"Q9967","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":0.23,"maximum":288.528,"gross_charge":300.55,"discounted_cash":166.54,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":0.23,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":285.53,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":288.53,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":246.46,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":276.51,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":258.48,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":219.41,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":249.46,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":207.38,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":141.26,"methodology":"fee schedule"}]}]},{"description":"METHYLENE BLUE 1% 10MG/ML VL","code_information":[{"code":"Q9968","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":312.075,"maximum":410.4,"gross_charge":427.5,"discounted_cash":236.88,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":406.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":393.3,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":312.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":354.83,"methodology":"fee schedule"}]}]},{"description":"METHYLENE BLUE 1% 10MG/ML VL","code_information":[{"code":"Q9968","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18.49,"maximum":410.4,"gross_charge":427.5,"discounted_cash":236.88,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":406.13,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":410.4,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":350.55,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":393.3,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":367.65,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":312.08,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":354.83,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":294.98,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":200.93,"methodology":"fee schedule"}]}]},{"description":"METHYLENE BLUE 1% 10ML/ML VL","code_information":[{"code":"Q9968","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":51.4577,"maximum":67.6704,"gross_charge":70.49,"discounted_cash":39.06,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.51,"methodology":"fee schedule"}]}]},{"description":"METHYLENE BLUE 1% 10ML/ML VL","code_information":[{"code":"Q9968","type":"HCPCS"},{"code":"0636","type":"RC"}],"standard_charges":[{"minimum":18.49,"maximum":67.6704,"gross_charge":70.49,"discounted_cash":39.06,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":18.49,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":66.97,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":67.68,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":57.81,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":64.86,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":60.63,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":51.46,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":58.51,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":48.64,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":33.14,"methodology":"fee schedule"}]}]},{"description":"SARS-COV-2/2019-NCOV INHOUSE C","code_information":[{"code":"U0002","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":39.42,"maximum":51.84,"gross_charge":54,"discounted_cash":29.93,"setting":"inpatient","payers_information":[{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"}]}]},{"description":"SARS-COV-2/2019-NCOV INHOUSE C","code_information":[{"code":"U0002","type":"HCPCS"},{"code":"0300","type":"RC"}],"standard_charges":[{"minimum":25.38,"maximum":54,"gross_charge":54,"discounted_cash":29.93,"setting":"outpatient","payers_information":[{"payer_name":"BCBS - ND","plan_name":"Commercial|All Plans","standard_charge_dollar":54,"methodology":"fee schedule"},{"payer_name":"Health Partners","plan_name":"Commercial|All Plans","standard_charge_dollar":51.3,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Commercial|All Plans","standard_charge_dollar":51.84,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|All Other Plans","standard_charge_dollar":44.28,"methodology":"fee schedule"},{"payer_name":"Preferred One","plan_name":"Commercial|PPO","standard_charge_dollar":49.68,"methodology":"fee schedule"},{"payer_name":"Sanford Health Plan","plan_name":"Commercial|All Plans","standard_charge_dollar":46.44,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|All Other Plans","standard_charge_dollar":39.42,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"Commercial|Non-Options","standard_charge_dollar":44.82,"methodology":"fee schedule"},{"payer_name":"BCBS - ND","plan_name":"Medicaid|All Plans","standard_charge_dollar":37.26,"methodology":"fee schedule"},{"payer_name":"Medica","plan_name":"Medicare|All Plans","standard_charge_dollar":25.38,"methodology":"fee schedule"}]}]}]}
